Polycystic Ovary (PCOS)

Polycystic ovarian syndrome (PCOS) is one of the most common endocrine disorders in women of reproductive age. It is associated with menstrual disorder, reduced fertility, chronic disease such as diabetes, obesity, also increasing risk of endometrial cancer.


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any concerns you have.


The most recent definition of PCOS was set during a consensus meeting by the American Society of Reproductive Medicine (ASRM) and European Society of Human Reproduction and Embryology (ESHRE) in Rotterdam in May 2003.

Diagnosis of PCOS is made when two out of three of the following criteria are found:

  •   Excess male hormones (androgen)
  •   Infrequent ovulation, often manifests as irregular periods 
  •   Multiple (12 or more) ovarian follicles on ultrasound scan

Health Effects of PCOS

  • Menstrual disorder
  • Hirsutism (excess male pattern hair distribution)
  • Infertility
  • Obesity
  • Metabolic abnormalities
  • Diabetes
  • Development of ischemic heart disease
  • Hypertension
  • Abnormal lipid profile
  • Endometrial hyperplasia and cancer



Deciding the best treatment is complex. Dr Sem will discuss the goal of your treatment, be it fertility assistance, control of abnormal periods or cosmetic. 

In general, lifestyle changes with diet, weight loss and exercise will be recommended.

Several medical treatments are available and can be tailored to suit your need. Surgical options such as laparoscopic ovarian drilling may suit some women.