Polycystic ovary syndrome – what are the signs of PCOS?

Polycystic ovary syndrome

Polycystic ovary syndrome

Symptoms Of PCOS

If you experience symptoms of polycystic ovary syndrome (PCOS), they’ll usually become apparent in your late teens or early twenties.

Not all women with PCOS will have all of the symptoms, and each symptom can vary from mild to severe. Many women only experience menstrual problems and/or are unable to conceive.

Common symptoms of PCOS include:

irregular periods or no periods at all

difficulty getting pregnant (because of irregular ovulation or failure to ovulate)

excessive hair growth (hirsutism) – usually on the face, chest, back or buttocks

weight gain

thinning hair and hair loss from the head

oily skin or acne

You should talk to your GP if you have any of these symptoms and think you may have PCOS.

Fertility problems

PCOS is one of the most common causes of female infertility. Many women discover they have PCOS when they’re trying to get pregnant and are unsuccessful.

During each menstrual cycle, the ovaries release an egg (ovum) into the uterus (womb). This process is called ovulation and usually occurs once a month.

However, women with PCOS often fail to ovulate or ovulate infrequently, which means they have irregular or absent periods and find it difficult to get pregnant.

Risks in later life

Having PCOS can increase your chances of developing other health problems in later life. For example, women with PCOS are at increased risk of developing:

type 2 diabetes – a lifelong condition that causes a person’s blood sugar level to become too high

depression and mood swings – because the symptoms of PCOS can affect your confidence and self-esteem

high blood pressure and high cholesterol – which can lead to heart disease and stroke

sleep apnoea – overweight women may also develop sleep apnoea, a condition that causes interrupted breathing during sleep

Women who have had absent or very irregular periods (fewer than three or four periods a year) for many years have a higher-than-average risk of developing cancer of the womb lining (endometrial cancer).

However, the chance of getting endometrial cancer is still small and can be minimised using treatments to regulate periods, such as the contraceptive pill or an intrauterine system (IUS).

Endometriosis – what you need to know

Endometriosis is a condition that affects more than 176 million women globally. It involves the abnormal growth of a type of tissue similar to the lining of the uterus (called “the endometrium”) in other parts of the body, such as the ovaries, the fallopian tubes, or the outer wall of the uterus.

The most common symptoms include painful periods, pelvic pain, abnormal bleeding, and difficulty with getting pregnant.

There are astounding statistics on endometriosis at a global level. Since pelvic pain or other symptoms are often belittled and blamed on normal aspects of womanhood, the average time for a woman to be correctly diagnosed is 10 years. Almost 70% of women were initially misdiagnosed with another condition.

Raising awareness around endometriosis is the first step towards making these numbers a thing of the past.


Endometriosis around the world

Endometriosis around the world

Women and hair loss: coping tips

Alopecia

Alopecia

Losing your crowning glory can be particularly difficult for women. But there are ways to cope.

Losing your hair as a woman, especially if you’re young or at a vulnerable time in your life, can badly affect your confidence.

Jackie McKillop, Alopecia UK spokesperson and junior nursing sister at Addenbrooke’s Hospital in Cambridge, says society considers hair to be an important part of how you look:

“For women, there is a social stigma attached to going bald,” she says. “Hair loss can affect your sensuality and how you perceive yourself. There are usually emotional trials and tribulations when it happens.

“Some women question whether their partner will still love them. I’ve known others become socially reclusive and give up enjoyable activities like swimming and going to the gym, because they can’t bear using the communal changing rooms for fear of their hair loss being discovered.”

Hair loss, known medically as alopecia, is common. It’s estimated, for instance, that around 50% of women over the age of 65 experience female-pattern baldness – the most common type of hair loss, which is thought to be inherited.

Different types of hair loss

There are lots of different types of hair loss. It can take the form of “thinning” or involve a total loss of hair. It can be gradual or sudden; it can affect the old and the young.

Hair loss can be genetic, or as a result of extreme stress, a medical condition or treatment.

Hair loss is a well-known side effect of chemotherapy, and around 50% of women lose more hair than usual after they’ve given birth.

Hair loss treatments

Jackie McKillop, who has herself lost all her hair, says it can help to address the physical aspects of hair loss. Try to find out everything you can about hair loss and the treatment options available to you.

A proven treatment for female-pattern baldness is a hair lotion containing minoxidil. After using it, most women see improvements, including a slowing or stopping altogether of balding, as well as thicker hair. Up to 25% of women experience hair regrowth while using it.

Always contact your GP or dermatologist for advice before starting or finishing any treatments or medication for alopecia.

Find out about hair loss treatments that work.

Ways to cope with hair loss

It’s also important to address the psychological impact of hair loss. If you’ve lost your hair, even temporarily, life will be easier if you can accept what’s happened and learn to live with your altered appearance.

“How well you cope with looking at yourself in the mirror depends on your coping strategies, personality, self-esteem and the support around you,” says Jackie. “It’s really important to try to promote positivity in your life.”

Here are some useful self-help tips:

Share stories: It helps to know you’re not alone. Watch this video of a woman’s personal experience of alopecia, read this real-life story of Michelle Chapman who was diagnosed with alopecia when she was five. Read the comments at the end of this article to see how others cope.

Join a support group: There are groups around the country where you can meet and socialise with other people with alopecia. Find your nearest Alopecia UK support group.

Go online: If you prefer to go online to talk to others, join Alopecia UK’s discussion forum.

Accept it: It’s not easy, but try to come to terms with your hair loss. One way to do this is to make a list of all your good qualities and focus your energy on celebrating these attributes.

Talk about it: Discuss your hair loss with your friends, family and loved ones, preferably early on. Let them know how you feel about it and what kind of support you need. If hair loss is affecting your relationship with your partner, going to therapy or couples counselling may help.

Cover up: Look into disguising and covering up your hair loss with things like wigs, hair extensions, scarves and make-up. Persevere until you find a product and style that suits you. “Equally, you may prefer not to cover up at all. Whatever works best for you,” says Jackie.

If you have hair loss that you find difficult to cover up (around 50% hair loss or more), or your hair loss is a result of cancer treatment, you could be eligible for a wig on the NHS. Find out about NHS wigs.

Be patient: many cases of hair loss in women are temporary. That said, regrowth is unpredictable and can take years. Remember that your new hair can be any texture and colour.

Avoid miracle cures: don’t be taken in by claims for wonder products. There are no cures for female hair loss.

“There are lots of snakeoil products out there. Usually the greater the claim, the greater the letdown,” says Jackie McKillop. Her advice is to stick to products recommended in the British Association of Dermatologists’ clinical guidelines (PDF, 85kb).

You can read more articles on all aspects of hair loss, including the different types, its diagnosis and treatment.

Endometriosis: Michelle’s story. What are the signs and symptoms of Endometriosis?

Endometriosis

Endometriosis

Endometriosis: Michelle’s story

Michelle Middleton from Silsden, West Yorkshire, became unwell after the birth of her son when she was 28. She was diagnosed with endometriosis at 29. 

“After I had my son Leo, I didn’t go back on the pill. I’d been taking it since I was 14 and, looking back, I think it masked my endometriosis symptoms”, says Michelle.

Symptoms of endometriosis

In endometriosis, cells of the womb lining appear elsewhere in the body, for example around the bowel. They bleed in response to the menstrual cycle, causing pain, swelling and scar tissue (adhesions). Symptoms vary, and some women don’t notice any at all, but for others it’s unbearable.

Says Michelle: “My periods had always been painful but not intolerable. Although I had irregular bleeding when I was 18 or 19, nobody mentioned endometriosis. They changed my contraceptive pill to see if that would help, and the results of a cervical smear test showed irregularities. This led to a colposcopy (a procedure that examines the cells in the womb), and pre-cancerous cells were removed.

“I’d also had trouble with my bowels – bloating, diarrhoea and sometimes bleeding. I know now that these can be symptoms of endometriosis.”

Read more about endometriosis symptoms.

“At 25 I came off the pill to start my family. I got pregnant quickly, but miscarried. My second and third pregnancies happened soon after, and although Alana and Leo were premature, they’re both fine.

“After having Leo, my periods were heavier and I gradually started becoming unwell. The main symptom was fatigue. Pushing the baby buggy up a hill was exhausting.

“Then, last summer, I had severe pain during intercourse. Endometriosis adhesions are fibrous, like a web, and can join organs together. Apparently my ovary is attached to my bowel, and this could be causing the pain. I also had a bad bout of bleeding after sex. I bled for about a week.”

Unusual bleeding is a sign of endometriosis

“The first GP I saw told me to wait and see what happened, but I didn’t want to do that, so I saw another doctor. He gave me medication to stop the bleeding, sent me for an ultrasound scan and referred me to a gynaecological consultant. The scan showed a small cyst on one of my ovaries, but they said this was nothing to worry about.

“At my consultant appointment, I was referred for a laparoscopy (a surgical procedure in which the abdomen is examined with a tiny camera). It’s the only way to diagnose endometriosis definitely. When I went back for my follow-up, the consultant said, ‘Well, you’ve got endometriosis’,” recalls Michelle.

Endometriosis treatments

“I’d never heard of it. He didn’t really explain what it was, but said they’d put me in a fake menopause with injections of a drug called Zoladex plus hormone replacement therapy (HRT) to combat side effects such as hot flushes.

“I was hurrying to pick up the kids from nursery, and I think I was in shock because I didn’t ask any questions, which isn’t like me. I had the injection, and when I got home I thought, ‘What have I done?’.

“The injection helped reduce the pain during sex, but it affectedly me badly. At first I felt great. I had so much energy. But it soon got worse. I was exhausted and emotional. I felt as though I had premenstrual syndrome every day. My bowels caused problems, and I became really bloated.

“After two months I came off the HRT and felt better. I stayed on Zoladex for four months, and stopped having periods during that time. I’ve been offered another course of Zoladex, but I’ve decided to wait for a few months before taking it.”

Read more about endometriosis treatments.

Living with endometriosis

Michelle is now trying to live life with endometriosis as naturally as she can.

“I want to let my menstrual cycle get back to normal, and I’m keeping a diary of my symptoms so I can relate them to my cycle. I’m trying natural ways to improve my health. I eat more healthily, I’ve stopped having caffeine, I’m jogging, and I feel much better.

“The pain during sex has returned, which is disappointing.

“If a woman has been diagnosed with endometriosis, I’d want to reassure her that she’s not alone. People worry about how the illness will progress, but it’s different for everyone.

“If you go to internet message boards and read about people who have a very bad experience of endometriosis, try to be objective. There will be people who no longer write messages because they feel better and are getting on with their lives.”

World Contraception Day – How much do you know about contraception? Take our quiz!

How much do you know about contraception?

How much do you know about contraception?

Monday 26th September is World Contraception Day, perhaps one of the more important ‘Awareness Days’ of the year. First launched in 2007, the aim is to inform young people to help them make more sensible and smart choices regarding their sexual lifestyle.

According to Public Health England, people aged 15 to 24 make up around 36% of gonorrhoea, chlamydia, genital warts, herpes and syphilis diagnoses in 2015. However it’s not only young people who need to be informed. Shockingly, a survey that the Family Planning Association ran found that 68% of the general public had never had a STI test.

To help test your knowledge this Contraception Day, charity Plan UK have put together a new quiz with various questions about different types of contraception and sexual health myths from around the world. Although a lot of the myths featured in quiz seem quite harmless, they do have a serious impact on sexual health and well-being around the world.

Take the quiz here: http://www.plan-uk.org/news/news-and-features/contraception-myths/