Specialized Hormonal and Reproductive Health Services for Women in Bakırköy
Polycystic Ovary Syndrome (PCOS) is one of the most frequently diagnosed endocrine disorders among women of reproductive age. In Bakırköy and surrounding neighborhoods — including Ataköy, Florya, Yeşilköy, and Osmaniye — many women visit gynecologists for irregular menstrual cycles, unwanted hair growth, acne, and fertility issues. PCOS affects hormonal balance, metabolism, and emotional well-being, often requiring long-term, multidisciplinary care.
For information and appointments: +90 541 998 34 34
BAKIRKÖY / ISTANBUL
Understanding PCOS
PCOS occurs when the ovaries produce excess androgens (male hormones), leading to irregular ovulation or absence of ovulation. On ultrasound, the ovaries often appear enlarged with multiple small follicles that fail to mature into eggs.
According to PubMed and UpToDate, PCOS affects approximately 10–15% of women globally. In metropolitan areas such as Istanbul, factors like stress, environmental pollution, and sedentary lifestyles contribute to an increase in cases. In Bakırköy, where women often balance demanding professional lives with family responsibilities, the need for effective and holistic PCOS management has become more important than ever.
PCOS is not a single disease but a syndrome that involves hormonal, metabolic, and sometimes psychological components.
Causes and Risk Factors
The development of PCOS results from the interaction of genetic and environmental influences.
1. Genetic Factors
Family history plays a crucial role. If a woman’s mother or sister has PCOS, her risk is significantly higher.
2. Insulin Resistance
Insulin resistance is the most common underlying factor. When the body’s cells don’t respond effectively to insulin, the pancreas produces more. High insulin levels stimulate excess androgen production in the ovaries, leading to acne, hair growth, and menstrual irregularities.
3. Hormonal Imbalance
An elevated ratio of luteinizing hormone (LH) to follicle-stimulating hormone (FSH) interferes with normal egg development.
4. Lifestyle and Diet
Modern urban living — with processed foods, insufficient sleep, and limited exercise — significantly increases PCOS risk.
5. Emotional and Environmental Stress
Stressful routines and exposure to endocrine-disrupting chemicals can alter hormonal regulation and contribute to PCOS.
Common Symptoms
Typical signs and symptoms of PCOS include:
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Irregular or absent menstrual cycles
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Excessive hair growth (face, chest, abdomen)
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Acne, oily skin, or hair loss
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Difficulty conceiving due to ovulatory dysfunction
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Weight gain, particularly around the waist
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Fatigue and mood changes
Many women in Bakırköy report that stress and irregular working hours exacerbate their symptoms, making professional guidance essential.
Diagnosis of PCOS in Bakırköy
A thorough evaluation by an experienced gynecologist is essential for diagnosis.
1. Clinical Assessment
A detailed review of menstrual history, body mass index (BMI), and hair or skin changes.
2. Hormone Testing
Blood tests are performed to check levels of LH, FSH, testosterone, DHEA-S, prolactin, and insulin.
3. Ultrasound Examination
Pelvic ultrasound typically reveals enlarged ovaries with multiple small follicles — the classic “string of pearls” appearance.
4. Differential Diagnosis
Other hormonal disorders, such as thyroid and adrenal diseases, must be excluded.
Treatment of PCOS in Bakırköy
PCOS management in Bakırköy follows a comprehensive approach tailored to each patient’s needs, focusing on hormonal balance, symptom control, and fertility enhancement.
1. Lifestyle Modifications
Lifestyle adjustment is the cornerstone of PCOS therapy. Even moderate weight loss (5–10%) can improve hormonal function and insulin sensitivity.
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Adopt a low-glycemic-index diet rich in fiber, vegetables, and lean protein.
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Avoid sugary snacks, refined carbohydrates, and processed foods.
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Exercise regularly — walking along the Bakırköy coast or light gym workouts help regulate hormones.
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Ensure adequate sleep and reduce stress.
2. Medical Treatment
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Combined Oral Contraceptives (COCs): Used to regulate menstruation, reduce acne, and lower androgen levels.
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Metformin: Improves insulin sensitivity, supports weight management, and enhances ovulation.
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Spironolactone: Reduces excessive hair growth and acne (should not be used when planning pregnancy).
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Ovulation Induction: Medications such as Letrozole or Clomiphene Citrate stimulate egg release for women seeking to conceive.
3. Supportive and Aesthetic Care
Women often experience cosmetic and emotional challenges due to PCOS. Bakırköy clinics offer:
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Laser hair removal for facial and body hair.
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Dermatological treatments for acne and oily skin.
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Nutritional counseling with personalized meal plans.
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Psychological support to manage anxiety and emotional distress.
4. Surgical Option
In cases unresponsive to medical treatment, laparoscopic ovarian drilling (LOD) can be considered. This minimally invasive surgery helps restore natural ovulation.
Fertility and PCOS
PCOS is a leading cause of infertility due to anovulation. However, with modern treatments, most women can achieve pregnancy. Fertility centers near Bakırköy and Ataköy offer advanced reproductive technologies, including ovulation induction and in vitro fertilization (IVF). When combined with metabolic and hormonal regulation, pregnancy outcomes are significantly improved.
Long-Term Health Risks
If left untreated, PCOS may lead to:
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Type 2 diabetes and metabolic syndrome
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Hypertension and cardiovascular disease
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Endometrial hyperplasia or cancer
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Liver steatosis (fatty liver)
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Anxiety and depression
Regular monitoring by a gynecologist helps reduce these risks.
Living with PCOS
Living with PCOS requires consistent medical care and lifestyle adjustments. In Bakırköy, women benefit from access to expert gynecologists, endocrinologists, and dietitians who provide integrated, patient-centered care.
Through balanced nutrition, regular exercise, and medical guidance, women can manage PCOS effectively and lead healthy, fulfilling lives. Early diagnosis remains the most important step toward long-term control and improved fertility outcomes.
For information and appointments: +90 541 998 34 34
BAKIRKÖY / ISTANBUL
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