PCOS Review Newsletter #93

2) Overweight People Get Less Respect from Doctors

3) Healthy Young Women Have Polycystic Ovaries

2) Overweight People Get Less Respect from Doctors

If you are overweight, do you suspect that your doctor does not respect you? Do you wonder whether he or she thinks you are weak-willed and unwilling to lose weight?

A study by John Hopkins University shows that overweight people are less respected by their doctors. The fatter you are, the less they will respect you.

This isn't fair. It isn't right. It's unprofessional for a doctor to have a negative perception of you just because you are overweight. But that's the way it is.

They may not fully understand how difficult it is for you to lose weight. Perhaps they haven't performed a thorough diagnostic workup to find out WHY are you too heavy. There are lots of reasons why you can't lose weight besides how many calories you are consuming.

Research evidence suggests that when doctors don't respect their overweight patients, they tend to give out less information compared to lean patients. They may also be put off by the difficulty of examining a person with fatty skin folds. Poor grooming or body odor may also cause the doctor to have a negative perception.

If you sense that your doctor is uncomfortable with your body shape, find another doctor. Overweight and obesity is a very serious health problem, especially for women with PCOS. You should get help and advice from someone who really cares about you as a person and is not the least bit concerned with how you look.

Huizinga MM et al, Physician Respect for Patients with Obesity, J Gen Intern Med. 2009 Sep 18. [Epub ahead of print]

3) Healthy Young Women Have Polycystic Ovaries

You may be surprised to know how prevalent polycystic ovaries are among young women.

We came across a report in the September issue of the Gynecological Endocrinology medical journal that said about 4 of every 5 normal, healthy women have polycystic ovaries. However, as women get older, the rate of polycystic ovaries decreases.

We were surprised that polycystic ovaries are so common. However, polycystic ovaries is not the same thing as polycystic ovary syndrome.

In the case of polycystic ovaries, the ovaries are larger than normal, and there are a series of undeveloped follicles that appear in clumps, somewhat like a bunch of grapes. Polycystic ovaries are not especially troublesome and may not even affect your fertility.

However, when the cysts cause a hormonal imbalance, a pattern of symptoms may develop. This pattern of symptoms is called a syndrome. These symptoms are the difference between polycystic ovary syndrome and polycystic ovaries.

So you can have polycystic ovaries without having PCOS. However, nearly all women with PCOS will have polycystic ovaries.

The good news is that you can deal with both problems with the same approach: improved diet and lifestyle.

Duijkers IJ et al, Polycystic ovaries, as defined by the 2003 Rotterdam consensus criteria, are found to be very common in young healthy women, Gynecol Endocrinol. 2009 Sep 15:1-9

Thought for Today: "The future belongs to those who believe in the beauty of their dreams." -- Eleanor Roosevelt

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