When you hear the word “PCOS”, the first thing that might pop into your head is fertility issues. But are you aware that PCOS, when left untreated, may pose other health complications too? Let us understand PCOS complications in detail and how to prevent them.Contents:
Polycystic Ovary Syndrome (PCOS) is a hormonal disorder common among women of reproductive age. In PCOS, the ovaries produce an abnormal amount of androgens, (male hormones) which are usually produced in women, but only in smaller amounts.
As a result of this hormonal imbalance, the ovaries are unable to release eggs (ovulation), which causes irregular menstrual cycles, and other PCOS symptoms such as unwanted facial hair, acne, hair loss, weight gain, and infertility.
The exact cause of this hormonal imbalance in PCOS is unknown, but there are some factors that play a major part in causing PCOS. PCOS risk factors or contributing agents include excess androgen levels, insulin resistance, low-grade inflammation, genetics, etc.
PCOS cannot be cured and needs to be managed life-long with treatment methods and lifestyle changes. So what happens if PCOS is left untreated? If PCOS goes undiagnosed and untreated for a long, there are high chances of developing PCOS complications including:
PCOS is the most common cause of infertility. In PCOS, the excess amount of androgens produced in a woman’s body interferes with the formation and release of eggs from the ovaries.
Unpredictable ovulation results in irregular menstrual cycles and can also lead to infertility. It may be difficult to get pregnant with PCOS, but it is not impossible. Infertility in PCOS is treatable with lifestyle changes, medications, and surgery.
The endometrium is the lining of your uterus or womb, which is shed every month through menstruation in non-pregnant women. Endometrial cancer starts in the cells of the endometrium and is the most common type of uterine cancer.
In individuals with a normal menstrual cycle, estrogen causes the thickening of the endometrium in preparation for a potential pregnancy. When there is no pregnancy, the thickened endometrium will shed and bleed with each menstrual cycle.
In PCOS, there is no ovulation, the endometrial lining is not shed and is exposed to higher amounts of estrogen. This causes the endometrium to grow thicker than normal and increases the chance of the development of cancer cells.
Normalising your menstrual cycle plays an important role in managing PCOS and preventing the development of endometrial cancer.
Prediabetes and Type 2 Diabetes are two of the most common long-term complications of PCOS. Normally, your body digests the food you eat and breaks it down into glucose (sugar). Insulin helps to transport this glucose from the bloodstream into muscle and fat cells, where the glucose is converted into energy. Thus, insulin helps regulate blood sugar levels.
Women with PCOS may develop insulin resistance, which means their cells do not respond to insulin in a normal way. This leads to increased blood glucose levels, which can trigger the pancreas to produce more insulin to stabilise the blood glucose level. Over time, a gradual and consistent increase in blood glucose levels can lead to Type 2 Diabetes.
Metabolic syndrome is a cluster of risk factors that occur together and increase the risk of heart disease. The insulin resistance and obesity commonly associated with those who have PCOS may increase their chances of developing metabolic changes such as:
Now, as we know, your body produces more androgens in PCOS. The androgen levels, insulin resistance, and increased insulin levels trigger weight gain predominantly in the abdominal region since this is where men tend to carry their weight.
This belly fat, also called visceral fat surrounds the internal organs and poses serious health issues such as heart disease.
The high insulin levels associated with PCOS also increase the risk for high triglycerides, inflammatory markers, high blood pressure, and atherosclerosis. These factors can increase your risk of a heart attack and stroke.
In pregnant women with PCOS, pregnancy complications are also seen. During pregnancy, PCOS may increase chances of:
Apart from these complications, untreated PCOS may also result in:
It is a fact that PCOS cannot be cured and needs to be managed. PCOS cannot be prevented either. However, even if you have PCOS, the complications can be effectively prevented by taking a few precautionary measures.
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