Polycystic Ovarian Syndrome (PCOS) is a common hormonal condition that can affect ovulation, menstrual cycles, fertility, and overall wellbeing. While experiences vary from person to person, PCOS may have both reproductive and metabolic implications.
At Coastal Women’s Health, Dr Farag provides assessment and management for women experiencing symptoms consistent with PCOS, with care tailored to each individual’s needs and goals.
What Is PCOS?
PCOS is a hormonal imbalance that may result in enlarged ovaries containing multiple follicles (sometimes referred to as “cysts”). These follicles are small fluid-filled sacs that contain immature eggs.
In PCOS, ovulation may not occur regularly, which can affect menstrual cycles and fertility.
PCOS is diagnosed based on a combination of symptoms, medical history, examination, blood tests, and ultrasound findings.
Common Symptoms of PCOS
Symptoms can vary in severity and may change over time. They can include:
- Absent periods or menstrual cycles that are irregular, infrequent and/or heavy
- Lack of ovulation
- Multiple ovarian follicles seen on ultrasound
- Excess facial or body hair
- Acne or oily skin
- Thinning hair or scalp hair loss
- Difficulty conceiving (subfertility or infertility)
- Mood changes, including anxiety or depression
- Sleep apnoea
Not every woman with PCOS will experience all of these symptoms.
PCOS and Fertility
Because PCOS can affect ovulation, it may make it more difficult to conceive naturally. However, many women with PCOS are able to achieve pregnancy with appropriate support and management.
Assessment may include:
- Hormone testing
- Ovulation tracking
- Ultrasound imaging
- Discussion of cycle patterns
Management options vary depending on whether pregnancy is desired and may include lifestyle support, cycle regulation, ovulation induction or referral for further fertility care where appropriate.
PCOS and Long-Term Health
PCOS can also be associated with broader health considerations, including insulin resistance, weight changes, and increased risk of certain metabolic conditions. Monitoring and early management can play an important role in supporting long-term health.
Mental health is equally important. Living with hormonal changes, fertility concerns or visible symptoms such as acne or hair changes can affect confidence and emotional wellbeing. A holistic approach to care is essential.
Individualised Care at Coastal Women’s Health
There is no one-size-fits-all approach to PCOS. Management depends on:
- Your symptoms
- Your reproductive goals
- Your overall health
- Your preferences
At Coastal Women’s Health, Dr Farag provides clear information, evidence-based recommendations, and supportive care to help women understand their diagnosis and explore appropriate management options.
When to Seek Advice
You may wish to seek assessment if you experience:
- Irregular or absent periods
- Persistent acne or excessive hair growth
- Difficulty conceiving
- Ongoing cycle-related concerns
Early assessment can provide clarity and guide next steps.
PCOS Support on the Central Coast
Located in Gosford, Coastal Women’s Health supports women across the Central Coast with reproductive and gynaecological care at every stage of life.
If you have questions about PCOS or would like to arrange a consultation, contact our friendly team to book an appointment with Dr Farag.
Understanding your body is the first step toward informed care.