Polycystic ovarian syndrome

 🌸 PCOS: More than just irregular periods

Polycystic Ovary Syndrome (PCOS) affects 1 in 10 women worldwide.

It is not only about fertility — it also carries long-term health risks if left unmanaged.

Common symptoms many women ignore:

🔹 Irregular or absent periods

🔹 Acne, excess hair growth (hirsutism), or hair loss

🔹 Difficulty conceiving

🔹 Weight gain or insulin resistance

Too often, women are told:

👉 “It’s normal to skip periods.”

👉 “Just lose weight and you’ll be fine.”

👉 “You’re young, don’t worry.”

💔 But ignoring these signs means missing the chance to protect your fertility, heart, and metabolic health.

💡 Guidelines (ESHRE & Endocrine Society 2023):

✅ Diagnosis: Rotterdam criteria → any 2 of:

1. Irregular or absent ovulation

2. Clinical/biochemical hyperandrogenism

3. Polycystic ovaries on ultrasound (≥20 follicles or ≥10 ml volume)

✅ First-line management:

Lifestyle modification (balanced diet + regular activity) = cornerstone.

COCs regulate cycles & reduce excess hair/acne.

Metformin helps with insulin resistance & weight control.

Letrozole = preferred for ovulation induction when pregnancy is desired.

✅ Long-term care:

Screen for diabetes, hypertension, cholesterol.

Don’t forget the emotional side — anxiety and depression are more common in PCOS.

💙 Key Message:

If you suspect PCOS, don’t wait. Early diagnosis and simple interventions can prevent complications, improve fertility, and give you control over your health.

✨ Remember: your symptoms are valid, and seeking help is the first step toward healing.

#DrRababCares 

#PCOSAwareness 

#WomenHealthMatters 

#LusakaGynae

 #ForestParkHospital #FertilityCare

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