PCOS is an endocrine (hormonal) condition. It is diagnosed by clinical or hormonal changes associated with increased androgen activity, irregular ovulation and a characteristic appearance of ovaries on ultrasound.
PCOS is common, with five to ten per cent of women of childbearing age experiencing the condition. Many women do not even know they have the condition and are often not diagnosed with it until they begin trying to get pregnant.

• Irregular or only occasional periods which may be very heavy when they occur
• Difficulty in getting pregnant because of irregular ovulation or no ovulation
• Problems with weight management and a high upper body fat distribution
• Excessive hair growth or occasionally loss of hair due to excessive hormones
• Ultrasound appearance of polycystic ovaries
• Prediabetes or diabetes; Abnormal blood fats, such as cholesterol

• They contain many small follicles (12 or more) and the ovaries are often larger than average

• Genetic Predisposition (runs in family), Environmental and Lifestyle Factors. Environmental and Lifestyle Factors can exacerbate the symptoms of PCO.

• Your menstrual cycle may be irregular and ovulation erratic;
• Women who are obese have a reduced implantation rate even with normal ovulation;
• Increased risk of anaesthetic and pregnancy complications, mainly associated with the weight;

• Physical Exam, Ultrasound Scan and Blood test

• Reduce BMI – Healthy eating and moderate exercise
• Ovulation Induction and Assisted reproduction technologies – IVF
• Regular withdrawal bleeding – to avoid over growth of lining of uterus