Polycystic Ovary Syndrome

It is one of the most common endocrine diseases in women of reproductive age. Although its incidence varies according to studies, many studies reveal that polycystic ovary syndrome is seen in one out of every five women.

The diagnosis of polycystic ovary syndrome is usually made as a result of examinations applied for inability to conceive, infrequent menstruation, abortion, weight gain and body hair.

Polycystic ovary syndrome (PCOS) is a complex disease that requires long-term follow-up and can reduce quality of life. The fact that it affects the cardiovascular system, causes endocrinological and metabolic disorders, and even causes psychiatric diseases reveals the importance of the follow-up and treatment of polycystic ovary syndrome.

In polycystic ovary syndrome, a large number of follicles with a diameter of approximately 2-6 millimeters located around the ovaries help the diagnosis by forming a typical ultrasonographic image.

Diagnosis in polycystic ovary syndrome:

  • On the ultrasonographic image, the ovaries are larger than normal and many follicles filled with fluid are observed (polycystic ovaries).

  • While the level of LH hormone in the blood increases, the FSH level is found to be low (LH/FSH ratio increases)

  • Serum androgen hormone levels are higher than normal

  • Insulin resistance is evident

  • There are deviations in blood lipid levels

  • In ultrasonographic follicle follow-ups, it is observed that ovulation does not occur.


  • Prolonged absence of menstruation or delayed menstruation

  • Weight gain (obesity) in more than half of the patients

  • increased hair growth

  • infertility


  • Contraceptive pills are the most commonly used drugs in those who are not planning pregnancy.

  • Hair growth medications, if observed

  • Drugs related to ovulation, in case of infertility, in those who want to get pregnant

  • In the presence of obesity, there may be improvements in ovulation function in case of weakening and reaching the appropriate weight.

  • In the absence of ovulation in women, high estrogen levels that continue for a long time negatively affect the inner layer of the uterus. The thickening of the inner lining of the uterus, called endometrial hyperplasia, increases the risk of cancer. Drugs related to the hormone progesterone are used to prevent the thickening of the inner layer of the uterus.

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