Polycystic Ovaries in teens. Do you really need a doctor?

Polycystic Ovarian Syndrom( PCOS ), is common and can affect as many as 12 - 15% of teenaged girls.  Obesity is a pivotal feature, yet 10-12% patients will have normal and even very slim body, so called "lean PCOS" which indicates wide range of hormonal distubances that can lead to PCOS.  Heredity and exposure of the female fetus during the pregnancy to elevated  levels of androgens and blood sugar, most common trigerring factors.  Elevated level of insulin (insulin resistance) among teens and adult women is a major factor in developmant of PCOS, it  eventually leads to excessive production of male hormons by polycystic ovaries creating a vicious cycle of obesity and excessive male hormon production. That is why, GYN can only diagnose already obvious PCOS and prescribe hormonal contraceptives, which can mitigate , but not address underlying issue of insulin resistance and obesity.   For the vast majority of PCOS women, with exception of "lean PCOS" bringing BMI closer to 25 or below can lead to reduction or complete resolution of PCOS signs and normalisation of menstrual pattern.  One common sense approach is a combination of Ketogenic diet and intermittent fasting, which make perfect Physiologic sense and probably the only biologically reasonable way out.  Combining prescribed Hormonal contraceptives, which are shielding womans body from negatives of Male hormons, with diet and life-style modifications is a perfact match.

The information contained on this website is for informational purposes only. No material on this site is intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified health care provider with any questions you may have regarding a medical condition or treatment and before undertaking a new health care regimen, and never disregard professional medical advice or delay in seeking it because of something you have read on this website.




Leon Nitkin, M.D. I offer a full range of GYN services and limited obstetric care. I specialize in the provision of services for gynecological plastic, including narrowing of vagina and labia reduction; Cervical Cancer Immunizations (HPV Immunizations - GARDASIL) and have extensive experience in treatment of Uterine Fibroids - therapeutic and surgical. Our primary focus is your comfort with a female physician assistant on staff and a Board Certified Anesthesiologist for procedures.

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