May 11th to 17th 2015

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PCOS

Polycystic Ovary Syndrome

Dr_Stella_Milsom.jpgDr Stella Milsom presented a Webinar on Polycystic Ovary Syndrome and fertility on Wednesday 13 May 2015.  Dr Milsom is a leading authority on PCOS in New Zealand and practices medicine at Fertility Associates.  She delivered a presentation, which was followed by a question and answer session.  The recorded webinar highlights are now available here to watch on video here.

 
 

What is PCOS?

Polycystic ovaries (PCO) is the description for ovaries that contain 12 or more follicles per ovary (normally there are 1 or 2 follicles per ovary).  The use of polycystic ovary is misleading, as the so-called cysts are small follicles which fail to develop - sometimes known in medical terms as atretic follicles.

Polycystic Ovarian Syndrome (PCOS), however, is a more complex condition and may be diagnosed or defined in different ways depending on which country a woman lives in.  The most commonly agreed diagnosis is the Rotterdam consensus where PCOS is diagnosed if two or more of the following are found:

  • PCO morphology as observed on an ultrasound scan
  • Androgen or male hormone related symptoms (see below) OR elevated male hormones in the blood
  • Irregular or absent periods

The diagnosis also assumes that other conditions which mimic this picture, and sometimes are associated with polycystic looking ovaries, have been excluded.

Video

Video

Dr Stella Milsom present this Webinar on Polycystic Ovary Syndrome and fertility on Wednesday 13 May 2015. Dr Milsom is a leading authority on PCOS in New Zealand and practices medicine at Fertility Associates.

View Video →

Claire's story

Hey, my name is Claire! I’m 29 and married to Greg who is 33, we have been together for 11 years.

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PCOS

Infertility may be a consequence of PCOS but is often not necessarily an issue...

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Warning signs – when to seek help

  • Cycles shorter than 3 weeks or longer than 5 weeks
  • No periods at all
  • Unwanted hair growth
  • Jawline acne

Possible symptoms and abnormal biochemistry associated with PCOS:

  • Hirsutism (excessive hair growth on the face, chest, abdomen, etc.)
  • Scalp hair loss (androgenic alopecia, in a classic "male baldness" pattern)
  • Acne
  • Polycystic ovaries (seen on ultrasound)
  • Infertility or reduced fertility
  • Irregular or absent menstrual periods
  • elevated LH level
  • elevated testosterone level (or other androgens)

In addition, some women with PCOS appear to be at increased risk of developing the following health problems during their lives:

  • Insulin resistance
  • Diabetes
  • Cholesterol (lipid) abnormalities
  • Cardiovascular disease (heart disease, heart attacks and stroke)
  • Endometrial carcinoma (cancer)