PCOS & Hormonal Imbalance Care | Dr. Leveno
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Saturday, August 09, 2025
By Dr. Joseph Leveno
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Did you know that 1 in 10 women of childbearing age is affected by Polycystic Ovarian Syndrome (PCOS)? This common hormonal disorder can cause irregular menstrual cycles and interfere with egg release by disrupting normal ovarian follicle development. Dr. Joseph Leveno emphasizes the importance of understanding PCOS, as it can impact fertility, energy levels, and overall health. However, with proper diagnosis and personalized care from experts like Dr. Leveno, symptoms can be managed effectively. In this comprehensive guide, we’ll break down the signs and symptoms of PCOS, explore its impact on women’s health, and discuss various treatment options to help you take control of your well-being.

What is PCOS?
Polycystic Ovarian Syndrome (PCOS) is an endocrine disorder that affects a significant number of women globally. Characterized by hormonal imbalances, insulin resistance, and ovarian dysfunction, PCOS can manifest in various ways. It's important to understand the physiological background of the condition to appreciate its effects.

Causes of PCOS
While the exact cause of PCOS is still unclear, several factors may contribute to its development:
- Genetics: There appears to be a hereditary component, as PCOS often runs in families.
- Insulin Resistance: Many women with PCOS have insulin resistance, which can lead to increased insulin levels and, consequently, higher androgen production.
- Hormonal Imbalances: Women with PCOS often exhibit elevated levels of male hormones (androgens), which can disrupt regular ovarian function.

Symptoms of PCOS
Recognizing the symptoms of PCOS is crucial for early intervention and management:
- Irregular Menstrual Cycles: Many women with PCOS experience irregular or absent periods due to disruptions in hormone levels.
- Weight Gain: Difficulty in maintaining a healthy weight is common, often due to hormonal imbalances affecting metabolism.
- Excess Hair Growth: Increased androgen levels can lead to hirsutism, which is excessive hair growth on the face, chest, and back.
- Acne and Oily Skin: Hormonal fluctuations can lead to skin issues, including acne and oily skin.
- Thinning Hair: Some women may experience thinning hair or male-pattern baldness due to hormonal changes.
- Fertility Issues: PCOS is one of the leading causes of infertility due to irregular ovulation.

The Impact of PCOS on Quality of Life
Women with PCOS often report a lower quality of life. The psychological effects, such as anxiety and depression, can stem from physical symptoms and challenges associated with fertility. Understanding the holistic impact of PCOS is essential when considering treatment options.

Diagnosing PCOS
Diagnosis typically involves a combination of:
- Medical history overview.
- Physical examinations.
- Blood tests to check hormone levels and rule out other disorders.
- Ultrasounds to examine the ovaries for cysts.
Early diagnosis is key to managing symptoms effectively.

Managing Symptoms and Treatment Options
If you suspect you have PCOS, it’s important to consult with a healthcare provider, such as Dr. Leveno, specializing in women’s health. Here are some common and effective management strategies:
- Lifestyle Changes: Adopting a balanced diet and regular exercise can assist in weight management and reduce insulin resistance.
- Medications: Hormonal contraceptives can help regulate menstrual cycles and address excess hair growth by lowering androgen levels. Other medications may be prescribed to manage specific symptoms.
- Insulin Sensitizers: Drugs like Metformin can help lower insulin resistance and support weight management efforts.
- Fertility Treatments: If you are trying to conceive, fertility treatments can be discussed, including medications to promote ovulation and assisted reproductive technologies.
- Alternative Therapies: Some women find relief through alternative therapies such as acupuncture or herbal supplements, although research is ongoing concerning their effectiveness.

Living with PCOS
Living with PCOS requires ongoing management and lifestyle adaptation. Here are some additional tips:
- Join Support Groups: Connecting with others who share similar experiences can provide emotional support and practical tips for managing symptoms.
- Stay Informed: Keep yourself updated on PCOS research developments. Awareness of the latest treatments and lifestyle advice can empower you to manage your symptoms better.
- Schedule Regular Check-ups: Regular visits with your healthcare provider enable you to monitor your health and address any new symptoms or concerns promptly.

Conclusion: Where Do We Go from Here?
Managing PCOS can be challenging, but it is possible. With accurate diagnosis and tailored treatment plans, women can lead healthier and more fulfilling lives. If you suspect that you are affected by PCOS, don't wait; scheduling a consultation with Dr. Leveno can be the first step in taking control of your health. By understanding the condition, making informed choices, and seeking support, you can successfully navigate the complexities of PCOS and enhance your overall well-being.