What is polycystic ovary syndrome and what symptoms does it give?


Polycystic ovary syndrome is one of the most common hormonal disorders in women during their reproductive age (6-10%).

It is characterised by menstrual irregularities, hyperandrogenism (which is manifested especially with dermatological disorders such as acne, hirsutism and alopecia) and ovaries with polycystic appearance on ultrasound.

In 60-80% of concurrent cases there are also difficulties in losing weight and metabolic disorders such as obesity, insulin resistance, hyperinsulinemia and type 2 diabetes.

It may also be responsible for pair infertility due to the presence of anovulatory cycles.

Symptoms can appear immediately after the first menstruation or develop over the years.

The clinical picture can look very different from patient to patient.


What causes polycystic ovary syndrome?


Its origin is probably multifactorial: hereditary genetic factors are often associated with sedentary lifestyle and an incorrect diet regimen.

It’s known the role of insulin resistance on proper ovulocyte maturation and secretion of ovarian sex hormones.

Affected patients often have first-degree relatives with metabolic conditions such as diabetes, dyslipidemia, obesity or cardiovascular disease.


Diagnosis and treatment 


The diagnosis is made in the presence of 2 of the 3 following criteria: ovulatory dysfunction, hyperandrogenism (based on clinical data and/or hormonal values dosed in the blood), polycystic ovaries to the pelvic ultrasound.

It is therefore useful to rely on the endocrinologist for an overall hormonal and metabolic evaluation and then undertake a personalised treatment.

Therapy always starts from a change in eating habits and attention to physical activity.

Depending on the manifestations of the syndrome and the needs of individual patients, it also makes use of specific therapies to counteract its effects.

An appropriate treatment offers great benefits both in terms of aesthetics and metabolic already in the first months.

The earlier the diagnosis is made, the earlier it is possible to intervene to avoid the long-term consequences (infertility, hyperplasia and endometrial cancer, hypertension, hyperlipidemia, insulin resistance, diabetes mellitus type II, atherosclerosis).


Doctor Laura Lizzul



[email protected]




And it is precisely when the child begins to leave the world of games to enter that of relationships, just in the most extraordinarily significant period of life of all of us, that she arrives, Miss Acne.

It slowly takes possession of our face and not only.

It likes to settle also on the shoulders, on the back, on the décolleté.

It takes his place and stays there for years.

Yes, because acne is a chronic disease that accompanies boys throughout adolescence.

It is an inflammatory disease of the sebaceous glands and therefore, in addition to being ugly to see, it is also hard to bear: oily skin, itching, sometimes pain (if there are nodules and deep lesions).

But the really unbearable thing for young patients is undoubtedly the impact on the image.

And I’m not just talking about the image that others have of us, but the image that we have of ourselves.

Acne aims at self-perception and while until just before these guys were the beautiful creatures that the mom created, they now feel like monsters in front of peers and this sends them into crisis.

Numerous studies show that anxiety and depression accompany the patient with acne in the very period when the need for social acceptance becomes more pressing.

At this time when it is so common to show themselves, they would like to hide.

Hence the numerous requests for dermatological examination for acne.

Although it is not a dangerous disease for health, the patient is willing to do anything to get rid of it.

What is the role of the dermatologist?

Surely the therapeutic choice should be taken into account of discomfort of the patient, it should be considered that acne can also be a spy of more complex pathologies (of hormonal type for example), cosmetic education should be done (because guys sometimes try everything, even wrong).

Therapy should be undertaken on a case by case basis, remembering how essential it is to intervene in the forms of acne that can leave scars.

For the rest it is right to give references to these young patients without stressing them too much, to encourage them not to lose self-esteem by passing the concept that now is to them to take care of themselves and that, starting with the skin with acne, Nothing will be perfect in life, but they will not be less happy


Doctor Lara Brandolisio



[email protected]