polycystic ovary syndrome

Polycystic ovary syndrome (PCOS) is a common hormonal condition that can affect ovulation, menstrual cycles, fertility, skin, hair growth, and metabolism. It may develop when hormonal and metabolic factors interfere with normal ovarian function.
Common polycystic ovary syndrome symptoms include irregular periods, acne, excess facial or body hair, difficulty conceiving, and weight changes. Not every woman with PCOS experiences the same symptoms, and having ovarian cysts is not required for diagnosis.
Early evaluation can help identify hormonal or metabolic concerns, rule out other conditions, and guide a personalized treatment plan. At University Hospital Sharjah, our Obstetrics & Gynecology team provides specialist assessment, diagnostic testing, fertility support, and individualized PCOS care.

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Overview

About polycystic ovary syndrome

Polycystic ovary syndrome (PCOS) is a common hormonal condition that can affect ovulation, menstrual cycles, fertility, skin, hair growth, and metabolism. It may develop when hormonal and metabolic factors interfere with normal ovarian function.

Common polycystic ovary syndrome symptoms include irregular periods, acne, excess facial or body hair, difficulty conceiving, and weight changes. Not every woman with PCOS experiences the same symptoms, and having ovarian cysts is not required for diagnosis.

Early evaluation can help identify hormonal or metabolic concerns, rule out other conditions, and guide a personalized treatment plan. At University Hospital Sharjah, our Obstetrics & Gynecology team provides specialist assessment, diagnostic testing, fertility support, and individualized PCOS care.

Symptoms & Related Concerns

Irregular Periods

Periods may be infrequent, unpredictable, very heavy, or absent.

Persistent Acne

Polycystic ovary syndrome acne may be persistent or continue beyond adolescence.

When to Consult a Doctor

Consider seeing an obstetrician or gynecologist if:

Your periods are frequently irregular, very infrequent, or absent.
Acne or excess hair growth is becoming persistent or difficult to manage.
You are having difficulty becoming pregnant.
You notice unexplained weight changes or signs of hormonal imbalance.
Your symptoms are becoming more frequent or affecting daily life.
You already have PCOS and need ongoing follow-up or fertility planning.

Causes & Risk Factors

PRIMARY CAUSES

  • Hormonal imbalance
  • Higher androgen activity
  • Insulin resistance
  • Genetic factors
  • Differences in ovarian function
  • Metabolic factors

RISK FACTORS

  • Family history of PCOS
  • Family history of type 2 diabetes
  • Insulin resistance
  • Excess weight or obesity
  • Metabolic abnormalities
  • Previous menstrual irregularities

Diagnosis & Assessment

1.

Gynecology Consultation

Review of menstrual cycles, symptoms, fertility history, weight changes, medications, and family history.

2.

Physical Examination

Assessment may include blood pressure, weight, skin changes, acne, excess hair growth, scalp hair thinning, and other signs of hormonal imbalance.

3.

Hormonal & Metabolic

Testing Blood tests may be used to assess androgen levels and exclude other hormonal conditions. Testing may also include blood glucose, cholesterol, thyroid function, and other investigations when appropriate.

4.

Pelvic Ultrasound

Ultrasound may be used to assess the ovaries and uterine lining. However, an ultrasound showing polycystic ovaries is not required in every patient to diagnose PCOS. There is no single test for PCOS. Diagnosis is based on the overall clinical picture while ruling out other conditions that may cause similar symptoms.

Treatment & Care Options

Menstrual Cycle Management

Hormonal treatment may be recommended for women who are not currently trying to conceive to help regulate irregular periods and protect the uterine lining.

Acne & Excess Hair Management

Treatment may include hormonal therapy, dermatologic care, or selected medications to help reduce polycystic ovary syndrome acne and unwanted hair growth.

Lifestyle & Metabolic Management

A balanced diet, appropriate physical activity, and weight management may help improve menstrual regularity, insulin sensitivity, and some PCOS symptoms, especially when excess weight is present.

Insulin-Sensitizing Medication

Selected patients may benefit from medications such as metformin when insulin resistance, metabolic concerns, or other clinical indications are present.

Fertility Treatment

For women planning pregnancy, treatment may focus on restoring or stimulating ovulation. Fertility medications, specialist reproductive care, IUI, or IVF may be considered depending on the individual situation.
Treatment is tailored to each woman’s symptoms, reproductive goals, metabolic health, and long-term risks. PCOS currently has no permanent cure, but its symptoms and associated health risks can often be effectively managed.

UHS Approach

At University Hospital Sharjah, our Obstetrics & Gynecology team provides personalized PCOS care supported by specialist assessment, advanced diagnostics, fertility support, and coordinated hormonal and reproductive care.

Experienced Obstetricians & Gynecologists
Personalized PCOS & Fertility Care
Hormonal & Reproductive Assessment

Related Services / Conditions

Frequently Asked Questions

How do I know if I have PCOS?
You may have PCOS if you experience symptoms such as irregular periods, persistent acne, excess facial or body hair, difficulty conceiving, or scalp hair thinning.
However, these symptoms can also occur with other hormonal conditions. PCOS cannot be confirmed by symptoms alone, and there is no single diagnostic test. A gynecologist may use your medical history, examination, blood tests, and sometimes ultrasound to determine whether PCOS is present.

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