Nov. 27, 2000 -- By the age of 40, Lahle Henninger says she'd
had only five naturally occurring menstrual periods in her entire life. She's
since had more, but only with the help of hormone supplements. For years, this
Virginia mother of four also suffered from excess facial and body hair, severe
acne, and tremendous weight gain. What was causing such bodily mayhem? None of
the nearly 20 doctors she consulted could come up with a diagnosis, let alone a
Then, at 27, she sought help for a minor sinus infection. When
Henninger told her doctor about her other problems, "She looked at me and
said, 'You can't go two years without a period; that means something's
wrong.'" The doctor ordered blood tests, a sonogram to check Henninger's
ovaries, and the opinion of an endocrinologist. One week later, Henninger
received the diagnosis: polycystic ovary syndrome (PCOS).
By Meryl Davids Landau
When you were in your 20s and 30s, you probably ignored random aches or other minor physical annoyances, and they usually went away. But now those symptoms can come back — often with a different cause, and calling for more serious attention.
The story gets worse: Researchers are now finding that women
with PCOS are at higher risk for diabetes, heart disease, uterine cancer, and
high blood pressure. For example, researchers reported in the January 1999
issue of the Journal of Clinical Endocrinology and Metabolism that these
women are three times more likely to develop diabetes. At an annual meeting of
endocrinologists this past June, researchers presented evidence suggesting that
PCOS speeds the development of heart disease. This evidence brings an urgency
to discovering better ways to diagnose and treat the syndrome, according to
PCOS expert Walter Futterweit, MD, since he says that up to 10% of all U.S.
women of reproductive age suffer from this often devastating condition.
The mystery of PCOS
What accounts for the lack of periods and other symptoms? Women
with PCOS have excessively high levels of male hormones, such as testosterone.
The result: Henninger's facial hair and the 278 pounds circling her midsection
-- the "apple shape" associated with a propensity for heart disease.
Testosterone overload can also lead to infertility or recurrent miscarriages,
male pattern hair thinning, and sometimes multiple cysts on the ovaries. And,
as evidenced by the irregular periods, women with PCOS don't regularly
Researchers, however, have yet to uncover why these symptoms
surface in the first place. One clue is that PCOS tends to run in families,
says Futterweit, a clinical professor of medicine in the division of
endocrinology at the Mount Sinai School of Medicine in New York City.
He hypothesizes that brain signals responsible for regulating
reproductive hormones could be misfiring, or the ovaries and adrenal glands
could be making the hormones incorrectly. Researchers are currently trying to
find a gene that could help them understand why some women are more susceptible
to developing PCOS.