LUNA Polycystic Ovary Syndrome Clinic
London, United Kingdom
LUNA PCOS Clinic
A unique multi-disciplinary clinic caring for the needs of women with PCOS
Polycystic ovary syndrome (PCOS) is a common lifelong condition that affects up to 20% of women worldwide. The majority of women with PCOS require medical treatment for short-term (irregular periods, hirsutism and persistent acne) and long-term (such as type 2 diabetes, high blood pressure and high cholesterol) health issues associated with this condition. A third of affected women are first diagnosed with PCOS when they are seeking to get pregnant and most of them are often faced with delayed diagnosis, suboptimal and fragmented care.
Working closely with PCOS patient advocates, we appreciate the frustration of women with PCOS due to their inability to access reliable, multi-disciplinary, and consistent care for this condition. Typically, women with PCOS need input from several health professionals to help them cope with the manifestations of this condition such as gynaecologists, endocrinologists, GPs, specialist nurses, and dieticians.
At LUNA, our unique multi-disciplinary approach is specially designed to help women with PCOS access holistic care that addresses all their health needs concurrently.
Our teams comprise world-renowned experts on PCOS offering cutting-edge treatments and holistic care for women with PCOS.
At LUNA we will help you to explore and manage the following aspects of PCOS
Our team of PCOS experts will help to access the several diagnostic tests and treatment options including:
- Get accurate diagnosis and assessment of PCOS on your health (including fertility, ovulation, irregular periods, metabolism, skin and hair problems, weight, cardiovascular, and mental health).
- Ultrasound scanning including HYCOSY and 3D infusion scans for tubal patency testing.
- Fertility health check including ovarian reserve (female and male)
- Metabolic and cardiovascular wellness blood tests
- Ovulation induction
- Laparoscopic ovarian drilling for fertility management
- Assisted conception including IVF and ICSI
- Contraception care
- Weight loss optimisation treatments
- Lifestyle optimisation interventions
- Bariatric surgery
- Skin and hair pharmacological treatments
- Hysteroscopy and endometrial biopsy
- Psychological and psychosexual counselling
PCOS Health Services Offered at LUNA:
How to manage polycystic ovary syndrome?
Empowering women with PCOS to gain control of their health
Polycystic ovary syndrome is the most common endocrine disorder affect women of reproductive age. Unfortunately, very few clinics exist worldwide with the skills and expertise to help women with PCOS in addressing all the health implications of this condition.
At LUNA we believe in empowering women with the right knowledge, skills, and tools to help them gain control of their health and minimise the impact of PCOS on their quality of life
Are you not sure how does polycystic ovary syndrome affect your health?
Many women suffer from PCOS without knowing the full impact of this condition on their health.
We developed a special questionnaire to help you understand the potential impact of PCOS on your menstrual health, fertility, weight, skin, hair, and sleep!
You can complete this questionnaire for free and download a copy to monitor your health
Can you self-manage polycystic ovary syndrome without medications?
A common misconception is that PCOS cannot be managed without expensive medications and it can cause irreversible damage to your health.
The reality is that several simple lifestyle interventions can help to significantly reduce the impact of PCOS on your health and reduce the need for expensive medications.
We developed a comprehensive self-help guide with top 10 health tips to help you better manage PCOS.
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Dealing with PCOS can be overwhelming. LUNA PCOS offers a one-stop destination to help you explore your health needs, viable treatment options, and help gain control of your life.
Frequently Asked Questions On Polycystic Ovary Syndrome (PCOS)
What is Polycystic Ovary Syndrome (PCOS)?
Polycystic Ovary Syndrome or PCOS is a hormonal disorder that commonly affects women of childbearing age. It may result in the development of multiple small cysts located in ovaries. These small cysts are not harmful, however can affect the natural ability of ovaries to release eggs regularly. The release of eggs is a crucial component of the menstrual cycle, and PCOS can influence this process, leading to irregularities and missed periods in women.
What causes PCOS?
There is no clear evidence of the exact causes of PCOS. However, it is estimated that several environmental and genetic factors contribute to PCOS. Insulin resistance plays a crucial role in PCOS. The body’s cells do not respond to insulin effectively in insulin resistance, this ultimately results in higher levels of insulin that may lead to increased production of androgens (male hormones that are present in both men and women) in women. This hormonal imbalance results in PCOS.
What are the Symptoms of PCOS?
There are various manifestations of PCOS, but all women do not experience these symptoms. About 70% of cases remained undiagnosed. Common signs and symptoms of PCOS are described as follows:
- Dysfunction in ovulation
- Irregular menstrual cycle
- Excessive hair growth on the chin and face areas (Hirsutism)
- Oily skin and acne problems
- Fluctuation in weight (Weight gain is a serious concern for women with PCOS, and it is challenging for them to lose weight)
- Thinning of hairs
- Darkening of skin (Darkened and thickened skin in body creases known as Acanthosis nigricans)
How to diagnose PCOS?
Symptoms of PCOS vary from person to person, hence, a thorough evaluation rules out irrelevant conditions and confirms the presence of PCOS in women. Diagnosis by healthcare professionals, common tests, and evaluations of PCOS include:
Medical History and Physical Examination
Discussion on medical history and problems related to menstrual cycles, including changes in weight, hair growth, and irregular periods, immediately in the first instance.
The analysis of blood hormonal levels provides valuable information for healthcare professionals. The primary focus is on assessing elevated levels of male hormones, particularly androgens such as testosterone, in addition to other pivotal hormones like follicle-stimulating hormone (FSH) and luteinizing hormone (LH). Given the association between insulin resistance and PCOS, there is a necessity to screen blood glucose levels as part of the comprehensive evaluation.
The diagnostic procedure of transvaginal ultrasound is employed to examine the ovaries, involving the insertion of a small probe into the vagina to capture images. Ultrasound revealing multiple small cysts on the ovaries is a key characteristic of PCOS.
Rotterdam criteria is commonly used to diagnose PCOS. According to these criteria, if at least two out of the following three features are present, a diagnosis of PCOS can be established:
- Absent or irregular menstrual cycles.
- Biochemical or clinical signs of hyperandrogenism (higher levels of androgen or symptoms like acne or hirsutism).
- Ultrasound shows polycystic ovaries.
Can I get pregnant if I have PCOS?
A common misconception is that women with PCOS cannot get pregnant. While, PCOS can impact fertility through various mechanisms, majority of women can achieve pregnancy with simple lifestyle interventions and medical treatments. Here are some ways in which PCOS affects fertility:
Ovulatory Dysfunction: The complete absence or irregularity of menstrual cycles indicates irregular ovulation, a common occurrence in PCOS. Ovulation dysfunction in PCOS can pose a challenge for estimating the fertile window, as irregular cycles make it difficult to predict when ovulation is likely to occur. Approximately 90–95% of PCOS women seek infertility treatment.
Hormonal Imbalances in PCOS: Women with PCOS often exhibit elevated levels of luteinizing hormone, androgens (including testosterone, dehydroepiandrosterone, and androstenedione) and insulin and reduced levels of follicle-stimulating hormone (FSH).
Menstrual Irregularities: Imbalances in hormones can lead to oligomenorrhea or amenorrhea, characterized by infrequent or absent menstruation.
Pregnancy Risks in PCOS: Women with PCOS who become pregnant face an increased risk of developing gestational diabetes mellitus and experiencing a first-trimester spontaneous abortion.
Can PCOS be prevented or cured?
While there is no definitive method to prevent or completely cure PCOS. However, adopting simple lifestyle changes can be very effecting in mitigating the symptoms of PCOS. Incorporating a nutritious diet, engaging in regular exercise, and maintaining a healthy body weight can be beneficial in minimizing the impact of PCOS.
How to Manage PCOS symptoms?
PCOS is a multi-systemic health condition that can be managed effectively by available treatment strategies.
- Diet and Exercise: Menstrual cycles can be regulated, and reduction in the symptoms of PCOS and improvement in insulin sensitivity can be made by taking a balanced diet along with regular physical activity, ultimately leading to a healthy weight.
- Stress Management: Stress can worsen the symptoms of PCOS. Stress reduction techniques can be helpful in the management of PCOS. Mindfulness and relaxation exercises are beneficial in this regard.
- Birth Control Pills: Hormonal contraceptives regulate menstrual cycles. These medications reduce the androgen levels and improve the problems like hirsutism and acne.
- Anti-Androgen Medications: These medications help improving the hormonal imbalance. Spironolactone is one of the anti-androgen medications that reduces acne and excessive hair growth.
- Metformin: Metformin is prescribed for women experiencing symptoms of insulin resistance, as it has the potential to enhance insulin sensitivity
- Fertility Medications: Clomiphene may be prescribed to induce ovulation, serving as a fertility drug specifically recommended for women actively seeking to conceive..
PCOS symptoms can be managed by incorporating a healthy diet plan provided by a registered dietitian. These dietary changes can help to promote hormonal balance and control blood sugar levels.
Surgical interventions are seldom considered; however, one such procedure is ovarian drilling, a method that involves inducing ovulation by creating small holes in the ovaries.
How to Manage PCOS symptoms?
With the right help and support, women with Polycystic Ovary Syndrome (PCOS) can manage their symptoms effectively, leading to a healthier and more fulfilling life. PCOS is a challenge but can be managed using the correct treatment plans.
Tips for Managing Symptoms and Maintaining a Healthy Lifestyle:
Balanced Diet: Weight management is a critical aspect of PCOS management. A well-balanced diet helps to stabilise sugar levels in the blood. A dietary plan consisting of complete nutrients like whole foods, vegetables, whole grains, lean proteins, and plenty of fruits is the key to managing weight.
Regular Exercise: Exercise promotes weight loss, regulates menstrual cycles, and improves insulin sensitivity. At least 150 minutes of moderate exercise in a whole week must be done to improve the lifestyle with PCOS.
Stress Management: PCOS symptoms can be intensified with chronic stress. Meditation, yoga, or deep breathing exercises are some stress reduction techniques. Incorporation of these techniques into your daily routine can improve stress.
Regular Health Check-Ups: Monitor your PCOS and overall health condition by scheduling appointments with your healthcare provider. Make sure to complete follow-up visits to your doctor. Early interventions and individualised treatment plans by healthcare providers are essential for managing and treating PCOS.
Medication Adherence: Strict adherence to the prescribed dosage and schedule is essential when your healthcare provider has recommended insulin-sensitizing drugs or birth control pills.
Hair Removal Options: Excessive hair growth can be removed by considering hair removal methods like laser hair removal, shaving, or waxing, according to the consultation provided by your dermatologist.
Skin Care: Seek specialist advice and manage acne problems by following a skincare routine, including non-comedogenic products and gentle cleansing.
Fertility Support: Consulting with a fertility specialist can provide valuable guidance on fertility treatments, such as ovulation induction, especially if you are actively seeking to conceive.
Polycystic Ovary Syndrome (PCOS) is a common health condition impacting the lives of many women. Knowing PCOS is the first step towards effective management that improves your life. Here are some important takeaways:
- PCOS features: PCOS is characterized by the presence of small cysts on the ovaries. This hormonal disorder disrupts the balance of essential hormones, leading to symptoms such as irregular menstrual cycles, acne, and excessive hair growth.
- Diagnosis: Diagnosis for PCOS is made by healthcare professionals combining complete medical history, physical examinations, ultrasounds, and blood tests.
- Treatment Options: A wide range of approaches are used to manage PCOS that may include medications, lifestyle changes, nutritional support, and, in rare cases, surgery. The specific needs of the patients are addressed through individualised treatment plans.
- Emotional Well-Being: Emotional well-being is essential for women with PCOS. It can be emotionally challenging for them to cope with PCOS. Self-care strategies, support, and education are crucial for psychological and emotional well-being.
- Fertility Concerns: Fertility is affected by PCOS due to irregularities in menstrual periods, hormonal imbalances, and ovulatory dysfunction. Your chances of conceiving can be increased by fertility treatments and seeking healthcare professional advice regularly.
Remember that you are not alone on your journey to treat and manage PCOS. It can be managed effectively by seeking professional advice and support. Your gynaecologists, fertility specialists, and endocrinologists are always there to guide you and individualise treatment plans according to your specific and unique needs.
PCOS is a challenging condition, but accurate knowledge and support can have an effective control on your health that may lead to a fulfilling life. Never hesitate to ask for help and guidance that may lead to proactive steps towards a healthier life.