Polycystic Ovary Syndrome (PCOS)

Polycystic Ovary Syndrome (PCOS): Diagnostic Approach and Lifestyle Management in the Context of Gynae in Singapore

If you’re searching for gynae in Singapore, you’re likely looking for trusted information about women’s health, especially on conditions like Polycystic Ovary Syndrome (PCOS). Early in your journey, you may have encountered helpful online resources about gynaecology in Singapore that provide practical guidance on women’s wellness and reproductive health. This article aims to help you understand PCOS in a simple, conversational way-what it is, how it’s diagnosed, and how lifestyle and medical approaches can help you manage it effectively.

Understanding PCOS

One of the most common things women talk about when they go to the gynae in Singapore is PCOS, which stands for Polycystic Ovary Syndrome. It changes the way your ovaries work because of an imbalance in your hormones. Typically, the ovaries release an egg every month; however, this process can be altered in women with PCOS. Instead of a single egg maturing, multiple small follicles may form, and ovulation might not occur regularly.

In simpler terms, PCOS is a condition where your body’s hormones-especially those that regulate your menstrual cycle-are not in balance. This can cause periods to be irregular, hair to grow too much, and acne, weight changes, and sometimes, fertility challenges.

In Singapore, PCOS is believed to affect about one in ten women of reproductive age. It’s a lifelong condition, but with early diagnosis and proper management guided by a gynae in Singapore, you can lead a healthy and everyday life.

Why seeing a gynecologist in Singapore matters

Consulting a gynae in Singapore allows you to receive personalized and culturally sensitive care. Doctors here are familiar with local diet patterns, environmental factors, and health trends, especially since metabolic conditions like diabetes can influence PCOS.

A qualified gynecologist will not just focus on medical tests, but also discuss how your lifestyle, stress, and nutrition may play a role. They help tailor care that fits your routine-something that’s very important because PCOS management is not about quick fixes, but about consistency.

Common signs and symptoms

Many women visit a gynae in Singapore because they’ve noticed a few of these early warning signs:

  • Irregular or skipped periods – Menstrual cycles exceeding 35 days or fewer than 8 periods annually.
  • Excess hair growth (hirsutism) – hair appearing on areas like the chin, upper lip, or abdomen.
  • Acne or oily skin – especially stubborn acne that doesn’t respond to over-the-counter treatments.
  • Gaining weight or having trouble shedding weight, especially around the midsection.
  • Hair thinning on the scalp is a result of hormonal imbalances.
  • Dark patches on skin folds – commonly on the neck or underarms, linked to insulin resistance.
  • Fertility challenges – difficulty conceiving due to irregular ovulation.

If you’re experiencing any of these symptoms, it’s best to schedule an appointment with a gynae in Singapore for assessment.

How PCOS is diagnosed

Diagnosis usually involves several steps, and a gynecologist in Singapore will take time to evaluate all factors before confirming PCOS. Expect the following:

  1. Medical history and symptom review
    Your doctor will ask about your menstrual cycles, any changes to your skin or hair, and your family history of diabetes or hormonal conditions.
  2. Physical examination
    This may include checking your body mass index (BMI), blood pressure, and visible signs of hormone imbalance.
  3. Blood tests
    Blood tests measure hormone levels, including testosterone, LH, FSH, and insulin. These results help determine whether there’s an imbalance or another underlying cause, such as thyroid issues.
  4. Ultrasound scan
    A pelvic ultrasound may show multiple small follicles in the ovaries. However, not all women with PCOS show cysts, and not all cysts mean PCOS. The diagnosis is made based on combined findings.

Typically, a woman is diagnosed with PCOS if she meets two of three criteria: irregular ovulation, high amounts of androgens, and polycystic ovaries seen on an ultrasound. Your gynae in Singapore will review the information that relates to you and explain the meaning of each test.

Lifestyle management for PCOS

For many women, lifestyle modification is the cornerstone of managing PCOS. A skilled gynaecologist in Singapore will likely recommend gradual, sustainable changes that fit your lifestyle rather than drastic diets or routines.

Here are key strategies:

1. Maintain a healthy weight

It is possible to enhance insulin sensitivity with a 5–10% weight loss, help regulate menstrual cycles, and alleviate symptoms.

2. Eat for balance

Choose foods that are whole and minimally processed. Get plenty of fruits, vegetables, lean proteins in your diet, and healthy fats. Limiting your consumption of simple carbohydrates and processed sugars will help you maintain stable blood sugar levels.

3. Exercise regularly

Try to do at least 150 minutes of mild exercise every week. You could go for a fast walk, ride a bike, or swim. Working out helps regulate your weight and hormone levels.

4. Manage stress and sleep

Stress that lasts a long time and not getting enough sleep might make hormone imbalance worse. Yoga, mindfulness, or even short daily breathing exercises are all examples of relaxation practices that can have a big effect.

5. Avoid smoking and limit alcohol

These habits can affect hormonal and metabolic health, making PCOS symptoms more pronounced.

Your gynae in Singapore also recommends consulting a dietitian or wellness coach if lifestyle adjustments feel overwhelming.

Medical treatment options

When lifestyle changes aren’t enough, medications can provide additional support. A gynae in Singapore will explain which options suit your goals-whether it’s symptom control, regulating periods, or improving fertility.

Common treatments include:

  • Hormonal contraceptives – to regulate menstrual cycles, control acne, and reduce excessive hair growth.
  • Insulin-sensitizing medications – such as metformin, which improve how your body uses insulin and may help restore ovulation.
  • Anti-androgen medications – to reduce unwanted hair growth or acne.
  • Ovulation induction drugs – for women who wish to conceive, medications like letrozole may help stimulate ovulation.
  • Fertility treatments – in some cases, assisted reproductive methods are considered when other treatments don’t work.

Individualization is key; your treatment should be tailored to your personal needs. This is why it’s essential to consult a reputable gynecologist in Singapore.

Long-term health considerations

PCOS isn’t just bad for your reproductive health; it can also raise your chances of diabetes, high cholesterol, and heart disease in the long term. It is essential to keep a close eye on things regularly.

Your gynae in Singapore might suggest:

  • Annual blood tests for glucose and cholesterol
  • Blood pressure checks
  • Hormone and menstrual pattern tracking
  • Ultrasound follow-ups if needed

This ongoing care ensures that PCOS doesn’t silently affect your future health.

Frequently asked questions (FAQs)

Q: Can PCOS go away completely?
No, PCOS doesn’t completely go away, but with the correct medical and lifestyle advice, symptoms can be controlled well.

Q: Can I get pregnant if I have PCOS?
Yes. Many women with PCOS conceive naturally or with assistance. A gynae in Singapore can guide you through fertility-friendly options.

Q: Do I need to lose weight to manage PCOS?
Not everyone with PCOS is overweight. The focus should be on overall health and metabolic balance, not just the number on the scale.

Q: Is birth control safe for PCOS?
Hormonal pills are commonly prescribed to regulate cycles, but your doctor will ensure they suit your medical history.

Q: How often should I see my gynae?
Initially, you may visit every few months for monitoring, and then once or twice a year for follow-ups if your condition remains stable.

Choosing the right gynecologist in Singapore

When selecting your doctor, consider the following:

  • Experience with PCOS and reproductive endocrinology
  • Being clear and willing to answer questions
  • A holistic approach that incorporates diet and mental health
  • Access to imaging and lab services for monitoring

Remember, the relationship you build with your gynae in Singapore is long-term. It’s about understanding your body and making informed decisions together.

Final thoughts

Living with PCOS can be challenging, but it’s manageable. With guidance from a qualified gynae in Singapore, consistent lifestyle adjustments, and regular health checks, you can regain hormonal balance and confidence.

You don’t need to face it alone. Taking the first step—getting diagnosed, asking questions, and following a plan-already puts you on the right path. The right gynae in Singapore will not only treat your symptoms but also empower you to take charge of your well-being, every step of the way.

Aster Gynaecology – Dr Ng Kai Lyn

38 Irrawaddy Rd, #06-58 

Mt Elizabeth Novena Specialist Centre, 

Singapore 329563

+65 6635 2100