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Why Is Early Diagnosis Important?<br>The exact cause of polycystic ovary syndrome is unknown. Early diagnosis and treatment along with weight loss may reduce the risk of long-term complications, such as Type 2 Diabetes and heart disease.
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How can lean women have PCOS? • Lean PCOS women, we can see higher waist to hip ratio, greater intra peritoneal and visceral fat, and percentage of body fat in comparison with BMI matched non-PCOS women. • Also, abnormal gene expression in stem cell of subcutaneous abdominal fat in normoandrogen and ovulatory lean PCOS women display abnormal vacuolization and angiogenesis, which may reflect metabolism alter in those women • The new randomized controlled trial, arranged and regular physical exercise can ameliorate insulin sensitivity, hyperandrogenemia, and menstrual regularity in lean PCOS women
Delayed Diagnosis Time Because PCOS is associated so strongly with obesity, lean women with PCOS often go undiagnosed for years. Overweight women with PCOS may be diagnosed when they are still in high school, especially if their cycles are absent or very irregular. Comparatively, lean PCOS women may not be diagnosed until they struggle to conceive. The PCOS diagnosis itself isn’t the only delayed diagnosis. • Diabetes • Heart disease
Insulin Resistance • Insulin resistance is usually associated with obesity. However, as mentioned above, lean women with PCOS may be at an increased risk of developing insulin resistance despite not being overweight. • It is estimated that between 6 and 22 % of normal-weight women with PCOS are insulin resistance or have hyperinsulinemia.
Emotional Health in Lean Women With PCOS • PCOS is associated with an increased risk of depression and anxiety. • One study found that lean women with PCOS—when compared to obese women with PCOS—were more likely to have problems with anxiety, have lower resistance to stress, and have higher levels of the hormone ACTH, which is associated with increased long-term stress. • They also found that the more anxiety a lean woman with PCOS experiences, the higher levels of plasma ghrelin they had. • Ghrelin is a hormone that causes you to feel hungry
Fertility Treatment in "Thin Cysters" • The most common fertility treatments used for women with PCOS are Clomid, letrozole, metformin, and, if those are not successful, injectable fertility drugs. • The most common advice given to women wanting to get pregnant with PCOS is lose your weight first. • It is true that, for women who are obese, losing 5 to 10 percent of their current weight can help fertility drugs be more effective. However, this doesn’t apply to lean PCOS women.
What Should You Do? If you have PCOS and you're at a normal weight, what are the best things you can do for your health? • Begin resistance training. • Get your insulin and glucose levels tested. • Maintain your healthy weight. • Reach out for emotional support. • Eat a healthy diet and avoid high sugar foods. • Advocate for yourself when you see your doctor
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