By Dr. John Eden
Addressing the typical, yet usually undiagnosed, hormonal of Polycystic Ovary Syndrome (PCOS), this clinical advisor offers girls the boldness to invite their medical professionals definitely the right questions and make expert offerings. In easy-to-understand language, the most recent suggestion approximately handling PCOS is accessible to the single in 4 girls with polycystic ovaries and the seven out of a hundred of this crew that suffer the results of PCOS. the indications, together with pimples, extra hair, obesity, and abnormal menstruation are defined. Such questions as What explanations PCOS? How do hormones paintings? How is PCOS diversified from easily having polycystic ovaries? Does PCOS unavoidably bring about infertility? How is it taken care of? and what's the relationship among PCOS and diabetes? are responded. Case reports and the newest learn for sufferers, pharmacists, medical professionals, and different health and wellbeing pros are integrated.
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Additional info for Polycystic Ovary Syndrome: A Woman's Guide to Identifying & Managing PCOS
All other possible causes of menstrual irregularity need to be excluded to confirm PCOS. There are a small number with PCOS who bleed fairly continually, which can be very distressing. Some swing between bouts of not menstruating, followed by continual bleeding for weeks on end. Causes of menstrual irregularities are discussed in more detail in Chapter 5. Blood tests In my experience, it is a common mistake to diagnose PCOS on the basis of a scan alone. It is imperative that the diagnosis always be Polycystic Ovary PAGES 16/12/04 3:34 PM Page 24 24 Polycystic Ovary Syndrome confirmed by blood testing.
Her menstrual periods were regular but heavy, and an ultrasound scan had shown PCO. Her GP had ordered a hormone profile, which was normal, and in particular her thyroid function and male hormone levels were well within the normal range. As scalp hair loss is commonly caused by iron or zinc deficiency, I ordered a full blood count to check for anaemia, and for iron and zinc levels. I found that she was iron deficient and slightly anaemic. I treated her with iron tablets and the drug transexamic acid (trade name—Cyclokapron) to lighten her periods (see Chapter 5).
We also know that it isn’t the plant isoflavone that is the problem, but rather a phytoestrogen called ‘equol’, which is produced by the friendly germs in the sheep’s gut. Applying this story to the human situation, it is important to keep in mind that these sheep eat only clover, and they eat lots of it—we rarely eat only one type of food. My research group has already had a preliminary look at phytoestrogens and human PCOS, but there is a lot more work needed in this area. My working hypothesis is that perhaps some women produce ‘bad’ phytoestrogens, Polycystic Ovary PAGES 16/12/04 3:34 PM Page 42 42 Polycystic Ovary Syndrome either because of a genetic vulnerability or because of their particular gut flora (which we get from our immediate environment, like our family, through the foods we eat).