These can be related to infertility, menstrual irregularities, long or infrequent periods and occasionally heavy periods. Hirsutism, facial, chest and abdomen sites. Acne and obesity.

At London Obstetrics & Gynaecology Clinic  a detailed history and examination to include signs and symptoms. Pelvic ultrasound scan will be performed this will give possible indication of PCOs The ovaries will appear large and multiple small cysts will be scattered at the ovarian tissue. Further biochemical and hormonal blood rests will be performed as androgen levels, antimullarian hormone (AMH) and others all to confirm diagnosis.

Diabetes (Type 2) can develop. Endometrial hyperplasia and increased risk of endometrial cancer.

Treatment will depend on the symptoms, age, severity of the condition, desire for pregnancy and associated health conditions.

Modalites of treatment include:

• Weight loss and diet control
• Oral contraceptive pills to treat period irregularities, hirsutism and acne
• Metformin (Glucophage) to treat diabetes as well as decreasing androgen levels and enhance ovulation
• Surgery - laparoscopic ovarian drilling helps in decreasing polycystic changes and can improve infertility, hirsutism and acne. Mechanism and long term effects have not been significantly substantiated.