PCOS - Polycystic Ovary Syndrome

PCOS - Polycystic Ovary Syndrome



Are there concerns if I have absent or infrequent periods?

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If you are a sexually active woman you may be anxious that you could be pregnant. It must be stressed that PCOS associated with infrequent or absent periods only means that the chance of pregnancy is reduced, but this can by no means be considered as a guarantee against pregnancy.In the longer term, if the endometrium is being stimulated by oestrogen without the cyclical intervention of progesterone, there is a risk of the endometrium becoming hyperplastic (unduly thickened) and occasionally this could lead to malignant change (endometrial cancer). Cancer of the lining of the womb tends to be a problem around the age of fifty or sixty but can occur earlier. Twenty or thirty years ago, we would have investigated a woman with absent or infre Quent periods and if no problem was found no treatment would have been recommended. Nowadays, we recommend checking that oestrogen levels are ade Quate and offer oestrogen with cyclical progestogen if the levels are persistently low.


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PCOS - Polycystic Ovary Syndrome

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This is the personal website of David A Viniker MD FRCOG, Consultant Obstetrician and Gynaecologist at Whipps Cross University Hospital, London.

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PCOS - Polycystic Ovary Syndrome