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 Keith Ablow, M.D.It’s high time to figure out what’s making you perpetually behind. Here,
strategies to help you get out of the lateness rut.
Some years ago when I was chief resident in psychiatry at the New England
Medical Center, I decided it was finally time to enter therapy myself. I was
dating the woman who would later become my wife and I wanted to explore why I
hadn’t yet committed to her.
So I booked an appointment with a noted psychiatrist, about 10 miles from my
home, and left...
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