I don't think you need to panic.

First of all, there's a wide range of overlaps between male and female characteristics.

PCOS is very common -- about 10% of the female population have it to some extent.

With PCOS many characteristics more commonly associated with males (beard growth, body hair, balding etc.) are NORMAL.

A large clitoris is generally considered desirable.

With a bit of help, a majority of women with PCOS eventually conceive and carry a baby to term, though it's a bit more difficult than for other women.

In a nutshell, the answer is to revise your expectations of what you "should" be like and accept that for you (and for many millions of other women) many allegedly "male" characteristics are actually perfectly normal. Millions of women shave their face every day. If you're very keen to have a child, then go for treatment which may help make that possible and don't worry too much about the other aspects.

Below, is a page from their website, and the full link is at the end. They offer an online hormonal test, give an 800 phone# and offer free first (natural) treatment.

here's a bit about the clinic, taken from their page:

"At Women to Women, we view women’s health and well-being in a holistic way. Hormone imbalance symptoms are the body’s way of asking for change. This website is about helping you learn to listen to your body, to support your body, mind and soul in a natural but profound way, and to enjoy your life to the fullest. We welcome your comments and suggestions, too. "

Hope you find some answers, and peace of mind along the way.

MadArt (ist)

"Polycystic ovarian syndrome (PCOS)
by Marcelle Pick, OB/GYN NP and Marcy Holmes, NP, Certified Menopause Clinician


It’s amazing how often we see women at our medical clinic with health issues that can be traced back to insulin resistance. Polycystic ovarian syndrome, or PCOS, is one such condition that we see with increasing frequency. PCOS affects about 10% of women worldwide and can occur at any age before menopause. It can often go undiagnosed for months, because its symptoms overlap with so many other women’s health concerns. PCOS itself is not a disease and no one is sure yet what causes it in the first place.

Women with PCOS have ovaries that create an abundance of follicles each month without producing an egg. PCOS can contribute to irregular periods, depression, excessive weight gain (despite diet and exercise efforts), acne, and excess facial hair. It is also a common cause of infertility.

PCOS is often temporary. We see it in girls going through puberty (when their ovaries are trying to set a regular menstrual pattern) and during the transition years of perimenopause. It usually goes hand-in-hand with insulin resistance. We find that PCOS responds well to a program of natural support that restores hormonal balance, especially the dietary changes we recommend for women with insulin resistance.

What is PCOS?
Understanding PCOS is easier if one tries to picture what goes on inside our ovaries every month. (For more on monthly cycles, please refer to our article on menstruation, where you will also find links to information on irregular periods.)

Each month our ovaries begin to ripen a number of follicles. You may be surprised to hear that normal follicles are cysts, in that they are pockets of tissue filled with benign fluid and hormones, mostly estrogen. The amount of immature follicles changes with each cycle — but during normal times, one or two follicles grow stronger than the others and produce an egg. When we ovulate, the egg in the dominant follicle pops out and flows into the fallopian tube on its way to the uterus. This event triggers a host of hormonal secretions, one of which is progesterone, that will plump up the uterus to support a pregnancy if the egg is fertilized or a normal monthly period if it is not.

Polycystic ovaries
When ovaries become polycystic they create a lot of follicles that form like a pearl necklace on the ovaries. No one follicle becomes dominant and ovulation can’t occur. For the most part, these multiple ovarian cysts are not dangerous in themselves — unlike larger ovarian cysts, which can cause pain and rupture. But they do bring with them a range of uncomfortable side effects. Because a woman with PCOS doesn’t ovulate, her natural sequence of hormonal events gets interrupted, her levels of estrogen and androgens (testosterone and DHEA) remain high, and her body reacts with symptoms.

What are the symptoms of PCOS?
The most common symptoms of PCOS are irregular periods, infertility, increased hair growth and unusual weight gain, even with dieting or increased exercise. Women with PCOS will often go for months without a period and then start bleeding heavily for days. This occurs when the uterine lining has gotten too thick and the body must naturally shed it. Because PCOS disrupts ovulation it can be very difficult to become pregnant.

Other signs of PCOS include acne, high blood pressure, obesity, and abnormal facial and body hair growth (due to too much testosterone). One of the less recognizable symptoms of PCOS is depression, which can be misread as a bipolar illness. While Depression stems from many factors, we think it is always a good idea to consider PCOS if patients have other symptoms. In some medical practices antidepressants are prescribed which do not alleviate the underlying issues and therefore are not very helpful.

PCOS and insulin resistance
Another telltale symptom of PCOS is steady, significant weight gain — even with reduced caloric intake. Some women report that they’re gaining weight no matter what they do. It’s not unusual for patients with PCOS to tell me they’ve recently gained 60 or more pounds in less than a year, despite dieting all the time and exercise. This weight usually accumulates around their middle. Why do women with PCOS gain weight at such alarming rates? The research is showing that PCOS is strongly linked with insulin resistance.

Insulin resistance — a condition some people get by eating too many carbohydrates — leads to sustained high levels of insulin in the bloodstream. It is possible that this extra insulin hitches into the receptors lining the ovary and stimulates cyst production. This is an issue that should be monitored because women with insulin resistance have a much higher risk of developing other serious health problems, like diabetes. On the bright side, women with insulin resistance and PCOS respond very well to modifications in their diet, adding nutritional supplements, and beginning an exercise program. We’ve found that our patients often get normal periods as their insulin levels normalize.

Should I see a doctor if I think I have PCOS?
If any of these symptoms describe what you’ve been feeling, it’s important to see your healthcare practitioner. If I suspect PCOS in a woman I will do a complete evaluation, including checking for insulin resistance. This work-up includes a physical examination, a fasting lipid profile, a glucose test, hormone levels, and an insulin test (before and two hours after a high-carbohydrate meal). A blood sample is very informative for testing elevated thyroid and prolactin levels. If these tests come up positive, I also look for an altered FSH-to-LH ratio and increased levels of androgens. Occasionally I will suggest a pelvic ultrasound. It can be possible to see the pearl-necklace pattern of cysts on some women’s ovaries.

If there is any abdominal pain or pressure around the ovaries, an evaluation is certainly necessary. In most cases a woman will be monitored on a regular basis to make sure her cysts are not at risk for rupture.

If a patient has been trying to get pregnant for more than a year, I usually refer her to a fertility specialist, especially if she is over the age of 35. Ovulation stimulants, like Clomid, can be helpful for many would-be moms who have PCOS. When a non-menopausal woman skips a period for more than four months, pregnancy should be considered. Having regular menstrual periods is important to prevent osteoporosis and maintain the protective effects of estrogen.

Occasionally a woman with PCOS will simply not get her period. If she is not pregnant, I advise stimulating a period after four months with the use of Provera, Aygestin or micronized progesterone (a bioidentical hormone). This protects the lining of the uterus from becoming too thick or unusual.

What is the treatment of polycystic ovarian syndrome?
Traditionally, doctors have overlooked PCOS unless it was diagnosed relative to infertility or irregular bleeding. If diagnosed, it was and often still is commonly treated with birth control pills. The Pill lessens the symptoms of PCOS by short-circuiting ovulation and giving the ovaries a rest from follicle production. This is always an option for women looking to avoid pregnancy. Testosterone levels will go down on the Pill and it is good for regulating cycles but it won’t address the basic issue of insulin resistance. Some doctors are now prescribing a diabetes drug, Glucophage, for blood Sugar control but in my experience if a woman with PCOS doesn’t attend to some of her lifestyle choices — such as adhering to a PCOS diet — her ovaries become polycystic again when she goes off either pill. This is particularly irksome for women trying to get pregnant.

At our medical practice, we treat PCOS with a combination approach, whether it is a chronic or a temporary condition of perimenopause. We’ve helped countless women reduce their polycystic ovaries through nutritional supplements, progesterone cream, enriched nutrition and regular exercise. (This support is available at-home through our Personal Program.) This combination approach is an effective way to start bringing the body back into hormonal balance.

Our progesterone cream is an especially good way to bring on a regular monthly period. Applying the cream at day 14 for two weeks introduces this essential hormone back into the body at the right time during a cycle. In a menstruating woman, ovaries produce progesterone after ovulation. Eventually the body catches on to this rhythm and begins to cycle on its own, thereby reducing the presence of cysts.

If you have PCOS or think you do, I hope that you will take heart in realizing there are many things you can do to alleviate your symptoms naturally, without drugs. Like any condition related to hormone imbalance, taking the right steps to improve your lifestyle and nutrition will do wonders to restore your well-deserved good health.

If you would like to arrange a phone consultation, or to become a patient of our medical clinic, call 1-800-340-5382. Office hours are 8:00 AM–12 noon and 1:00–4:00 PM ET, Monday–Friday.

Our Personal Program offers the nutritional supplements, progesterone cream and dietary guidance we recommend to support hormonal balance and therefore relieve PCOS. It's an excellent foundation. In the Program you also have the option of nurse-educator consultations for individual guidance. Call us toll-free at 1-800-241-1758.



Original Publication Date: 09/28/2004
Last Modified: 4/24/2007
Principal Authors: Marcelle Pick, OB/GYN NP
& Marcy Holmes, NP, Certified Menopause Clinician"



women to women full website link:
http://www.womentowomen.com/insulinresistance/pcos.asp

Some more precise thoughts:

You wrote:
> * Facial hair growth (chin & upper and under lips)
> * Body hair growth ( coarse hair on complete legs, stomach, breast, face)
> * Male pattern hair growth (lower back, stomach, outside bikini line, butt)

Very difficult to reduce to nil, especially over such considerable areas. Laser can work if your hormones are spot on, but if they're not, the hair just come back. Waxing, plucking, epilating, threading etc. end up making things worse unless your hormones are in the normal female range. Chemical depilatories strong enough to remove coarse hair will damage skin in the long term. Electrolysis on that scale is impracticable and impossibly expensive. Nor can it guarantee permanent results with hormonally-stimulated growth.

Best to settle for a men's-style electric razor for the face and let most of the rest grow -- or at least that's what I do and dh is quite happy with that.

> * Missed periods (9 to 10 times a year - some up to 15-20 days !!!!
> * Menstrual cessation ( same as previous)
> * Female infertility ( unprotected sex more than 8 years NO GOT pregnant !)

Most PCOS sufferers can get pregnant after treatment.


> * Body shape changes (small hipps almost none ...
> wider upper body, smaller legs,
> i have reverse triangle type of body)

It's not really possible to change basic body shape, though hormone treatment can lead to a bit of fat deposition.

> * Enlarged clitoris (bigger than i see in some porn pictures)

Once it's grown, it's grown and won't shrink. But almost everyone reckons the larger the better. It's a bonus, not a problem.


> * Increased muscle mass (big hands, upper legs, upper arms
> with no exercices)
> * Weight gain - mainly due to muscle gain ( im considered THIN
> by most people, im 5f6 than again i weigt almost 145lbs)
> compared to others who are 130lbs !

These can't really be changed all that much, though estrogen might tend to replace muscle with fat.

> LAST BUT NOT LEAST .. FREAKIN Acne !

Almost certainly caused by testosterone.

Make sure you're tested for levels of FREE testosterone. Your total testosterone levels are almost irrelevant, it's the amount of FREE testosterone that changes your body in a masculine direction.

Remember that everyone, male and female, starts off with a female-type body. Once testosterone changes it in a male direction, most changes can't be fully reversed and many can't be reversed at all.

Basic body structure, deepened voice, enlarged clitoris are there to stay.

What can be changed is fat deposition which includes breast development.

I had a tumor growth (benign) on my right ovary that was pumping out excess adrogen(male hormone). Surgery removed it and my symptoms have mostly gone away. All of my symptoms have lessened and doc says that over time, as my body pumps out it's normal hormones, I'll see even more improvement. You might want to ask the doc for an MRI and Cat Scan of your abdomen to see if there are any growths. My doc checked my ovaries and adrenals.