Does polycystic ovary syndrome cause obesity?

Patient's question:

Condition Description: Detailed condition and consultation purpose: Do people with polycystic ovary syndrome only get fat?

Doctor's answer:

Polycystic ovary syndrome (PCOS) can cause obesity in patients. The most prominent clinical feature of PCOS is anovulation, so the ovaries only secrete estrogen and androgen, without secreting progesterone. Obesity is associated with excessive androgen, an increased proportion of unbound testosterone, and long-term estrogen stimulation. For obesity related to this condition, a low-calorie diet and regular exercise are definitely necessary. However, targeting obesity alone is merely treating the symptoms, not the root cause. Related medications must also be used to control the condition, such as androgen-blocking drugs and oral contraceptives, which can inhibit hyperandrogenism in the ovaries. If infertility is also present, other treatments must be combined. Of course, controlling carbohydrate and fat intake, increasing exercise, and reducing weight undoubtedly help alleviate the condition.

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