What Is PCOS?

PCOS is a hormonal disorder often characterised by a combination of the following:

• Irregular or absent ovulation
• Elevated androgen levels (male hormones)
• Multiple small cysts on the ovaries, usually seen on an ultrasound

It’s important to know that you don’t need to have all of these features to be diagnosed with PCOS, and despite the name, not all women with PCOS actually have ovarian cysts.

Common Symptoms of PCOS

Symptoms can range from woman to woman but may include:

• Irregular or missed periods
• Excess hair growth on the face or body
• Acne or oily skin
• Scalp hair thinning
• Difficulty losing weight
• Fatigue or mood changes
• Fertility difficulties

These signs often develop during adolescence, but PCOS can be diagnosed at any age.

How Is PCOS Diagnosed?

There is no single test for PCOS. Diagnosis usually involves:

• A detailed medical history
• Blood tests to check hormone levels
• Pelvic ultrasound to check for cysts on the ovaries
• Ruling out other causes of hormonal imbalance

Early diagnosis is important, not only to managing symptoms, but also to reduce the risk of complications including type 2 diabetes, high cholesterol, and heart disease.

Managing PCOS Through Lifestyle

Lifestyle changes are often the first step in managing PCOS, particularly for women who are overweight or insulin resistant.

Key strategies include:

• Balanced diet: Focus on low-GI, whole foods, lean proteins, and healthy fats.
• Regular physical activity: Helps to regulate insulin and support hormonal balance.
• Stress management: Chronic stress can often worsen hormonal imbalance.
• Weight management: Even a modest weight loss of 5-10% can improve symptoms and menstrual regularity.

Dr Hankins works closely with patients to develop realistic, sustainable health plans, tailored to their individual needs.

Medical Treatments for PCOS

When lifestyle changes aren’t enough, or when symptoms are severe, medical treatments may be recommended.

1. Hormonal Treatments

• The oral contraceptive pill to regulate cycles and reduce acne or hair growth
• Progesterone therapy to induce periods
• Anti-androgen medications to reduce excess hair

2. Fertility Support

If you're trying to conceive, PCOS can make ovulation irregular or absent. Ovulation induction medications such as letrozole or clomiphene are often used to stimulate ovulation. For some patients, assisted reproductive technologies (IVF) may be needed.

3. Insulin-sensitising Medications

Metformin can help regulate insulin levels and promote ovulation in some women with PCOS.

Surgical Options

For some patients with PCOS, who don’t respond to medication, minimally invasive surgery, such as laparoscopic ovarian drilling, may be considered. This procedure can improve ovulation and increase fertility in some cases.

At her Gosford clinic, Dr Kelly Hankins offers access to gynaecology surgery, including advanced robotic gynaecology surgery, when appropriate for individual treatment plans.

PCOS and Emotional Health

Living with PCOS can be frustrating and emotionally challenging, particularly when it affects body image or fertility. Dr Hankins offers a holistic approach that acknowledges the mental and emotional aspects of this condition. She also connects patients with dietitians, counsellors, and support services where needed.

Costs and Accessibility

Many women have cost related questions when navigating PCOS diagnosis and care. At Dr Hankins’ clinic, we provide a clear breakdown of consultation fees, Medicare rebates, and what to expect if surgical or fertility care is recommended. Our goal is to ensure that high-quality, personalised care is accessible to all women.

Why Choose Dr Kelly Hankins?

As a trusted gynaecologist in Gosford, Dr Kelly Hankins is known for her warm, respectful approach and her commitment to helping women take control of their reproductive health. With expertise in hormonal health, fertility, and gynaecology surgery, she is uniquely placed to provide continuity of care for women with PCOS, from diagnosis to long-term management.

PCOS may be a lifelong condition, but with the right support, it doesn’t have to define your life. Whether you’re looking to regulate your cycles, improve your fertility, or simply feel better in your body, expert care is available.

If you’re living with symptoms of PCOS or have been diagnosed and are seeking guidance, book an appointment with Dr Kelly Hankins today and take a proactive step toward balanced health.

Medical Disclaimer

This article is for general information and educational purposes only. It is not a substitute for professional medical advice, diagnosis, or treatment, and does not establish a doctor–patient relationship. All medical procedures carry risks, and outcomes vary between individuals. Always seek the advice of your GP, specialist, or another appropriately qualified health professional with any questions you may have regarding a medical condition or treatment. Where further or specialised care is required, your treating practitioner can provide an appropriate referral.