Polycystic Ovary Syndrome (PCOS) & Menstrual Disorder Management

Polycystic Ovary Syndrome (PCOS) is a complex reproductive and metabolic endocrine condition affecting up to 1 in 10 women of reproductive age. Because symptoms vary widely — from infrequent or absent periods to hormonal acne, excess facial or body hair (hirsutism), and difficulty losing weight — accurate diagnosis requires excluding look-alike endocrine disorders such as thyroid dysfunction, hyperprolactinaemia, and congenital adrenal hyperplasia.

Dr Tebo Rasenyai conducts a structured diagnostic workup combining clinical androgen scoring, targeted early-follicular blood panels (LH, FSH, free androgen index, prolactin, TSH, fasting glucose/insulin, and lipid profile), and high-resolution pelvic ultrasound to assess ovarian volume and antral follicle morphology.

• Cycle Regulation & Endometrial Protection: Preventing unopposed oestrogen stimulation of the uterine lining when periods occur fewer than 4 times per year.
• Hyperandrogenism Management: Targeted medical therapies to reduce hormonally driven acne, seborrhoea, and hirsutism.
• Metabolic & Insulin Sensitivity Support: Evidence-based insulin-sensitising therapy and cardiometabolic risk reduction.

Irregular, frequent, or heavy menstrual bleeding can arise from structural uterine causes — such as Polyps, Adenomyosis, Leiomyomas (fibroids), or Malignancy/hyperplasia — or from non-structural causes including Coagulopathies, Ovulatory dysfunction, Endometrial factors, or Iatrogenic (medication-related) causes.

During your consultation, Dr Rasenyai systematically identifies the underlying cause using pelvic ultrasound, cervical cytology, laboratory haematology and endocrine testing, and when indicated, in-room endometrial sampling or hysteroscopy.

A woman's treatment priorities with PCOS or menstrual dysfunction often evolve over time. For patients not currently trying to conceive, treatment focuses on predictable menstrual control, protection of the endometrium against hyperplasia, relief of androgenic skin symptoms, and metabolic optimisation.

When you are ready to start a family, your care plan transitions seamlessly to preconception metabolic preparation and monitored ovulation induction (such as letrozole protocols with follicular tracking ultrasound).

Before attending your appointment at Clinix Victoria Private Hospital, we recommend writing down the dates of your last three to six menstrual periods, the number of days bleeding lasted, the severity of cramping, and any hormonally linked headaches or mood changes.

If you have had hormonal blood tests performed in the past 6 months, please bring copies to Suite D, Room 2 so that unnecessary duplicate testing can be avoided.