Women's Health: Polycystic ovarian syndrome

Polycystic ovarian syndrome (PCOS) is a condition associated with multiple cysts in the ovaries. Ovulation often does not take place. The production of hormones is also often unbalanced, particularly with raised levels of testosterone. PCOS is now recognised as the most common cause of ovulation failure, leading to infertility in women who have not yet reached the menopause. Having PCOS can lead to an increased risk of diabetes, high blood pressure, and high blood cholesterol levels. These conditions can cause stroke or heart disease later in life. This increased risk is due to long-term resistance to insulin (a substance released by the pancreas to control blood sugar levels), due to metabolic disturbances.

Women who have had absent or irregular periods for many years have a higher than average risk of developing cancer of the womb lining (endometrial carcinoma).

Despite extensive research, little is known about the aetiology or cause of PCOS. The syndrome is associated with peripheral and central factors that influence sympathetic nerve activity. Thus, the sympathetic nervous system may be an important factor in the development and maintenance of PCOS.

Treatment with Chinese Medicine

A combination of acupuncture, dietary and lifestyle changes are often the most effective method of treatment. The aims of the treatment will be to balance the hormones and regulate menstrual cycle, to promote ovulation and regulate the periods. Weekly treatments over a three-month period are generally required. More severe PCOS can be a difficult condition to treat, and may also require Chinese herbal medicine.

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