Polycystic Ovarian Syndrome (PCOS)
Michael is highly experienced in helping patients to manage Polycystic Ovarian Syndrome (PCOS). As a complex metabolic disorder, PCOS manifests through a diverse range of symptoms, requiring a nuanced and individualised management plan.
Understanding the Symptoms
The impact of PCOS varies significantly between individuals. Common clinical features include:
Irregular, heavy or prolonged periods due to infrequent ovulation
Acne
Unwanted hair growth on the face or body
Hair loss
Subfertility due to infrequent ovulation
Mental Health: an increase prevalence of anxiety, depression, and other mental health concerns
Diagnosis & Long-term Health
The diagnosis of PCOS is based on a combination of criteria called the Rotterdam Criteria. It is not possible to diagnose PCOS based on a single test, such as an ultrasound alone.
Beyond immediate symptom management, PCOS is an important risk factor for several long-term health issues. Michael provides proactive screening for: diabetes, high blood pressure, high BMI, high cholesterol, problems with the lining of the uterus, mental health issues.
An Individualised Approach
Treatment is never "one size fits all." Michael works with you to prioritise the areas of your health that matter most to you right now:
Lifestyle Optimisation: Often the first-line measure, Michael supports evidence-based dietary and exercise modifications to improve metabolic function. This has often been initiated by your GP.
Fertility and Ovulation Induction: For those seeking to conceive, Michael utilises oral medications to resume regular ovulation. If initial steps are unsuccessful, he provides advanced options including injectable medications or IVF.
Symptom Control: For patients prioritising cycle regularity or skin health, therapies such as the combined oral contraceptive pill or other oral medications target the PCOS pathway
Holistic Mental Health Support: Acknowledging the emotional toll of PCOS, Michael advocates for a collaborative approach involving your GP and mental health professionals.