Polycystic ovary syndrome may cause infrequent or absent periods, irregular ovulation, acne, hair changes, weight gain or difficulty conceiving. Diagnosis should not be based on one ultrasound alone; it considers history, examination and blood tests while excluding other causes.
Management may address menstrual and endometrial protection, metabolic health, lifestyle, skin symptoms and fertility goals. Not everyone with PCOS needs to lose weight, and the condition should not be reduced to willpower.
TCM may provide individualised supportive care based on menstrual, digestive, sleep and stress patterns, but it does not replace assessment of glucose, lipids, blood pressure and reproductive health. Prolonged absence of periods, heavy abnormal bleeding, pregnancy plans or metabolic concerns require coordinated medical care.
Widely spaced periods may require discussion of endometrial protection; those trying to conceive may need ovulation and partner assessment. Goals change across life stages, so treatment plans need periodic review.
