Diagnosis and treatment of Polycystic Ovary Syndrome.
Polycystic ovary syndrome (PCOS) is an endocrine disorder where ovulation
does not occur regularly, potentially causing irregular periods, amenorrhea, and infertility.
Increased male hormones may cause acne or hirsutism,
and metabolic abnormalities such as insulin resistance may also occur.
PCOS is not explained by a single cause — hormonal changes, insulin resistance, increased androgens, and ovulation dysfunction can all contribute.
Select a symptom on the left to see the related causes.
When follicles do not grow sufficiently for ovulation
or hormonal regulation changes, menstrual cycles may lengthen or amenorrhea may occur.
When follicles do not grow sufficiently for ovulation
or hormonal regulation changes, menstrual cycles may lengthen or amenorrhea may occur.
When androgen production increases in the ovaries,
skin and hair changes such as acne, hirsutism, and scalp hair loss may appear.
When insulin action decreases and blood insulin levels rise, it can affect weight and blood sugar management,
and may also be connected to the hormonal environment of the ovaries.
When the process of regular follicle maturation and ovulation becomes irregular,
it can be harder to predict fertile windows and natural conception may take longer.
Rather than relying on a single test, PCOS is diagnosed by examining menstrual cycles, ovulation status,
androgen-related symptoms, and ultrasound findings of the ovaries together.
We check whether irregular periods or amenorrhea recur, whether changes like acne, hirsutism, or hair loss are present,
and may perform hormone tests and metabolic health evaluations as needed.
If you are preparing for pregnancy, we also assess your current ovulation patterns.
Even without prominent symptoms, PCOS can involve irregular periods, ovulation disorders, and metabolic abnormalities,
so consistent management tailored to your current condition is important.
Starting with lifestyle modifications, treatment approaches can vary based on menstrual cycle management,
androgen-related symptom control, and pregnancy planning.
Especially if amenorrhea persists or you have pregnancy plans, it helps to establish an appropriate treatment plan after assessment.
No. The appearance of polycystic ovaries on ultrasound alone is not enough for diagnosis. It is confirmed together with menstrual/ovulation abnormalities and androgen excess criteria.
Irregular periods are a common symptom, but they can also be caused by thyroid disease, hyperprolactinemia, weight changes, and other factors. If irregular periods persist, we investigate the underlying cause.
Irregular ovulation may mean it takes longer to conceive naturally, but pregnancy is not impossible. If you wish to conceive, we can evaluate your ovulation status and consider appropriate treatment.
Yes. PCOS is not a condition that only affects overweight women. Diagnosis is based on a comprehensive assessment of menstrual/ovulation abnormalities, androgen excess, and ovarian findings regardless of body type.
For those who are overweight or obese, lifestyle improvements and appropriate weight management can help improve metabolic health and ovulation function. For those at a normal weight, balanced lifestyle habits are more important than aggressive weight loss.
At Sarang-i, all physicians are experts in IVF procedures
with extensive clinical and research experience.
