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Polycystic ovary syndrome signs and symptoms often begin soon after a woman first begins having periods (menarche).In some cases, PCOS develops later during the reproductive years, for instance, in response to substantial weight gain.Symptoms and findings suggestive of neoplasm include rapid onset of symptoms, signs of virilization, and a palpable abdominal or pelvic mass.Patients without these findings who have mild symptoms and normal menses can be treated empirically.
The most common cause of hirsutism is polycystic ovary syndrome, accounting for three out of every four cases. In patients whose hirsutism is not related to medication use, evaluation is focused on testing for endocrinopathies and neoplasms, such as polycystic ovary syndrome, adrenal hyperplasia, thyroid dysfunction, Cushing syndrome, and androgen-secreting tumors.
Further workup is guided by history and physical examination, and may include thyroid function tests, prolactin level, 17-hydroxyprogesterone level, and corticotropin stimulation test.
Polycystic ovary syndrome treatment generally focuses on management of your individual main concerns, such as infertility, hirsutism, acne or obesity.
Additionally, it often takes women several years and up to seven doctors before they can find someone who can help them with the condition.
Despite affecting millions of lives and families and the serious health consequences, PCOS awareness and support organizations, receive less than 0.1% of the government, corporate, foundation, and community funding that other health conditions receive.