Beyond Irregular Periods
Courtney Carter
/ Categories: WELLNESS, 2024

Beyond Irregular Periods

The Far-Reaching Effects of Polycystic Ovary Syndrome

Polycystic Ovary Syndrome PCOS is the most common endocrine disorder among women of reproductive age, affecting 5-6 million American women. Despite its prevalence, PCOS is often underdiagnosed and misunderstood, leading to delays in treatment and management. With wide-ranging symptoms that affect some but not all women with the condition, PCOS can be challenging to diagnose.

Women usually discover they have PCOS in their 20s and 30s when they notice rare or irregular menstrual periods, or have trouble getting pregnant and see a doctor, but the earliest signs can appear in some girls around the time of puberty. 

 

Common symptoms could include:

  • Missed periods, irregular periods, very light periods, or very heavy periods

  • Ovaries that are large or have many cysts 

  • Extra hair growth, most notably on the face, chest, stomach, or thighs

  • Weight gain, especially around the abdomen, and/or obesity

  • Persistent acne or oily skin

  • Elevated blood glucose and signs of elevated glucose, including patches of skin that appear dark and velvety, most often where your skin folds (think armpits and groin)

 

Diagnosing PCOS typically involves identifying at least two of the following criteria:

  • irregular or absent menstrual periods

  • signs of high androgen levels (a male sex hormone), such as unwanted facial or body hair and acne, (especially with elevated androgen laboratory results)

  • polycystic ovaries visible on an ultrasound

Blood tests may be performed to measure hormone levels, and are important as they enable your care provider to rule out other conditions that might cause similar symptoms before confirming a diagnosis of PCOS and recommending treatment.

 

While there is no cure for PCOS, various treatments can help manage its symptoms. These include:

Lifestyle changes: Maintaining a healthy weight through diet and exercise can reduce symptoms and help with ovulation and decrease cardiovascular risks.

Medication: Depending upon the underlying cause of your condition, your doctor may recommend one of the following medications:

  • Birth control pills: These help to control menstrual cycles, lower androgen levels, and reduce acne. 

  • Diabetes medicine: Used to lower insulin resistance in PCOS, diabetes medication may also reduce androgen levels, slow hair growth, and lead to more regular ovulation.

  • Anti-androgens: These medicines work by decreasing the amount of androgens produced by ovaries, and can help with acne and excess hair growth.

  • Fertility medication: For those seeking to conceive, fertility treatments such as ovulation-inducing medications or in vitro fertilization (IVF) may be considered. 

 

PCOS is a complex condition. Early diagnosis and tailored treatment plans can significantly improve quality of life and reduce the risk of long-term health complications. If you’re experiencing symptoms of PCOS, consult with your gynecologic provider to confirm a diagnosis and explore the most appropriate treatment options for your needs.

 

Themarge Small, MD, FACOG, is an obstetrics & gynecology specialist at SVMC.

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SVMC Creates Virtual Waiting Room to Encourage Distancing

BENNINGTON, VT—May 29, 2020—Starting Monday, many people who need in-person appointments at Southwestern Vermont Health Care's (SVHC) hospital and clinics will no longer need to use traditional waiting rooms. A virtual system created by the hospital allows patients to call 802-447-5000 when they arrive in the parking lot and receive a text message when their provider is ready to see them.

SVMC's outpatient and inpatient surgeries and diagnostic services, like those for imaging and laboratory work, have resumed with enhanced safety protocols per the directive of Governor Phil Scott. The health system's emergency department, ExpressCare, emergency surgical services, and most of its primary and specialty practices remained open during the pandemic.

"SVHC has provided safe, high-quality care throughout the pandemic." Said Thomas A. Dee, FACHE, Southwestern Vermont Health Care’s (SVHC) president and CEO. "Innovation has been an important part of providing care during these extraordinary times and this new program decreases the number of people in our waiting rooms and allows them to stay the recommended 6 feet apart or more."

In order to use the virtual waiting room, patients must be able to wait in their vehicle and have a charged cell phone with them. They will receive the virtual waiting room telephone number during their appointment-reminder telephone call. Signs outside the building and at the respiratory check-in stations inside the main hospital and medical office building entrances will also include the number to call.

Patients simply call the number when they arrive in the parking lot and wait in their cars. When the provider is ready to see them, they will receive a text message alert to indicate that they should come in.

"We love that we can use the same technology that most people carry with them to help people stay socially distanced," said Gail Balch, RN, who directs information technology at SVMC. "It's through innovations like this one that we are able to resume services safely and ensure patients receive the care they need."

Hospital and clinic staff anticipate that the new program will allow greater distance between people who must use traditional waiting rooms, including those who walked or took public transportation to their appointment and those who do not have a cell phone.

Additional safety protocols indicate that all patients should arrive to the hospital or clinic with their own cloth face covering. Face coverings must be worn over the mouth and nose for the entire duration of patients' visits. Patients should also come alone, unless they absolutely need assistance from a loved one.

For questions about how to resume or initiate elective care, call your primary care provider or the specialist directly. For a list of providers, visit svhealthcare.org/physician-directory.

Patients with cough or shortness of breath or any two of the following—fever, chills, muscle pain, headache, sore throat, or new loss of taste or smell—should contact their primary care provider or the COVID-19 Informational Hotline at 802-440-8844 before arriving to either their provider’s office or the hospital. For a detailed list of safety protocols, frequently asked questions, visitor guidelines, and COVID-19 information, visit svhealthcare.org.

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