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.

 

Comment

Your email address will not be published.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

Leave a Reply

Your email address will not be published.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

Related Blogs

Dispose of Used Mask Properly Prevents Spread of Infections

dispose of masks

Knowing How to Dispose of used face masks properly is just as important as using the mask to protect ourselves from this terrific pandemic. We've come to face the consequences that arrived with this global pandemic. The virus can last on medical waste (masks and gloves) for a week; this is just enough to break the whole chain. So, we should be aware of not only using the masks but also disposing of them in the right way.

37

Did You Know Migraine Aura? Things You Should Know

Know about Migraine Aura

A migraine is the most general and worlds third common problem, which is commonly caused by the changes in your nervous system, which is called Migraine. Migraine is an intense throbbing pain that usually affects one side of the head; it is often accompanied by nausea, vomiting, and extreme sensitivity to light and sound. Migraine may last from 4 hours to 72 hours, and in some cases, the attack may agonize a sufferer even for a week.

17

Healthy Diet for Everyone – Include Rich Nutrients In Diet

healthy nutrition diet

Many people have yet to set up a proper healthy diet plan necessary for a healthy life. There are several healthy nutrition diet plans available, based on the age factor, health complications. Some of the diet plans are purely for an individual's specific needs. Beyond all of these, there is a constant and routine healthy nutrition diet, which is essential for an individual.

79

Common problems and challenges in Breastfeeding

challenges in breastfeeding

Breastfeeding is the only way for infants to gain the best immunity system. This has to start right from day 1. Due to a lack of awareness of the best practices of breastfeeding and unable to handles the pain for a long time by mothers, infants are lacking in having breastfeeding.

179