Thyroid disorders and polycystic ovary syndrome (PCOS) are two of the most common endocrine disorders in the general population. Although the etiopathogenesis of hypothyroidism and PCOS is completely different, these two entities have many features in common. An increase in ovarian volume and cystic changes in ovaries have been reported in primary hypothyroidism. It is increasingly realized that thyroid disorders are more common in women with PCOS as compared to the normal population.
Hypothyroidism can lead to polycystic morphology of the ovaries. While this morphology can vary with severity and duration of hypothyroidism, there is no evidence to suggest that primary hypothyroidism can lead to PCOS. Research suggests that those with PCOS may have a higher risk of developing hypothyroidism. this could be due to common factors like insulin resistance, autoimmunity, and genetic predisposition.
Managing both these hormonal conditions require drugs to maintain the thyroid hormone levels, strict life style measures including diet and regular exercises and in some cases drugs to manage menstrual irregularities. Hence those have features of hypothyroidism screen for PCOS and vice versa. Follow the advice of the endocrinologist and dietician and manage these problems effectively to avoid related problems.
Dr.Deepa G, MHSc (Diab), Dip (Diab)