Women's Health

continued...

If you are older than 40, call your doctor if you have:

• Vaginal bleeding that lasts more than 8 days; large clots; or excessive spotting.
• Pelvic pain that lasts for more than 4 weeks.
• Any symptoms of diabetes, such as increased thirst and frequent urination (especially at night), unexplained increase in appetite, unexplained weight loss, fatigue, blurred vision, or tingling or numbness in your hands or feet.
• Any symptoms of heart disease, such as chest pain or pressure, shortness of breath, unusual fatigue, or high blood pressure (hypertension).
• Depression or mood swings. Many women may have emotional problems related to the physical symptoms of PCOS, such as excess hair, obesity, or infertility.
• Decided to quit smoking, if you have been smoking. For more information, see the topic Quitting Smoking.

Watchful Waiting

Taking a wait-and-see approach (called watchful waiting) is not appropriate when PCOS is suspected. Early diagnosis and treatment may help prevent future complications such as reproductive, metabolic, or heart problems.

Who To See

Health professionals who can diagnose and treat PCOS include:

• Gynecologists.
• Obstetricians.
• Family medicine doctors.
• Nurse practitioners.
• Physician assistants.
• Internists.
• Endocrinologists (pediatric or medical).
• Reproductive endocrinologists.
• Registered dietitians.

To prepare for your appointment, see the topic Making the Most of Your Appointment.