PCOS Specialist

John Macey, MD -  - OB/GYN

John Macey, MD

OB/GYN located in Nashville, TN

Polycystic ovary syndrome, or PCOS, is a condition that creates a hormone imbalance in your body, which can lead to a host of complications, ranging from infertility to the onset of diabetes. Dr. John Macey, OB/GYN in Nashville, Tennessee, specializes in treating PCOS and works with you to minimize the effect PCOS has on your health and lifestyle. To learn more, call or go online to book an appointment with Dr. Macey.


What is PCOS?

Polycystic ovary syndrome, or PCOS, is a hormonal condition that can have a cascading effect on your body, from infertility to diabetes. PCOS describes a condition where many small cysts grow on your ovaries. The cysts are usually harmless, but they can create hormonal imbalances that lead to numerous complications.

To better understand what happens with PCOS, it’s first useful to understand how your reproductive organs function.

Your ovaries produce your sex hormones, mainly estrogen and progesterone, which signal certain processes in your body, such as ovulation. That throws your hormone levels out of balance, which can lead to increased production of androgen, a male hormone, and insulin resistance.

What are the symptoms of PCOS?

To determine whether you have PCOS, the following is a list of the most common indicators of the condition:

  • Irregular periods: infrequent or prolonged periods, as well as unusually heavy bleeding
  • Increased androgen levels: leads to acne, unwanted hair, and male-pattern baldness
  • Cysts: obvious cysts on your ovaries that affect function

While the above list represents the clearest signs of PCOS, the complications attributed to the condition are more serious and include:

  • Infertility or the inability to carry a child to term
  • Diabetes
  • Metabolic syndrome
  • Nonalcoholic steatohepatitis (inflammation of the liver)
  • Endometrial cancer
  • Depression, anxiety, and sleep issues

How is PCOS treated?

Since little is understood about what causes PCOS, Dr. Macey treats the most pressing issues for your situation, which typically fall into three categories:

  • Regulating your periods
  • Encouraging ovulation
  • Reducing the effects of androgen

Based on which symptoms you want to address, Dr. Macey turns to one or more of the following treatments:

  • Hormonal birth control methods to regulate your estrogen and progesterone
  • Progestin therapy (a hormone replacement therapy)
  • Ovary-stimulating medications
  • Medications or treatments that address hair growth
  • Medications to lower insulin levels and improve insulin resistance

Since the effects of PCOS vary from patient to patient, Dr. Macey provides several effective treatments that are in line with your goals and quality of life issues. To learn more, call Dr. Macey for a consultation or set up an appointment online.

*Individual results may vary