PCOS, or Polycystic Ovarian Syndrome, is a condition we see often here at Columbia Fertility Associates, and it’s one of the most common reasons women experience fertility challenges.
The good news? We know a lot about it, and there are plenty of options to help manage it.
Since September is PCOS Awareness Month, let’s dive into what PCOS is, how it can affect you, and what we can do about it.
What Exactly Is PCOS?
First, let’s break down what PCOS really is. PCOS is a hormonal imbalance that affects about 1 in 10 women of reproductive age. It causes your body to produce more androgens—those are male hormones that we all have but in different amounts—and that can interfere with ovulation. This can lead to symptoms like irregular periods, acne, weight gain, or even extra hair growth on your face and body.
Some women with PCOS also develop small cysts on their ovaries, which is where the name comes from, but not everyone has cysts. And those cysts? They’re usually harmless. The bigger issue is how PCOS can affect your overall health and fertility, which is why managing it is so important.
Why Does PCOS Happen?
This is the million-dollar question! We don’t know exactly why some women develop PCOS, but we do know that insulin resistance and genetics play a role. If your body has trouble using insulin effectively, it can trigger a chain reaction that leads to higher levels of androgens. This can throw your ovulation out of sync. And if your mom or sister has PCOS, there’s a good chance you might experience it, too.
That said, PCOS is manageable. Early diagnosis can help prevent longer-term complications like diabetes or heart disease, which is why it’s so important to talk to your doctor if you’re noticing any symptoms.
How Does PCOS Affect Fertility?
If you’re trying to conceive, this is probably your biggest concern. PCOS can make it difficult to get pregnant because it often prevents regular ovulation. Without ovulation, it’s tough to conceive. But don’t worry—there are ways we can help.
Here at CFA, we take a personalized approach to managing PCOS, especially when fertility is a concern. We can monitor your menstrual cycle and work on balancing those hormones to help improve your chances of ovulation.
Sometimes that means medications to help stimulate ovulation, or it could mean other treatments like lifestyle changes. In some cases, assisted reproductive technologies (ART), like IVF, may be the best route to help you get pregnant.
What Are My Treatment Options?
The good news is that there are a number of ways to treat and manage PCOS. We may begin by recommending changes to your diet and exercise routine. Managing your weight can help a lot when it comes to regulating your cycle and improving insulin sensitivity.
If lifestyle changes aren’t enough, we may also use medications to help with insulin resistance and help stimulate ovulation. If you’re having a hard time conceiving, treatments like IVF might be an option we explore together.
Treatment plans for PCOS aren’t one-size-fits-all. We’ll work closely with you to figure out what’s best for your specific needs. We’ll create a plan that not only helps you manage PCOS but also improves your overall reproductive health.
Managing PCOS with Confidence
Here’s what I want you to take away from all this: PCOS is manageable, and you’re not alone. September is PCOS Awareness Month, so it’s the perfect time to learn more and take control of your health. Whether it’s through lifestyle changes, medication, or fertility treatments, we’re here to support you every step of the way.
If you have any questions or want to explore your options, reach out to us at Columbia Fertility Associates. We’re here to help, and we’ll be with you every step of the way.









