A new review published in the Canadian Medical Association Journal (CMAJ) offers updated guidance to help doctors recognize and treat polycystic ovarian syndrome (PCOS). This hormonal condition affects around 10% of females and is often underdiagnosed and misunderstood.
What Is PCOS?
Polycystic ovarian syndrome is a common endocrine disorder that typically affects females during their reproductive years. Many patients visit health care providers between the ages of 18 and 39. Common symptoms include irregular menstrual cycles, acne, and excess hair growth. However, the journey to diagnosis and treatment is often delayed.
The condition is not only linked to fertility problems, such as difficulty conceiving, miscarriages, and complications during pregnancy, but also has serious long-term health risks. These include high blood pressure, increased risk of certain cancers, metabolic issues like insulin resistance, and mental health challenges.
Goals of the Review
The review’s authors hope the new guidelines will raise awareness about PCOS among health care professionals. By improving early diagnosis and offering clear treatment strategies, clinicians can better support patients and reduce the long-term health burden of the condition.
Managing PCOS
PCOS treatment usually involves a mix of lifestyle changes and medications. Doctors may recommend weight management support, hormonal treatments like combined birth control pills, or non-hormonal drugs such as metformin, which can help manage insulin levels.
Although weight gain is common among people with PCOS, the review stresses the importance of handling the issue with care. The authors warn that patients may struggle with negative body image and eating disorders. “Clinicians should be particularly sensitive to weight stigma,” they note.
Summary
Polycystic ovarian syndrome remains one of the most common and misunderstood conditions affecting women of reproductive age. With the new guidance published in CMAJ, experts hope to improve both the speed of diagnosis and the quality of care. Understanding the physical and emotional impact of PCOS is key to providing compassionate, effective treatment.
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