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Polycystic Ovary Syndrome (PCOS): The Chronic Condition One in Ten Women May Have Without Realising


Polycystic Ovary Syndrome (PCOS) is a common chronic condition that affects how a woman's ovaries function, yet it remains widely misunderstood and under diagnosed. A medical TikTok creator, Dr. Azi, recently took to social media to educate women about PCOS symptoms, sparking a discussion among viewers about their own experiences with the condition.


What is PCOS?


PCOS affects as many as one in ten women globally, yet many remain unaware they have it. The condition is characterised by three main features:


  1. Irregular periods: This can include missed periods or cycles that are far apart, often caused by irregular or absent ovulation.

  2. Excess androgens: These are hormones responsible for developing male and female sex characteristics, but when present in higher levels, they can lead to symptoms like acne and excessive hair growth.

  3. Polycystic ovaries: Ovaries that are enlarged and contain multiple follicles.


To receive a PCOS diagnosis, a person must exhibit at least two of these features.


Symptoms of PCOS


Dr. Azi highlighted common PCOS symptoms in her TikTok video, helping women identify if they may need to seek medical advice.


These include:

  • Deep cystic acne along the jawline: Acne caused by elevated androgen levels.

  • Thinning scalp hair: Hair loss or thinning due to hormonal imbalances.

  • Increased facial or body hair: A result of excess androgen production, leading to hair growth in areas where women typically don’t have noticeable hair.


Additional symptoms noted by the NHS include:

  • Irregular or absent periods.

  • Difficulty conceiving due to irregular or absent ovulation.

  • Weight gain or difficulty losing weight.

  • Oily skin.


Why is PCOS Under diagnosed?


The symptoms of PCOS vary widely, and not all women experience the same signs. For some, irregular cycles or weight gain might be the only indicators, while others may struggle with severe acne or excessive hair growth.


One TikTok user commented: “I have the cystic acne, the weight gain, the intolerable cycles, the insulin resistance, but managed to not get the extra hair or thinning hair.”

Another shared, “I have PCOS and none of these [symptoms]; it took four years for a diagnosis because I didn’t show the ‘normal’ signs.”


Such variability in symptoms can lead to delayed or missed diagnoses, leaving many women without proper treatment.


Why Does PCOS Matter?


PCOS is not just about managing uncomfortable symptoms; it can have significant long-term health implications if left untreated.


Women with PCOS are at higher risk for:

  • Type 2 diabetes.

  • Cardiovascular issues.

  • Endometrial cancer due to irregular shedding of the uterine lining.


What Should You Do If You Suspect PCOS?


If you experience any of the symptoms mentioned, it’s crucial to consult a GP or healthcare provider.


A diagnosis often involves:

  • A review of symptoms and medical history.

  • Blood tests to check hormone levels.

  • An ultrasound to examine the ovaries.


While there is no cure for PCOS, symptoms can often be managed through lifestyle changes, medications to regulate hormones, and treatments for specific concerns like acne or hair growth.


Raising Awareness


Dr. Azi’s video serves as a reminder of the importance of education around women’s health issues. By shedding light on PCOS, healthcare providers and advocates can help women seek timely diagnoses and treatments, improving their quality of life.

If you suspect you may have PCOS, don't ignore the signs. The sooner you seek help, the better equipped you’ll be to manage the condition and its potential complications.

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