OverviewA typical ovary compared to an ovary in a person with PCOS.What is polycystic ovarian syndrome?Polycystic ovarian syndrome (PCOS) is a hormonal imbalance caused by the ovaries (the organ that produces and releases eggs) creating excess male hormones. If you have PCOS, your ovaries produce unusually high levels of hormones called androgens. This causes your reproductive hormones to become imbalanced. As a result, people with PCOS often have erratic menstrual cycles, missed periods and unpredictable ovulation. Small cysts may develop on your ovaries (fluid-filled sacs) due to lack of ovulation (anovulation). However, despite the name "polycystic," you do not need to have cysts on your ovaries to have PCOS. Show
PCOS is one of the most common causes of female infertility. It can also increase your risk for other health conditions. Your healthcare provider can treat PCOS based on your symptoms and if you have plans for having children. Who can get PCOS?A woman can get PCOS any time after puberty. Most people are diagnosed in their 20s or 30s when they are trying to get pregnant. You may have a higher chance of getting PCOS if you are overweight or have obesity, or if other people in your family have PCOS. How common is PCOS?PCOS is very common — up to 15% of women of reproductive age have it. Symptoms and CausesWhat is the main cause of polycystic ovarian syndrome?The exact cause of PCOS is unknown. There is evidence that genetics play a role. Several other factors also play a role in causing PCOS:
What are the symptoms of polycystic ovarian syndrome?The most common symptoms of PCOS include:
Can I have PCOS but not have any symptoms?Yes, it’s possible to have PCOS and not have any symptoms. Many people don't even realize they have the condition until they have trouble getting pregnant or are gaining weight for unknown reasons. It’s also possible to have mild PCOS, where the symptoms are not severe enough for you to notice. Diagnosis and TestsHow is polycystic ovarian syndrome diagnosed?In most cases, your healthcare provider can diagnose PCOS after an examination. They may order blood tests or perform an ultrasound to help with the diagnosis. Your healthcare provider will:
Typically, you are be diagnosed with PCOS if you have at least two of the following:
Management and TreatmentHow is polycystic ovarian syndrome treated?Your healthcare provider will determine treatment based on your symptoms, medical history and other health conditions, and if you want to get pregnant. Treatments can include medications, lifestyle changes or a combination of both. If you do not plan to become pregnant, treatments include:
If you want to become pregnant now or in the future, treatment for PCOS includes:
PreventionCan I prevent PCOS or its effects?There is no proven way to prevent PCOS, but you can take small steps to reduce your symptoms. For example, eating nutritious foods, exercising regularly and managing your weight can help you avoid the effects of PCOS. Outlook / PrognosisDoes polycystic ovarian syndrome ever go away?The hormone changes caused by menopause may make your PCOS go away, but not always. Sometimes the imbalance of hormones continues into menopause, meaning your imbalance does not change as you age. If your symptoms bother you or affect your quality of life, talk to your healthcare provider so they can recommend treating your symptoms. Does PCOS put me at risk for other health conditions?PCOS has been shown to put you at a higher risk for several health conditions, including:
Talk to your healthcare provider to make sure you understand the risks of developing these conditions. Living WithHow do I cope with symptoms of PCOS?One of the best ways to cope with PCOS is to lose weight with healthy eating and regular exercise. Even a small amount of weight loss can affect hormone levels and help to regulate your menstrual cycle and ease your symptoms. If excess hair growth or acne is hurting your confidence, cosmetic treatments or working with a dermatologist might be helpful. Finally, if you are trying to conceive and have been diagnosed with PCOS, know that you are not alone. Your healthcare provider will work with you to help you get pregnant. Eating healthy and lowering your stress levels can go a long way in helping you manage PCOS. Frequently Asked QuestionsIs polycystic ovarian syndrome genetic?There is still a lot of research being done to understand the causes of PCOS. However, there is evidence that shows PCOS has a genetic or hereditary component. Can I get pregnant if I have PCOS?Yes, you can get pregnant if you have PCOS. PCOS can make it hard to conceive while also increasing your risk for certain pregnancy complications. Your healthcare provider will work with you to develop a treatment plan to help you ovulate. Your treatment plan could include medication or assisted reproductive technologies like IVF (In Vitro Fertilization). Talk to your healthcare provider to make sure you understand your treatment plan and how you can increase your chances for a healthy and successful pregnancy. What hormones affect PCOS?Women with PCOS have a hormonal imbalance that disrupts the menstrual cycle, ovulation, and possibly, conception. These hormones are like an intricate web and the function of the female reproductive system relies heavily on its balance. The hormones that play a role in PCOS are:
What's the difference between PCOS and endometriosis?PCOS and endometriosis are different conditions, but both are linked to ovarian cysts and infertility. Endometriosis is a condition where the lining of your uterus (endometrium) grows in other places like your ovaries, vagina or fallopian tubes. It typically causes pelvic pain or severe menstrual cramps. Women with PCOS have irregular periods, unpredictable ovulation and other physical side effects due to excess male hormones. A note from Cleveland Clinic PCOS is a common cause of infertility and can be linked to other diseases. Talk to your healthcare provider about your symptoms if you suspect you have PCOS. Lifestyle changes and medical treatments can help you manage the symptoms, lower your risk of other health conditions and get pregnant. What causes inflammation in PCOS?In PCOS, a dietary trigger such as glucose is capable of inducing oxidative stress to stimulate an inflammatory response even in the absence of excess adiposity. Hyperandrogenism may be the progenitor of chronic low-grade inflammation.
How can I reduce inflammation in PCOS?Exercise can lower inflammation levels, improve insulin resistance, and help you keep a moderate weight. Regular exercise also lowers your risk of type 2 diabetes and heart disease. Research shows that vigorous, intense exercise has the greatest results in people with PCOS.
Can you get rid of inflammatory PCOS?If you have PCOS, you can start easing inflammation through lifestyle changes. One of the best ways to do this is through a healthy diet that includes anti-inflammatory foods. Supplementing your diet with omega 3 fatty acids, the best absorbed form of fish oil, can also help reduce inflammation.
What is the biggest symptom of PCOS?Common symptoms of PCOS include: irregular periods or no periods at all. difficulty getting pregnant (because of irregular ovulation or no ovulation) excessive hair growth (hirsutism) – usually on the face, chest, back or buttocks.
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