What is PCOS?
Polycystic ovary syndrome (PCOS) is a common hormonal condition affecting up to one in five Australian women of reproductive age. It is a complex condition that can affect multiple body systems and presents differently in each individual. PCOS involves a combination of hormonal imbalances, metabolic factors, and reproductive changes.
Symptoms may include irregular or absent periods, excess hair growth (hirsutism), acne, weight gain or difficulty losing weight, thinning hair, and fertility challenges. Not all women with PCOS experience the same symptoms, and the severity can vary widely. Diagnosis typically involves a combination of symptom assessment, blood tests, and sometimes ultrasound imaging.
When to see a doctor about PCOS
You should see a GP if you have irregular periods (cycles longer than 35 days or absent periods), if you are experiencing symptoms such as excess hair growth, persistent acne, or unexplained weight gain, or if you are having difficulty conceiving. Early assessment and management may help reduce the long-term health impacts of PCOS.
PCOS is associated with an increased risk of certain conditions including type 2 diabetes, cardiovascular disease, and endometrial changes. Regular monitoring and management with your GP can help address these risks. Your GP will assess your individual circumstances and recommend appropriate screening and monitoring.
How a telehealth GP can help with PCOS
A telehealth GP can provide comprehensive PCOS assessment and ongoing management. During your consultation, your GP can discuss your symptoms, arrange blood tests to assess hormone levels and metabolic markers, prescribe medication if appropriate, and develop a management plan tailored to your individual needs and goals.
Your GP can also provide referrals to specialists such as endocrinologists, gynaecologists, or fertility specialists, as well as allied health professionals such as dietitians and exercise physiologists. Telehealth is well suited for ongoing PCOS management, including regular reviews of treatment and monitoring of associated health risks.
Treatment options for PCOS
PCOS management is tailored to each individual and depends on your specific symptoms, health goals, and whether you are planning pregnancy. Your GP will conduct a thorough assessment before recommending any treatment approach. There is no single treatment for PCOS; rather, management typically addresses specific symptoms and associated health risks.
Your GP may discuss medication options to help manage specific symptoms such as irregular periods, excess hair growth, or acne. For those with insulin resistance, your GP may discuss metabolic management strategies. If fertility is a concern, your GP can discuss initial steps and arrange appropriate specialist referrals.
Lifestyle modifications play an important role in PCOS management. Your GP may discuss the potential benefits of regular physical activity, a balanced diet, and weight management where appropriate. Even modest changes may help improve symptoms and reduce associated health risks. Your GP can also connect you with dietitians or exercise professionals for additional support.