by Dr. Anna Melissa Lo
Here in Hawaii, we take pride in looking out for one another, whether it’s sharing leftovers after a beach day, helping after a storm, or just being there to listen when someone needs to talk. However, when it comes to women’s health, there are still issues we don’t discuss enough. One of those topics is about polycystic ovary syndrome, or PCOS.
Polycystic ovary syndrome (PCOS) affects about 1 in 20 women of childbearing age. However, many are unaware that they have it. It occurs when the ovaries produce more male hormones than expected, disrupting the body’s natural hormone balance. This can lead to symptoms like:
– Irregular or missed periods
– Weight gain or difficulty losing weight
– Excess hair in the face, chest, or back
– Hair thinning on the scalp
– Acne or oily skin
– Darkening of the skin in the neck or armpits
Women with PCOS may have tiny pockets of fluid in their ovaries, often called cysts, which can be seen on an ultrasound.
Why Understanding PCOS Matters
PCOS is not just about periods or appearance. It’s related to other common health concerns, like obesity, hypertension, high cholesterol, diabetes, and heart disease. Some women also may have trouble getting pregnant.
The good news is PCOS can be managed, and the earlier it’s diagnosed, the better. So, being proactive about your health and seeking early diagnosis is key.
Why Many Women Stay Silent
Here in Hawai‘i, and much like in Filipino culture, we value strength and resilience. But sometimes, that means we downplay our struggles or think, “It’s fine, I can deal with it.”
Many women with PCOS are told their symptoms are “just part of life” or are given tips to “try harder” to lose weight, instead of getting a proper evaluation.
Starting The Conversation
If you think you might have PCOS, it’s important to talk to your doctor. Diagnosis is made with a combination of medical history, blood tests, and an ultrasound. While there is no “cure,” symptoms can be managed with the proper care.
Treatment can include lifestyle changes (like balanced eating and regular exercise), medications to regulate periods or help with fertility, and strategies to manage symptoms like acne or hair changes.
Most importantly, treatment is tailored to your needs — it’s not one-size-fits-all.
For Friends and Family
If someone you love has PCOS, your support matters. Listen without judgment, avoid making comments about weight or appearance, and ask how you can help.
PCOS can be frustrating and sometimes isolating. As a community, we can also play a role in supporting women with PCOS by promoting open conversations, understanding, and acceptance.
The Bottomline
Breaking the silence about PCOS in the Aloha State means that more women can get answers, feel understood, and take steps toward better health. If you notice symptoms in yourself or someone you care about, don’t dismiss them.
Start a conversation, seek care, and spread awareness — because every wahine and binibini deserves to feel her best.
DR. ANNA MELISSA LO is an endocrinologist at the Primary Specialty Clinic of Hawai‘i. She cares for people with hormone-related conditions like diabetes, thyroid issues, and PCOS. Dr. Lo believes in providing competent and compassionate care to all her patients.
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