Please explain what PCOS is?

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Community Leader
Registered: 10-10-2007
Please explain what PCOS is?
1
Mon, 08-06-2012 - 7:57pm

I have been having various symptoms (will list below) for months now and could not determine what was going on in my body.  I just Googled, "movement under right rib cage?".  Many websites mentioned stress and muscle spasms, which is what I thought it was.  Then, I came across PCOS.  I have no idea what this is?

It feels like something is moving under my right side rib cage.  I feel it mainly when I lay down for bed.  It continually pulses and keeps me awake.  I am not pregnant.

My symptoms:

-movement on right side under rib cage

-I have gained weight

-inconsistent blood pressure (mostly too high, but sometimes normal)

-I now have had my menstral for 11 days, which has not ever occured before.

 

I do not take birth control pills and I am 38 years old.  I am due to see my obgyn for my yearly pap smear.

Can anyone provide me with more information or any thoughts?  I know we are not doctors, just want opinions and experiences.  Thank you so much.  This has been going on for over 6 months and I thought it was my imagination because no one seems to believe me or ever heard of anything like this.

 

 

iVillage Member
Registered: 03-13-2001
Wed, 08-08-2012 - 2:34pm

Hi there and welcome.  Sorry you are dealing with this.  Yes, it could be PCOS, after all they believe that about 25% of women have it.  Are irregular cycles normal for you?  What other symptoms do you have?  When are you seeing your doc.  She many be able to help you figure it out.  Sadly, though, many docs really don't know enough about PCOS.  It is also possible that while not PCOS, you do have insulin resistance, the core issue of PCOS.  One of the other symptoms of PCOS/IR is depression.  A very common cause.  Has this ever been brought up before?  Can I ask, are you still dealing with depression?  Are you treating it?  Diet plays the biggest role in both.  Below are the most common symptoms.  Some of us have one or two, some of us have all of them.  Let me know how I can help more.  Take care, Laura

 

  • Amenorrhea (no menstrual period), infrequent menses, and/or oligomenorrhea (irregular bleeding) — Cycles are often greater than six weeks in length, with eight or fewer periods in a year. Irregular bleeding may include lengthy bleeding episodes, scant or heavy periods, or frequent spotting.
  • Oligo or anovulation (infrequent or absent ovulation) — While women with PCOS produce follicles — which are fluid-filled sacs on the ovary that contain an egg — the follicles often do not mature and release as needed for ovulation. It is these immature follicles that create the cysts.
  • Hyperandrogenism — Increased serum levels of male hormones. Specifically, testosterone, androstenedione, and dehydroepiandrosterone sulfate (DHEAS).
  • Infertility — Infertility is the inability to get pregnant within six to 12 months of unprotected intercourse, depending on age. With PCOS, infertility is usually due to ovulatory dysfunction.
  • Cystic ovaries — Classic PCOS ovaries have a "string of pearls" or "pearl necklace" appearance with many cysts (fluid-filled sacs). It is difficult to diagnose PCOS without the presence of some cysts or ovarian enlargement, but sometimes more subtle alterations may not have been recorded, or are not recognized as abnormal, by the ultrasonographer.
  • Enlarged ovaries — Polycystic ovaries are usually 1.5 to 3 times larger than normal.
  • Chronic pelvic pain — The exact cause of this pain isn't known, but it may be due to enlarged ovaries leading to pelvic crowding. It is considered chronic when it has been noted for greater than six months.
  • Obesity or weight gain — Commonly a woman with PCOS will have what is called an apple figure where excess weight is concentrated heavily in the abdomen, similar to the way men often gain weight, with comparatively narrower arms and legs. The hip:waist ratio is smaller than on a pear-shaped woman — meaning there is less difference between hip and waist measurements. It should be noted that most, but not all, women with PCOS are overweight.
  • Insulin resistance, hyperinsulinemia, and diabetes — Insulin resistance is a condition where the body's use of insulin is inefficient. It is usually accompanied by compensatory hyperinsulinemia — an over-production of insulin. Both conditions often occur with normal glucose levels, and may be a precursor to diabetes, in which glucose intolerance is further decreased and blood glucose levels may also be elevated.
  • Dyslipidemia (lipid abnormalities) — Some women with PCOS have elevated LDL and reduced HDL cholesterol levels, as well as high triglycerides.
  • Hypertension (high blood pressure) — Blood pressure readings over 140/90.
  • Hirsutism (excess hair) — Excess hair growth such as on the face, chest, abdomen, thumbs, or toes.
  • Alopecia (male-pattern baldness or thinning hair) — The balding is more common on the top of the head than at the temples.
  • Acne/Oily Skin/Seborrhea — Oil production is stimulated by overproduction of androgens. Seborrhea is dandruff — flaking skin on the scalp caused by excess oil.
  • Acanthosis nigricans (dark patches of skin, tan to dark brown/black) — Most commonly on the back of the neck, but also but also in skin creases under arms, breasts, and between thighs, occasionally on the hands, elbows and knees. The darkened skin is usually velvety or rough to the touch.
  • Acrochordons (skin tags) — Tiny flaps (tags) of skin that usually cause no symptoms unless irritated by rubbing.

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