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Diseases & conditions
Women's health

Polycystic ovary syndrome (PCOS)

Polycystic ovary syndrome (PCOS) is a common hormone condition in women of childbearing age. It causes irregular or missed periods, extra hair growth and acne, and it is a common reason for difficulty getting pregnant. The ovaries may contain many small fluid sacs. PCOS cannot be cured, but symptoms can be well controlled; it raises the long-term risk of diabetes, so weight and blood sugar should be checked.

Symptoms

  • Irregular periods, very few periods, or no periods
  • Extra hair on the face, chest or belly
  • Acne and oily skin
  • Weight gain, especially around the belly
  • Thinning hair on the head
  • Difficulty getting pregnant
  • Dark, thick skin on the neck or under the arms

When to see a doctor

Get medical help quickly if you notice any of these:

  • Periods are irregular or have stopped for 3 months or more (and you are not pregnant)
  • You have been trying to get pregnant for 12 months without success (6 months if over 35)
  • Fast growth of facial or body hair
  • Signs of diabetes: strong thirst, passing a lot of urine, tiredness
  • Very heavy bleeding when a period finally comes

In an emergency, go to the nearest hospital or clinic straight away.

Causes

  • The exact cause is not known
  • Higher levels of male-type hormones (androgens)
  • The body does not respond well to insulin (insulin resistance)
  • It often runs in families
  • Being overweight makes symptoms worse

Prevention

  • PCOS cannot be prevented, but a healthy lifestyle reduces symptoms
  • Keep a healthy weight — losing even a small amount of weight can bring back regular periods
  • Eat less sugar, sweets and white bread; eat more vegetables, lentils and beans

Talk to a doctor

Get advice by video, voice or chat without leaving home.

Recommended specialistGynecologist
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  • Be active for at least 30 minutes on most days
  • Have blood sugar and blood pressure checked regularly
  • Treatment

    • Weight control, healthy eating and regular exercise — the first step
    • Hormonal pills to regulate periods and reduce extra hair and acne — prescribed by a doctor
    • Metformin in some women to help insulin work better — prescribed by a doctor
    • Fertility medicines such as clomifene for women trying to get pregnant — only under a gynaecologist
    • Creams or hair removal for extra hair, and acne treatment
    • Do not take hormone medicines without a doctor

    Common questions

    Can I get pregnant if I have PCOS?

    Yes. Many women with PCOS get pregnant, sometimes after losing some weight or with fertility treatment from a gynaecologist.

    Do the cysts need surgery?

    Usually not. The small sacs in PCOS are not dangerous growths and do not need to be removed. Treatment focuses on hormones, weight and periods.

    General information onlyThis guide does not replace an examination by a doctor. Do not start or stop a medicine without a doctor's advice.