Polycystic Ovarian Syndrome - PCOS
PCOS is a condition that happens in women, starts at puberty and
affects 5-10% of the population. The exact cause is unknown but
the ovaries enlarge and contain multiple cysts that secrete excess
male hormones e.g. testosterone. This produces hirsutism (excess
facial, chest and abdominal hair), alopecia (thinning of the scalp
hair), acne, irregular menstrual bleeding, infertility, recurrent
spontaneous abortion and depression. It also causes high
cholesterol, high blood pressure, type 2 diabetes and obesity (in
50% of cases) which can lead to premature heart disease.
If you are concerned about similar symptoms, your GP can
make the diagnosis with a blood test and an ultrasound scan. Once
diagnosed, medications can be used to settle the irregular
periods, acne and hirsutism.
However, the most successful therapy for PCOS is weight loss
which brings about a global improvement in cardiovascular risks,
insulin levels and menstrual patterns.
Weight loss should be gradual and should be achieved through
lifestyle modification that includes intake of low glycaemic index
carbohydrates (wholemeal grains and fibre), reduced intake of fats
and simple sugars and gentle exercise. These are all components of
the SureSlim program. Successful weight loss also has the benefits
of reducing depression, improving body image and restoring a sense
of control.
Dr Martin Denby
BSc (Hons) MBChB DFFP MRCGP (UK)
FRNZCGP
