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Updated 6-09

 
PCOS
Polycystic Ovarian Syndrome
Project PCOS
http://www.projectpcos.org
Fact Sheet about PCOS
 
Syndrome O
Web Sites

What is it ?

Polycystic ovary syndrome (PCOS) is the most common endocrine disorder in women, affecting an estimated five to ten million women of reproductive age. For women trying to conceive a child, PCOS is a serious, common cause of infertility - nearly half of all female factor infertility cases can be traced to PCOS.
Many women present with significant ovulation problems that may indicate an underlying issue with their metabolism and nutrition. The common symptoms that may indicate polycystic ovarian syndrome (PCOS) include very irregular or absent periods (100%), large and cystic ovaries (95%), obesity (75%), problems with excessive body hair growth and/or acne (70%), cholesterol and/or triglyceride abnormalities (70%), and a strong family history of diabetes, hypertension, heart diseases, obesity, and irregular periods (100%).
It has been demonstrated that PCOS is due to an underlying metabolic problem known as insulin resistance. When the body's muscle and fat tissues become resistant to insulin action, the pancreas produces increasing amounts of insulin, leading to very high insulin levels. The high insulin levels tend to produce food cravings, particularly in the form of carbohydrates, making the cycle continue. High insulin levels make weight loss virtually impossible, and tend to promote weight gain. High insulin levels also drive the ovary to produce high amounts of male hormone (androgens), and cause follicles to literally die before they release mature eggs. As such, multiple cysts form in the ovaries, and no healthy eggs are released. Thus, infertility and a lack of ovulation are the hallmarks of PCOS.
PCOS and Insulin Resistance: Advance August 2004
PCOS Comes to Gynecology

Theories about Causation

It is felt there are a variety of factors contributing to PCOS
++Genetic Factors
++Environmental factors (exposure to pesticides and other endocrine-disrupting chemicals)
++Autoimmune disorders (ovarian, adrenal, pancreatic, thyroid)
++Excessive insulin production related to obesity0induced insulin resistance
++Excess intake of substances such as excitatory amino acids
++Medications that increase prolactin
It's My Ovaries, Stupid
http://www.herplace.com/ovaries.htm  pp 252

Visual charts of PCOS

Source: http://bmj.com/cgi/content/full/317/7154/329
Incidence and treatment of metabolic syndrome in newly referred women with confirmed polycystic ovarian syndrome.
Metabolism. 2003 Jul;52(7):908-915
Diagnosing PCOS in women who menstruate regularly
Ovulatory Polycystic Ovary Syndrome A New Disorder
Contemporary OB/GYNŽ Archive: Jul. 1, 2003
Suggested Laboratory Studies

Diagnosis Tree

Differences between classic and mild forms of PCOS
Infertility, Implantation Failure and Miscarriages (PCOS)
http://repro-med.net/papers/pcos.php
Fertility Plus Table of Contents
http://www.fertilityplus.org/toc.html
Metformin for PCOS & Pregnancy
http://www.fertilityplus.org/faq/metformin.html
Metformin for PCOS
http://www.fertilityplus.org/faq/metformin.html#pcos
Metformin for Pregnancy
http://www.fertilityplus.org/faq/metformin.html#pg
     
It's My Ovaries, Stupid
Elizabeth Lee Vliet, M.D.
 
Great New Book by Elizabeth Vliet
Excellent Chapter on PCOS
http://www.herplace.com
http://www.herplace.com/ovaries.htm

 

Syndrome O

Over the years, the clinical label Polycystic Ovary Syndrome has suggested a confusing primary disorder of the ovaries, both to women and their doctors. Syndrome O gets to the real heart of the problem - Ovarian Confusion and Ovulation disruption, caused primarily by Overnourishment and Overproduction of insulin. In reality, polycystic ovaries,
infertility and other health problems are all consequences of Syndrome O.
http://www.ivf-de.com/syndromeo.html
FAQs: http://www.ivf-de.com/faq.html
http://www.pcostrategies.org/index.html
http://www.pcostrategies.org/syndromeo.html
http://www.reproductiveassociates.org/syndromeo.html

Getting Pregnant

When Syndrome O Is Getting In Your Way (Part 1)
When Syndrome O Is Getting In Your Way (Part 2)

http://www.reproductiveassociates.org/syndromeo.html
Contact Information: Pat Sonnenstuhl, RN, CNM, Nutrition Support cnmpat@comcast.net
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Disclaimer: The focus of this site is non-pharmaceutical management, but rather the basics of prevention. Please check with your health care provider about specific pharmaceutical management.
If you suspect you have IR or one if its associated conditions, please seek accurate diagnosis and research thoroughly all aspects of the conditions. I recommend working carefully with your health care provider, to learn what is the most appropriate management for you.