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Do You Have PCOS? Here Are The Things You Need To Know!

Do You Have PCOS? Here Are The Things You Need To Know!

PCOS is one of the  most common endocrine disorder in women. Affecting 5% to 10% of women who reach reproductive age.
The prevalence among infertile women is around 15% – 20%.
By definition PCOS may clinically be manifested in young women of reproductive age as oligo anovulation, bio chemical or clinical hyperandrogenism (hirsutism, acne, acanthosis nigricans, male pattern balding) and pcos.

Polycystic Ovary Syndrome

Diagnosis:

Pcos may be diagnosed by the presence of two of three major recommended criteria:
– Oligomenorrhea
– Any form of hyperandrogenism, either clinical (hirsutism and acne) or endocrine (the hormonal diagnosis of high androgen levels) and
– Ultrasound picture of polycystic ovaries (presence of either 12 or more follicles, measuring 2 to 9mm in diameter or an increased ovarian volume> 10 cm cube.

PCOS Diagnosis

Investigations:

– TV – USG is highly valuable as a diagnostic tool using the Rotterdam’s criteria.
– LH/FSH ratio
– Free testosterone levels
– SHBG levels

Clinical presentation:

Hyperandrogenism – This is a rare condition where there is an excess of male sex hormones in a woman.

Menstrual irregularities – Many a times, irregularities in the menstrual cycle can result in PCOS.

Multiple cysts in the ovaries – Formation of cysts is dangerous and should be treated to prevent PCOS.

Impaired fertility

Insulin resistance

Obesity – Being overweight or even obese is an added symptom which can result in PCOS.

Hirsutism/acne, alopecia – Acne and hair fall is also a symptom of PCOS.

PCOS Symptoms and Causes

Clinical presentation at different ages

Children
– Premature pubarche
– Increased androgens
– Increased insulin
– Ovarian functional hyperandrogenism
– Hirsutism

Adolescents & adults
(child bearing age)
– Oligomenorrhea
– Amenorrhea
– Hirsutism
– Acne, seborrhea, alopecia,
– Insulin resistance
– Metabolic syndrome
– Obesity
– Infertility

Adults

(Post menopausal)

– Cardio vascular disease
– Diabetes
– Obesity
– Endometrial hyperplasia
– Endometrial cancer

Management:

– Weight loss
– Medical management
– Hormonal treatments – oral contraceptive pills can be given to control or manage PCOS.
– Insulin sensitizing agents – metformin, myo inositol,
– Fertility therapy – clomiphene citrate
– Treatment of Hirsutism – oral contraceptive pills, Spironolactone, finasteride

PCOS Exercise

PCOS Supplements

 

Surgical treatment
Hystero-laparoscopy & ovarian drilling

Role of vitamin D3 in PCOS

Vitamin D is known to increase insulin sensitivity and has beneficial effects on some CVD risk forms such as cholesterol, triglycerides and VLDL levels

Conclusion:
PCOS is an entity with a long life span, requiring ‘control’ than ‘cure’. The treatment should be directed at the symptoms of PCOS such as anti androgens, fertility improving agents have shown to be effective in addressing the specific problems in PCOS. Lifestyle modification are weight management is essential in order to prevent PCOS.

About Sankhya Hospitals:

A Full Fledged, 100-bedded Hospital, Sankhya Multispeciality Hospital Offers Treatment And Facilities At Par With The Best Available Globally. From 24-hour Ambulance Service, Pharmacy And Diagnostic Centre, To Specialised Services That Extend From Dermatology To Orthopaedics, General Medicine To General Surgery, Gynaecology To Urology, ENT, Plastic Surgery, Laparoscopic Surgery, Neurology, Ophthalmology And More. It is one of the Best ENT Hospital in Hyderabad thanks to the skilled doctors and  state-of-the-art technology.

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