Polycystic Ovary Syndrome (PCOS)

Polycystic Ovary Syndrome (PCOS) is one of the most common hormonal disorders among women of reproductive age. It affects how the ovaries function and often leads to irregular periods, excess androgen (male hormone) levels, and multiple small cysts on the ovaries.

At Legacy For Women in Henderson, NV, our OBGYN team specializes in diagnosing and managing PCOS with a compassionate and evidence-based approach. With proper care, symptoms can be controlled, and long-term health risks can be reduced.

What Is PCOS?

PCOS is a complex condition caused by hormonal imbalance and irregular ovulation. The exact cause is not fully understood, but it is often linked to high androgen levels and insulin resistance.

A diagnosis is usually made when at least two of the following are present:

• Irregular or absent periods (anovulation)
• Elevated androgen levels (by blood test or physical signs)
• Enlarged ovaries with multiple small follicles visible on ultrasound

Symptoms and severity vary widely from person to person, which is why individualized care is essential.

Common Symptoms of PCOS

PCOS symptoms often appear around puberty but can also develop later in life. Common signs include:

• Irregular or missed periods
• Excess facial or body hair (hirsutism)
• Acne or oily skin
• Thinning hair or hair loss on the scalp
• Weight gain or difficulty losing weight
• Darkened skin patches, especially around the neck or armpits
• Difficulty getting pregnant

If these symptoms affect your health or confidence, it may be time to schedule an evaluation with an OBGYN in Henderson.

What Causes PCOS?

While the exact cause is unknown, several factors may contribute:

• Insulin resistance: Excess insulin can trigger higher androgen production
• Genetics: PCOS often runs in families
• Hormonal imbalances: Elevated androgens and luteinizing hormone (LH)

Understanding these causes helps guide treatment that supports both hormonal balance and overall health.

Long-Term Health Risks

Without treatment, PCOS can increase the risk of:

• Type 2 diabetes
• High blood pressure
• Elevated cholesterol and heart disease
• Endometrial hyperplasia or cancer
• Sleep apnea
• Depression and anxiety

Early diagnosis and proactive management can greatly reduce these risks and improve long-term well-being.

How Is PCOS Diagnosed?

There is no single test for PCOS. Diagnosis typically involves:

• A detailed review of symptoms and menstrual history
• Blood tests to assess hormone and insulin levels
• Pelvic ultrasound to evaluate ovarian appearance
• Rule-out testing for other hormone disorders

Our team at Legacy For Women uses a personalized approach to identify your specific pattern of symptoms and create a care plan that fits your needs.

Treatment Options

Although PCOS has no cure, symptoms can be managed effectively through a combination of medical care and lifestyle changes.

Lifestyle support:

• Nutritional guidance and weight management
• Regular exercise to improve insulin sensitivity
• Stress reduction and improved sleep habits

Medications:

• Birth control pills to regulate periods and reduce androgen levels
• Metformin to improve insulin resistance
• Anti-androgens to decrease hair growth and acne
• Fertility medications such as letrozole or clomiphene if trying to conceive

Procedures (if needed):

• Ovarian drilling in select fertility cases
• Dermatologic treatments for excess hair or acne

Your treatment plan will be based on your health goals, whether that means regulating your cycle, improving fertility, or addressing cosmetic concerns.

PCOS and Fertility

PCOS is one of the most common causes of ovulation-related infertility, but with the right care, many women can successfully conceive.

Fertility options may include:

• Ovulation induction with oral or injectable medications
• Cycle tracking and ovulation monitoring
• Referral to a fertility specialist when necessary

Even if you are not planning pregnancy right now, managing PCOS helps protect your fertility and hormonal health for the future.

Get the Support You Deserve

Living with PCOS can feel overwhelming, but you are not alone. At Legacy For Women in Henderson, NV, our experienced OBGYNs offer compassionate support, medical expertise, and ongoing guidance to help you take control of your health and feel your best.

Schedule an appointment today to create a personalized care plan that fits your goals and helps you manage PCOS with confidence.