PCOS - Polycystic Ovarian Syndrome


 

How is PCOS diagnosed?

There are a few different classifications, NIH classification which is the least specific, Androgen Excess and PCOS Society classification which is the most stringent, and the most commonly used Rotterdam Criteria.

We use the Rotterdam Criteria where you need to meet 2 out of the 3 categories

  1. Oligoovulation/anovulation (not ovulating/having irregular periods –periods usually occur every 21 to 35 days so if you get a period every 45days that is considered irregular.  Some patients have no periods at all)
  2. Polycystic ovaries on ultrasound (ovaries have a distinct appearance, young patients with lots of eggs can be tricky to diagnose)
  3. Clinical and/or biochemical signs of hyperandrogenism (male hormones) 

 

Why is it important to make a correct diagnosis of PCOS?

Making the correct diagnosis of PCOS is essential as there are multiple syndromes with similar signs and symptoms which can mimic the disorder but require different treatments. So PCOS can only be made, after a comprehensive workup and the more serious endocrine disorders are ruled out. 

PCOS is also associated with risks of developing future systemic illnesses like diabetes and heart disease so these should also be monitored by your physician. 

 

What should I do if I think I have PCOS?

First thing is to make an appointment with your obstetrician/gynecologist. Family doctors are great for routine pap smears and such, but for a full evaluation see your gynecologist. 

They will order bloodwork and an ultrasound to start. For patients not seeking to conceive, various treatments are available which may alleviate symptoms and regulate your periods.

 

What if I want to get pregnant and I have PCOS and irregular periods?

Once the diagnosis is established and fertility is desired most patients will undergo ovulation induction. Your ob/gyn can start you on an oral medications (Letrozole and/or Clomid and with certain indications metformin). These medications are meant to help you ovulate an egg so that you can try to conceive. 

 

When should I see a reproductive endocrinologist and infertility specialist (REI) for my PCOS?

If you are trying to conceive and have tried 3-4 cycles of ovulation induction with your ob/gyn and still have not achieved pregnancy then you should consider seeing an REI. You may need further evaluation of your fertility. REI’s are also trained to perform more advanced reproductive techniques such as hormone injections and in vitro fertilization, or IVF. 

Feel free to reach out to our clinic if you have more questions or want to set up an appointment to review your case. 


Eliran Mor, MD

Reproductive Endocrinologist located in Encino, Santa Monica, Valencia & West Hollywood, CA

See Dr. Mor's Publications

Doctor Mor received his medical degree from Tel Aviv University-Sackler School of Medicine in Israel. He completed a four-year residency in Obstetrics and Gynecology at New York Methodist Hospital in Brooklyn, New York. Subsequently, Dr. Mor completed a three-year fellowship in Reproductive Endocrinology and Infertility at the University of Southern California. Doctor Mor is Board Certified in both Reproductive Endocrinology/Infertility and Obstetrics and Gynecology. Throughout his career Dr. Mor has researched many topics in infertility and human reproduction, including polycystic ovary syndrome (PCOS); emergency contraception; neuroendocrinology; insulin resistance; male factor infertility; donor sperm insemination; tubal factor infertility; IVF stimulation protocols; congenital uterine anomalies; tubal gamete/embryo transfer (GIFT/ZIFT/TET); pregnancy at advanced reproductive age; and hormone replacement therapy (HRT), and continues to do so today. He is a member, in excellent standing, of multiple prestigious medical societies, including the American Society of Reproductive Medicine (ASRM), the Pacific Coast Reproductive Society (PCRS), the Society of Laparoendoscopic Surgeons (SLS), and the American College of Obstetricians and Gynecologists (ACOG), and remains a Clinical Instructor at USC.

Doctor Mor is one fertility expert who is constantly striving to stay on the cutting-edge of fertility treatments and human reproduction. In addition to monthly Journal Club meetings/publication review sessions and educational seminars/lectures, Dr. Mor attends at least two major Reproductive Endocrinology/Infertility meetings each year in an effort to present his patients with the latest in innovative reproductive care. Only interventions that have been tested and validated through multiple good studies are adopted in Dr. Mor’s practice, in an effort to administer safe and effective treatments to achieve a healthy pregnancy.

A true “patients’ doctor,” Dr. Mor is and will be your physician throughout your fertility journey! All consultations, after-hour inquiries, pelvic examinations, ultrasound examinations, diagnostic procedures, assisted reproductive procedures (egg retrievals, embryo transfers...), and surgical procedures, if needed, will be performed by Dr. Mor. Involvement in every aspect of your fertility care and complete micromanagement of your treatment makes Dr. Mor your ideal partner in your path to becoming pregnant.

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California Center for Reproductive Health

See Dr. Mor's Publications

Doctor Mor received his medical degree from Tel Aviv University-Sackler School of Medicine in Israel. He completed a four-year residency in Obstetrics and Gynecology at New York Methodist Hospital in Brooklyn, New York. Subsequently, Dr. Mor completed a three-year fellowship in Reproductive Endocrinology and Infertility at the University of Southern California. Doctor Mor is Board Certified in both Reproductive Endocrinology/Infertility and Obstetrics and Gynecology. Throughout his career Dr. Mor has researched many topics in infertility and human reproduction, including polycystic ovary syndrome (PCOS); emergency contraception; neuroendocrinology; insulin resistance; male factor infertility; donor sperm insemination; tubal factor infertility; IVF stimulation protocols; congenital uterine anomalies; tubal gamete/embryo transfer (GIFT/ZIFT/TET); pregnancy at advanced reproductive age; and hormone replacement therapy (HRT), and continues to do so today. He is a member, in excellent standing, of multiple prestigious medical societies, including the American Society of Reproductive Medicine (ASRM), the Pacific Coast Reproductive Society (PCRS), the Society of Laparoendoscopic Surgeons (SLS), and the American College of Obstetricians and Gynecologists (ACOG), and remains a Clinical Instructor at USC.

Doctor Mor is one fertility expert who is constantly striving to stay on the cutting-edge of fertility treatments and human reproduction. In addition to monthly Journal Club meetings/publication review sessions and educational seminars/lectures, Dr. Mor attends at least two major Reproductive Endocrinology/Infertility meetings each year in an effort to present his patients with the latest in innovative reproductive care. Only interventions that have been tested and validated through multiple good studies are adopted in Dr. Mor’s practice, in an effort to administer safe and effective treatments to achieve a healthy pregnancy.

A true “patients’ doctor,” Dr. Mor is and will be your physician throughout your fertility journey! All consultations, after-hour inquiries, pelvic examinations, ultrasound examinations, diagnostic procedures, assisted reproductive procedures (egg retrievals, embryo transfers...), and surgical procedures, if needed, will be performed by Dr. Mor. Involvement in every aspect of your fertility care and complete micromanagement of your treatment makes Dr. Mor your ideal partner in your path to becoming pregnant.


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We invite you to join our family as we look to expand yours!

Doctor Mor is a Board Certified Reproductive Endocrinology/Infertility expert with extensive experience in the most advanced fertility treatments available. Under his leadership, CCRH has become renowned for superior reproductive care, receiving rave reviews year after year. The Center is a boutique practice with exceptionally personalized service, customized and individually-tailored to each person or couple's needs with unmatched results.

Great emphasis is placed on proper testing and accurate
diagnosis, allowing for safe and effective treatments to achieve the ultimate outcome – a healthy baby!

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Professional Affiliations/Resources

The physicians and staff of the California Center for Reproductive Health are dedicated to patient education and care. The Center is affiliated with several prestigious medical societies and organizations aimed at educating both healthcare professionals and patients and at improving patient care. The following is a list of professional affiliations:

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