PCOS (Polycystic Ovary Syndrome)

what-is-pcos

Polycystic ovary syndrome (PCOS), also known previously as polycystic ovary disease (PCOD),  is one of the commonest endocrine disorders in women belonging to the reproductive age group. It is a condition wherein the ovary starts producing increased amounts of the male hormone testosterone in a female. As a result of this most women present with complaints of irregularity in periods, infertility or excess facial hair and acne. On laboratory testing, most of the PCOS patients have increased levels of testosterone in their blood. On ultrasound, a typical polycystic appearance of the ovaries is seen.

 

Obesity is the commonest predisposing factor for PCOS. Obesity leads to insulin resistance and increased insulin levels which can predispose a women to develop PCOS. Other common factors which can lead to PCOS are thyroid disorders, diabetes, increased prolactin levels, intake of certain drugs, stress, sedentary lifestyle and poor sleeping habits. PCOS is also hereditary which suggests that certain genes may predispose you for PCOS. Having PCOS puts you at a greater risk for developing diabetes, especially during pregnancy. Other complications of PCOS include miscarriages, uterine cancer, depression, cholesterol disorders, hypertension and fatty liver.

 

The most important modality of PCOS management is diet and lifestyle modification with emphasis on weight loss. In most cases weight loss can restore fertility with some sub-fertile patients requiring additional medications for ovulatory dysfunction. Furthermore weight loss also reverses the other obesity associated complications of PCOS. Metformin, which is primarily an anti diabetic drug, is effective in decreasing insulin resistance and helps in subsequent fertility.

Oral contraceptive pills are effective in normalising menstrual patterns and decreasing facial hair. Anti androgens are given if the clinical features of increased testosterone, such as increased facial hair and acne, are predominant. Anti androgens should generally be given along with oral contraceptive pills since they can be harmful to foetus if patient becomes pregnant.

 

Some of the conditions which mimic PCOS include ovarian tumours, adrenal tumours and  conditions associated with increased adrenal gland production of male hormones, such as congenital adrenal hyperplasia and Cushing syndrome. Consult your endocrinologist for appropriate evaluation since they are all treatable conditions.

 

Your comment has been sent successfully.

Leave a Reply

Your email address will not be published. Required fields are marked *

Related Blogs

Prathima Family Get Together – Celebrations

Prathima Hospitals Get together Celebrations held at Boulder Hills, Gachibowli on 8th January 2022.

257

On the Occasion of Children’s Day 2021, Drawing Competition @ Prathima Hospitals, Kachiguda

On the Occasion of Children's Day 2021, Drawing Competition @ Prathima Hospitals, Kachiguda

To encourage the talent and creativity of children, Prathima Hospitals hosted a "Drawing Competition" for little champs. More than 100 children participated in the competition and crafted innovative drawings.

758

Sudden Heart Attack- How to Manage it?

How to manage sudden heart attack

Sudden cardiac arrest (SCA) is a scenario wherein the coronary heart suddenly stops beating. When that takes location, blood stops flowing to the thoughts and one of a kind vital organs. If it isn't dealt with, SCA typically reasons lack of life interior minutes. But brief remedy with a defibrillator may be lifesaving.

769

Common Symptoms of Heart Disease You Must Know

common symptoms of heart disease- prathima hospitals

Cardiovascular health is closely linked to mental health, with 33% of all heart attack patients showing signs of clinical depression. Negative heart health is also associated with the onset of dementia and memory loss.

69