PCOS: Erasing the Stigma

two womenUntil I encountered health-related issues of my very own, I had never heard of PCOS. There are no PSAs, no health class curricula, and it is not uncommon for many physicians to be unfamiliar with the seemingly unrelated symptoms that can be a detriment to the life of a woman who is affected.

Irregular menstrual cycles, weight gain, sluggishness, thinning hair, depression, acne, infertility, and sometimes (but not always) cysts on the ovaries are what a woman with PCOS may have to battle on a daily basis. Not only must a woman endure the physical effects of this disorder, but also the psychological effects that come with these changes. To be clear, that is by no means a comprehensive list of symptoms.

This is polycystic ovarian syndrome, and it affects more than 5 million women in the United States alone. Continue reading

Over 90 Percent of What Planned Parenthood Does, Part 16: Blood Tests to Screen for Ovarian Cancer

repro systemWelcome to the latest installment of “Over 90 Percent of What Planned Parenthood Does,” a series on Planned Parenthood Advocates of Arizona’s blog that highlights Planned Parenthood’s diverse array of services — the ones Jon Kyl never knew about.


September is Ovarian Cancer Awareness Month.


Ovarian cancer can strike anyone with ovaries, although it is most common in people who are more than 55 years old. It starts when certain mutations in ovarian cells start to proliferate, resulting in tumor growth. (Some types of ovarian cancer can originate in the fallopian tubes, but most ovarian cancers arise from the cells that cover the surface of the ovary.) If a cancerous cell breaks away, it might set up camp elsewhere in the body, resulting in the cancer’s spread. It can be a serious condition, affecting around one out of 71 ovary-wielding individuals.

What causes ovarian cancer?

If you learned about the reproductive system in school, you probably remember that ovulation involves the release of an egg from an ovary. What your teacher probably didn’t tell you is that the process of ovulation is actually rather violent. An egg does not exit the ovary through a preexisting “doorway” and shuttle down the fallopian tube to make its way to the uterus. Nope, when an egg is “released,” it actually bursts through the ovary itself.

OH YEAHUnfortunately, during ovulation, the egg perforates the ovary, creating a lot of tissue damage. The ovary needs to repair itself, sort of like how bricklayers will need to be hired to fix that mess left by the Kool Aid man. Because ovarian cells are so often replicating themselves during the repair process, there are more chances for an error to occur. Cells that divide frequently, like ovarian cells, are more prone to becoming cancerous. Continue reading

Diagnosing Endometriosis

If you missed it, you can read the previous post explaining the basics of endometriosis here. In this post, we’ll look a little more at how endometriosis is diagnosed as well as some current barriers to diagnosis.


Wait. So you’re telling me that killer cramps of doom aren’t normal? If I did suspect I had endo, how would I go about getting diagnosed?

Endometriosis diagnosis is a tricky thing in that there’s no in-office procedure that can definitively determine whether someone has the condition or not. However, because the “gold standard” test is laparoscopy with biopsy — a surgical procedure — many health care providers prefer to do some in-office tests before recommending laparoscopy. The most common such procedures are pelvic exams and ultrasounds, which may allow a provider to see or feel if the endometrial lesions have formed cysts (known as “endometriomas”), but won’t pick up on smaller lesions.

Another complicating factor is that endometriosis isn’t the only cause of either dysmenorrhea or chronic pelvic pain. Other causes can include uterine fibroids, pelvic floor dysfunction, pelvic inflammatory disease, irritable bowel syndrome, and interstitial cystitis.

Even with laparoscopy, diagnosis isn’t necessarily straightforward. Not only is it a surgical procedure, which carries with it extra expense and risk, but even then, presence of the disease is often missed or underestimated. Seeking out a doctor who specializes in endometriosis can minimize this, but of course, due to geographic, cost, or other access issues, this isn’t always possible. Continue reading