Polycystic Ovary Syndrome (PCOS)

Understanding and Management Options

What Is PCOS?

Polycystic Ovary Syndrome (PCOS) is a common condition that affects how the ovaries work. It is a hormonal disorder where the ovaries may develop many small follicles and may not regularly release eggs.

It can affect periods, skin, weight, metabolism, and fertility — but every woman’s experience with PCOS is different.

Common Signs and Symptoms

  • Irregular or absent periods

  • Excess facial or body hair (hirsutism)

  • Acne or oily skin

  • Difficulty losing weight or unexplained weight gain

  • Thinning hair or hair loss on the scalp

  • Difficulty getting pregnant

  • Darkened skin patches (especially around the neck or underarms)

Not all women with PCOS will have all these symptoms — some may have only a few.

What Causes PCOS?

The exact cause of PCOS isn’t fully understood, but factors may include:

  • Hormonal imbalances (elevated androgens — “male” hormones)

  • Insulin resistance

  • Genetic predisposition (family history)

Diagnosis of PCOS

There is no single test for PCOS. Dr. Tourani uses a combination of:

  • Detailed medical history and symptom review

  • Blood tests (to check hormone levels, blood sugar, and cholesterol)

  • Pelvic ultrasound (to assess the appearance of the ovaries)

Diagnosis is based on a combination of symptoms, blood work, and imaging — not just one factor alone.

Management and Treatment Options

PCOS management is tailored to your goals — whether it's regulating periods, improving skin, managing weight, or enhancing fertility.

Lifestyle changes

Nutrition, exercise, and weight management support, which can dramatically improve symptoms even with small changes.

Medications

  • Hormonal treatments to regulate periods

  • Insulin-sensitising medications if needed

  • Fertility medications if pregnancy is desired

Skin and Hair Treatments

Fertility Support

For women planning to conceive, Dr. Tourani provides targeted guidance and referrals when needed.

Living Well with PCOS

PCOS is a long-term condition, but with the right plan, it can be managed successfully. You deserve care that looks at the whole picture — not just your symptoms but your overall wellbeing. Dr. Affie Tourani is here to support you every step of the way.