Polycystic Ovary Syndrome (PCOS) is a common hormonal disorder that affects roughly 5-10% of women of reproductive age. Characterized by a combination of hormonal imbalances, insulin resistance, and inflammation, PCOS can significantly impact a woman’s reproductive, metabolic, and psychological health if left unaddressed. Being well-informed about the implications of PCOS and appropriate management strategies is vital for women experiencing this complex condition.

Barbara A. Hessel, MD. FACOG, a board-certified obstetrician/gynecologist with over 25 years of experience in Forest Hills, NY, is dedicated to helping women better understand and manage PCOS. By offering accurate information, empathetic support, and tailored treatment solutions, Dr. Hessel aims to empower her patients to make informed decisions regarding their reproductive health and overall well-being.

This blog post provides an in-depth look at the common symptoms of PCOS, the diagnostic process, and the various treatment options available for women affected by the syndrome. Furthermore, we will discuss the importance of professional guidance and support in managing PCOS-related concerns, emphasizing the profound impact of a holistic approach to care.

Symptoms of Polycystic Ovary Syndrome (PCOS)

PCOS can manifest in a variety of ways and may present differently among affected women. Some common symptoms may include:

  • Irregular Menstrual Cycles: This can result in fewer periods (oligomenorrhea) or possibly no periods at all (amenorrhea).
  • Ovarian Cysts: Although not always present, PCOS can cause fluid-filled sacs or cysts to develop on the ovaries.
  • Excess Androgen Production: Elevated levels of male hormones such as testosterone can lead to acne, excessive hair growth (hirsutism), or thinning scalp hair (androgenic alopecia).
  • Infertility: PCOS is among the leading causes of female infertility due to irregular or absent ovulation.
  • Weight Gain and Insulin Resistance: Women with PCOS often experience difficulty in managing weight and may develop insulin resistance, increasing the risk of type 2 diabetes.

Diagnosing Polycystic Ovary Syndrome (PCOS)

A comprehensive evaluation is necessary in determining a PCOS diagnosis. Dr. Hessel employs a thorough approach that typically involves:

  • Medical History: Detailed discussion about menstrual cycle patterns, symptoms, and family medical history.
  • Physical Examination: Assessment of general health, checking for physical signs of PCOS (such as hirsutism or acne).
  • Pelvic Ultrasound: Imaging to evaluate the ovaries and inspect for the presence of cysts or other abnormalities.
  • Blood Tests: Tests to assess hormone levels and rule out potential imbalances and other conditions that may mimic PCOS symptoms.

Treatment Options for Polycystic Ovary Syndrome (PCOS)

Given the multifaceted nature of PCOS, a tailored treatment plan is essential for addressing each patient’s unique concerns. Key areas to consider include:

  • Lifestyle Modifications: Maintaining a healthy diet, regular exercise, and stress management techniques can help improve symptoms and reduce the risk of long-term complications.
  • Medications: Depending on specific needs, a healthcare provider may recommend medications such as oral contraceptives to regulate menstrual cycles, anti-androgen medications to manage excess hair growth, or insulin sensitizers to address insulin resistance.
  • Fertility Treatments: If fertility issues arise, treatments such as ovulation-inducing drugs, intrauterine insemination (IUI), or in vitro fertilization (IVF) can be considered.
  • Mental Health Support: Counseling or support groups can benefit women experiencing the psychological impact of PCOS, such as anxiety, depression, or body image concerns.

Managing Long-Term Health Risks Associated with PCOS

PCOS can increase the likelihood of certain health complications, such as:

  • Type 2 Diabetes: Insulin resistance can put women with PCOS at a higher risk of developing type 2 diabetes. Regular monitoring of blood sugar levels and working closely with a healthcare provider to manage insulin resistance is essential.
  • Cardiovascular Disease: PCOS-related factors such as high blood pressure, insulin resistance, and elevated cholesterol levels can contribute to an increased risk of heart disease. Lifestyle modifications and appropriate medications can help mitigate these risks.
  • Sleep Disorders: Women with PCOS may be more susceptible to sleep apnea or other sleep disturbances due to obesity, insulin resistance, or hormonal imbalances. Proper evaluation and treatment are crucial in maintaining overall health.


Polycystic Ovary Syndrome (PCOS) is a complex hormonal disorder that can significantly impact a woman’s reproductive, metabolic, and psychological health. By obtaining a comprehensive understanding of the condition, women can better advocate for themselves and collaborate with healthcare professionals like Dr. Hessel to create customized treatment plans that address their unique concerns.

Empower yourself on the journey towards optimal health and well-being with Barbara A. Hessel, MD. FACOG, your trusted OB/GYN in Forest Hills, NY. Dr. Hessel is committed to providing compassionate and knowledgeable care for women affected by PCOS, offering individually tailored treatment options and guiding you through each step of your journey. Trust in Dr. Hessel’s expertise and dedication to address the complexities of this condition. Contact her OB/GYN clinic in Forest Hills, NY, today to schedule an appointment and begin your journey towards healthier living.