Poly Cystic Ovarian Syndrome

What is Poly Cystic Ovarian Syndrome (PCOS)?

PCOS is a condition in which women have a hormonal imbalance that interferes with normal reproductive processes. It is a common condition seen in 12-21 % of women of reproductive age.

What are the symptoms/ features of PCOS?

  • Irregular menstrual cycles or no periods at all
  • Decreased frequency or complete lack of egg formation resulting in difficulty in getting pregnant
  • Abnormal hair growth
  • Obesity
  • Oily skin/Acne
  • Increased tendency to develop diabetes mellitus II

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What Causes PCOS?

The cause of PCOS is not well understood but may involve a combination of genetic or environmental factors because it has been seen to run in families

How to diagnose PCOS?

The doctor can make a diagnosis on the basis of detailed history and physical examination. An ultrasound to look for size and volume of ovaries and certain biochemical tests may be done if required.

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There is no known prevention or cure for PCOS but with proper diet and lifestyle modifications , we can avoid developing some of the complications associated with PCOS like diabetes mellitus, heart problems etc.

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The treatment depends on age of the patient, whether want to have a baby or not, and the presenting features.

For irregular/delayed menstrual cycles

  • Start with lifestyle changes like exercise and weight loss
  • Birth control pills can be used to regularize the periods
  • Metformin can be used to improve insulin resistance helping in egg formation leading to regular periods

For hirsutism

  • Cosmetic therapy like laser or local cream can be used
  • Birth control pill can be combined
  • Medicines to decrease like male sex hormones can be added.

Infertility/ Difficulty in conception

  • Lifestyle changes
  • Medicines/ injections are given for egg formation and monitoring is done with the help of ultrasound with planned relations at the time of egg release

Cardiometabolic diease

  • Lifestyle changes
  • Metformin

So if you are suffering from any of the features associated with PCOS, consult a doctor today who will help and guide along the right path of treatment

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