Your sexual health issues

Do I have PCOS (Polycystic ovarian syndrome)?

I have had erratic cycles since my periods started, but have been on the pill for many years so it was not really a problem. However, I had a copper coil fitted about two years ago, so my normal cycle is back again; sometimes two cycles one after the other, sometimes nothing for five or six weeks.

I have also had a spotty chin and some dark facial hairs since coming off the pill, and I wondered if all of these symptoms could be due to PCOS. I have not had any weight gain, however. Does this matter?
nicolaturner

Dr Valerie: It is not unusual to have irregular bleeding if you have a Mirena coil, because of the way it works. Sometimes abnormal bleeding with a coil in place may suggest the possibility of infection, especially if you also have vaginal discharge and pain in your lower abdomen.

A recent change in bleeding pattern in association with lost coil threads may mean that the coil has been displaced or expelled, in which case you may be at risk of unplanned pregnancy. Therefore, it would be in your best interests to use condoms until you have been seen by a gynaecologist.

Do mention your concerns about PCOS to the gynaecologist so that he or she can assess you accordingly. Excess hair and acne may suggest a possibility of PCOS, but your hormone levels, blood sugar and cholesterol levels, and the appearance of your ovaries on a scan are also important.

Approximately half of women with PCOS have a normal weight. If you end up not having a coil fitted, you may want to talk to the gynaecologist about a contraceptive pill called Dianette.

It is useful for both spotty skin and excess hair growth, although it may take several months before you notice any change. There are, of course, other treatments that you could discuss.