The ‘cysts’ in polycystic ovaries are not harmful, do not require
surgical removal and do not lead to ovarian cancer. However, the
abnormal menstrual cycles in some women with PCOS can make them more
susceptible to certain health problems in later life.
Women who have very infrequent periods – fewer than four a year – may
have an increased risk of developing endometrial cancer, if the womb
lining (endometrium) becomes too thick. Fortunately, this type of cancer
is still quite rare and the risk can be minimised, and probably
eliminated, by using appropriate treatments to regulate periods.
Possible treatments include the oral contraceptive pill (either combined
pill or mini pill), progestogen tablets or a progestogen releasing
coil.
Women with PCOS who have insulin resistance have an increased risk of
developing a type of diabetes known as non-insulin-dependent diabetes
(type 2 diabetes). This is much more likely to occur in women who are
overweight, but can sometimes occur in women of normal weight too.
Women with insulin resistance may also be at risk of developing heart
disease in later life. However, although risk factors for heart disease
may be increased with PCOS, there is, as yet, no clear evidence that
heart attacks are more common in women with the condition than in those
who do not have PCOS. These risks can be reduced to a large extent by
preventive measures such as good nutrition and exercise. Preventive
measures are particularly important for women who are very overweight,
and for women who have a family history of diabetes or heart disease.
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