Comprehensive Hormonal and Fertility Care for Women in Bursa
Polycystic Ovary Syndrome (PCOS) is one of the most common hormonal and metabolic disorders among women of reproductive age. In Bursa — including districts such as Nilüfer, Osmangazi, Yıldırım, Görükle, and Mudanya — many women seek gynecological consultation due to irregular periods, acne, hair growth, and infertility. PCOS affects hormone balance, metabolism, and emotional health, requiring individualized care and professional medical support.
For information and appointments: +90 541 998 34 34
BURSA / TURKEY
What Is Polycystic Ovary Syndrome (PCOS)?
PCOS occurs when the ovaries produce excessive amounts of androgens (male hormones), which disrupt ovulation and cause multiple small follicles to form on the ovaries. These follicles do not mature properly, leading to menstrual irregularities and difficulties conceiving.
According to PubMed and UpToDate, PCOS affects around 10–15% of women globally. In Turkey, particularly in growing metropolitan centers like Bursa, changes in diet, physical inactivity, and stress have made PCOS increasingly common.
PCOS is not only a reproductive condition — it’s a systemic disorder that affects the entire body, including metabolism and cardiovascular health.
Causes and Risk Factors
1. Genetic Factors
A family history of PCOS significantly increases the risk. Genetic variations that affect insulin and androgen metabolism play a major role.
2. Insulin Resistance
High insulin levels stimulate androgen production, resulting in hormonal imbalance. Insulin resistance also contributes to weight gain and metabolic dysfunction.
3. Lifestyle and Diet
In Bursa’s urban areas, long working hours, limited exercise, and carbohydrate-rich diets can worsen hormonal and metabolic health.
4. Hormonal Imbalance
An elevated ratio of luteinizing hormone (LH) to follicle-stimulating hormone (FSH) interferes with ovulation and increases androgen levels.
5. Environmental and Emotional Stress
Environmental toxins, air pollution, and chronic psychological stress all contribute to PCOS development and symptom severity.
Common Symptoms of PCOS
Symptoms vary from woman to woman but often include:
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Irregular or absent menstrual cycles
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Excess hair growth on the face, chest, or abdomen
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Acne and oily skin
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Hair thinning or scalp hair loss
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Difficulty conceiving
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Weight gain, especially around the waist
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Fatigue, mood swings, or depression
Women in Bursa frequently report worsening symptoms during stressful periods or after weight gain, emphasizing the need for early medical evaluation.
Diagnosis of PCOS in Bursa
Accurate diagnosis involves several steps:
1. Clinical Evaluation
Your gynecologist reviews your menstrual history, skin and hair symptoms, and overall health.
2. Hormone Testing
Blood tests measure levels of LH, FSH, testosterone, DHEA-S, prolactin, insulin, and glucose.
3. Ultrasound Examination
Pelvic ultrasound reveals enlarged ovaries with multiple small follicles, a characteristic “string of pearls” pattern.
4. Differential Diagnosis
Other hormonal or metabolic disorders, such as thyroid disease or adrenal dysfunction, must be ruled out.
Treatment of PCOS in Bursa
PCOS treatment aims to restore hormonal balance, regulate menstruation, improve fertility, and prevent long-term complications. Treatment in Bursa clinics focuses on lifestyle adjustments, medication, and psychological support.
1. Lifestyle Modifications
Lifestyle changes form the foundation of PCOS management. Even moderate weight loss (5–10%) can significantly improve symptoms.
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Follow a low-glycemic-index diet with vegetables, fruits, lean proteins, and whole grains.
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Avoid refined sugars and processed foods.
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Exercise regularly — walking or cycling in Bursa’s parks such as Botanik Park or Mihraplı Park can greatly improve metabolism.
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Manage stress through mindfulness or yoga.
2. Medical Therapy
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Combined Oral Contraceptives (COCs): Regulate menstrual cycles and reduce androgen-related symptoms.
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Metformin: Improves insulin sensitivity, aids weight management, and may restore ovulation.
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Spironolactone: Reduces acne and excess hair growth (not suitable for women trying to conceive).
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Letrozole or Clomiphene Citrate: Used to induce ovulation in women planning pregnancy.
3. Cosmetic and Supportive Treatments
To manage physical symptoms and boost confidence, Bursa clinics provide:
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Laser hair removal for unwanted facial or body hair.
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Dermatology treatments for acne and oily skin.
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Dietitian consultations for nutritional balance.
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Psychological counseling for emotional well-being.
4. Surgical Treatment
For women who don’t respond to medication, laparoscopic ovarian drilling (LOD) may be recommended. This minimally invasive procedure helps restore ovulation by reducing androgen-producing tissue.
PCOS and Fertility
PCOS is one of the most common causes of infertility, but with proper treatment, pregnancy is often achievable. Fertility clinics in Bursa, especially in Nilüfer and Osmangazi, offer ovulation induction and in vitro fertilization (IVF) services. With the right hormonal and metabolic support, conception rates can be significantly improved.
Long-Term Complications if PCOS Is Untreated
If PCOS is not properly managed, it may lead to:
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Type 2 diabetes and metabolic syndrome
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Hypertension and heart disease
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Endometrial hyperplasia or cancer
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Fatty liver disease
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Depression and anxiety
Regular check-ups, lifestyle management, and ongoing medical supervision help prevent these long-term risks.
Living with PCOS in Bursa
Managing PCOS requires patience and long-term commitment. Women in Bursa benefit from access to experienced gynecologists, endocrinologists, and nutrition experts who offer personalized care.
With a balanced diet, regular exercise, and consistent medical support, women can live symptom-free and preserve their reproductive health. Early diagnosis and lifestyle changes remain key to preventing complications and improving fertility outcomes.
For information and appointments: +90 541 998 34 34
BURSA / TURKEY
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