,,iii #aafth ,,congress #ast ,session ,s4 ,,res4 #cag ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,september #ah1 #bjai,ms4 ,warren 7for herself1 ,mr4 ,perdue1 ,mr4 ,cardin1 ,ms4 ,baldwin1 ,mr4 ,blumenthal1 ,mrs4 ,fischer1 ,mr4 ,isakson1 ,ms4 ,stabenow1 ,mr4 ,booker1 ,mrs4 ,feinstein1 ,mr4 ,van ,hollen1 ,mr4 ,peters1 and ,ms4 ,rosen7 submitted the following resolution2 which was referred to the ,committee on ,health1 ,education1 ,labor1 and ,pensions ,,resolution ,recognizing the seriousness of polycystic ovary syndrome 7,,pcos7 and expressing support for the designation of ,september #bjai as ,,pcos ,awareness ,month4 ,whereas polycystic ovary syndrome 7in this preamble referred to as ,,pcos7 is a common health problem among women and girls involving a hormonal imbalance2 ,whereas there is no universal definition of ,,pcos1 but researchers estimate that between #e1jjj1jjj and #aj1jjj1jjj women in the ,united ,states are affected by the condition2 ,whereas1 according to a #bjjd study1 the annual burden of ,,pcos in the ,united ,states is an estimated #d1cfj1jjj1jjj1 and this figure pertains to only the reproductive years of women and does not consider the cost of other comorbidities1 including obstetrical complications1 or the cost of metabolic morbidities in post-menopause or adolescence2 ,whereas ,,pcos can affect girls at the onset of puberty and throughout the remainder of their lives2 ,whereas the symptoms of ,,pcos include infertility1 irregular or absent menstrual periods1 acne1 weight gain1 thinning of scalp hair1 excessive facial and body hair growth1 numerous small ovarian cysts1 pelvic pain1 and mental health problems2 ,whereas women with ,,pcos have higher rates of psychosocial disorders1 including depression1 anxiety1 bipolar disorder1 and eating disorders1 and are at greater risk for suicide2 ,whereas adolescents with ,,pcos often are not diagnosed1 and many have metabolic dysfunction and insulin resistance1 which can lead to type #b diabetes1 cardiovascular disease1 obstructive sleep apnea1 nonalcoholic fatty liver disease1 and endometrial cancer at a young adult age2 ,whereas ,,pcos is the most common cause of female infertility2 ,whereas ,,pcos in pregnancy is associated with increased risk of gestational diabetes1 preeclampsia1 pregnancy-induced hypertension1 preterm delivery1 cesarean delivery1 miscarriage1 and fetal and infant death2 ,whereas women with ,,pcos are at increased risk of developing high blood pressure1 high cholesterol1 stroke1 and heart disease 7the leading cause of death among women72 ,whereas women with ,,pcos have a more than #ej percent chance of developing type #b diabetes or prediabetes before the age of #dj2 ,whereas women with ,,pcos may be at a higher risk for breast cancer and ovarian cancer1 and their risk for developing endometrial cancer is #c times higher than women who do not have ,,pcos2 ,whereas research has found genetic evidence of a causal link between depression and ,,pcos2 ,whereas research has indicated ,,pcos shares a genetic architecture with metabolic traits1 as evidenced by genetic correlations between ,,pcos and obesity1 fasting insulin1 type #b diabetes1 lipid levels1 and coronary artery disease2 ,whereas adolescents with ,,pcos are at markedly increased risk for type #b diabetes1 fatty liver disease1 and heart disease2 ,whereas ,,pcos negatively alters metabolic function independent of1 but exacerbated by1 an increased body mass index 7,,bmi72 ,whereas an estimated #ej percent of women with ,,pcos are undiagnosed1 and many remain undiagnosed until they experience fertility difficulties or develop type #b diabetes or other cardiometabolic disorders2 ,whereas the cause of ,,pcos is unknown1 but researchers have found strong links to a genetic predisposition and significant insulin resistance1 which affects up to #gj percent of women with ,,pcos2 and ,whereas there is no known cure for ,,pcos3 ,now1 therefore1 be it ,that the ,senate-- 7#a7 recognizes polycystic ovary syndrome 7in this resolution referred to as ,,pcos7 as a serious disorder that impacts many aspects of health1 including cardiometabolic1 reproductive1 and mental health1 and quality of life2 7#b7 expresses support for the designation of ,september #bjai as ,,pcos ,awareness ,month2 7#c7 supports the goals and ideals of ,,pcos ,awareness ,month1 which are-- 7,a7 to increase awareness of1 and education about1 ,,pcos and its connection to comorbidities1 such as type #b diabetes1 endometrial cancer1 cardiovascular disease1 nonalcoholic fatty liver disease1 and mental health disorders1 among the general public1 women1 girls1 and health care professionals2 7,b7 to improve diagnosis and treatment of ,,pcos2 7,c7 to disseminate information on diagnosis1 treatment1 and management of ,,pcos1 including prevention of comorbidities such as type #b diabetes1 endometrial cancer1 cardiovascular disease1 nonalcoholic fatty liver disease1 and eating disorders2 and 7,d7 to improve quality of life and outcomes for women and girls with ,,pcos2 7#d7 recognizes the need for further research1 improved treatment and care options1 and a cure for ,,pcos2 7#e7 acknowledges the struggles affecting all women and girls afflicted with ,,pcos in the ,united ,states2 7#f7 urges medical researchers and health care professionals to advance their understanding of ,,pcos to improve research1 diagnosis1 and treatment of ,,pcos for women and girls2 and 7#g7 encourages ,states1 territories1 and localities to support the goals and ideals of ,,pcos ,awareness ,month4