Polycystic Ovary Problems Management
Polycystic Ovary Syndrome (PCOS) or Polycystic Ovary Disorder (PCOD) is referred as the hormonal disorder among women of reproductive age. This is the condition when women ovaries tend to make more male hormones as compared to female hormones. If the problem is not treated on time, it may lead to serious problems like type 2 diabetes, heart problems, infertility and many more. Some may experience the painful cysts in their ovaries. Women with PCOS may have infrequent or prolonged menstrual periods or excess male hormone (androgen) levels. The ovaries may develop numerous small collections of fluid (follicles) and fail to regularly release eggs.
Symptoms of PCOS/PCOD:-
It is not easy to analyse the PCOS or PCOD, still we are mentioning some of the common symptoms:-
- Irregular or prolonged periods, heavy menstruation.
- Development of excess facial and body hair
- Acne or pimples
- Slightly large or lumpy ovaries.
- Weight gain or trouble losing weight
- Thinning hair on the scalp
- Infertility problems
- Gestational diabetes, blood pressure or premature labor
- Depression and sleep apnoea
The PCOS problem may raise at the time of puberty and later on. Timely treatment is always prerequisite to cure the PCOS otherwise it may lead to other female problems.
Causes of PCOS/PCOD:-
- Excessive Insulin:Insulin is the hormone produced by the pancreas that allows cells to use sugar, your bodys primary energy supply. If your cells become habitual to the action of insulin, then your blood sugar level can increase and your body might produce more insulin. Excess insulin might increase androgen production, causing difficulty with ovulation.
- Low-grade inflammation.: Research has shown that women with PCOS have a type of low-grade inflammation that stimulates polycystic ovaries to produce androgens, which can lead to heart and blood vessel problems.
- Heredity: Research suggests that certain genes might be linked to PCOS.
- Excess Androgen: The ovaries produce abnormally high levels of androgen, resulting in hirsutism and acne.
Complications/ Risk factors of PCOS/ PCOD:-
PCOS or Polycystic Ovaries may lead to further complications such as:-
- High Blood pressure
- Gestational issues
- Liver Inflammation
- Metabolic syndrome
- Sleep apnea
- Depression, anxiety and eating disorders
- Abnormal uterine bleeding
- Endometrial cancer
Knowing and correcting the causes will lead to avoiding the complications. It is always better to consult the specialist to avoid complications and further risks involved.
Diagnosis of PCOS or PCOD:-
There is not any specific test or check-ups to evaluate the PCOS or PCOD. The doctor will initially ask for the medical history and will indulge in physical examination. She may ask the duration of weight gain, menstrual periods and other related factors. The test recommended by the doctor is:-
- Physical Exams: This is done to check the signs of excess hair growth, excess insulin, and acne.
- Pelvic Exam: The doctor will visually or manually examine the reproductive organs for abnormalities.
- Blood tests include checking hormone level, menstrual abnormalities, glucose tolerance, fasting cholesterol and triglyceride levels.
- Trans-vaginal ultrasound: a wand-like device (transducer) is placed into your vagina to check the ovaries appearance and thickness of the lining of uterus.
- Screening: It involves screening for depression, anxiety, and obstructive sleep apnea.
Treatments of PCOS/ PCOD
The treatment of PCOS is required to cure the chances of infertility, hirsutism, acne or obesity. Various measurements or treatments are used which are:-
- Lifestyle changes: Doctor will ask you to adopt a habit of exercising daily. Apart from exercising, intake of low calories diets and fluids will help to control the weight. It might help to lose 5% of body weight. Losing weight will also affect the situation of PCOS and complications thereof.
- Medications: Birth control pills are given to decrease androgen production and regulate estrogen. It will regulate the hormone and will reduce the risk of endometrial cancer and correct abnormal bleeding, excess hair growth and acne. Progestin Therapy can be used for 10-14 days in each month to regulate periods. If you are planning to conceive a pregnancy, you must avoid this. To help you ovulate better, the doctor may recommend using medicine such as Clomiphene, Letrozole, Metformin, Gonadotropins. To Reduce the excessive hair growth, Birth control pills, Spironolactone, Eflornithine, Electrolysis.
- Low carbohydrates diets: to control obesity, to maintain sugar levels, insulin levels.
- Infertility Treatment: If PCOS is the only reasons for non-pregnancy, fertility drugs will be prescribed. IVF is the lastoption for PCOS women.
- Surgery: It will not cure PCOS, however, it will help women to become pregnant who are willing to get pregnant.
- Laparoscopic Ovarian Drilling – This is not done to treat the cyst but to destroy a portion of each ovary. it is usually performed using “Keyhole Surgery”.
- Bilateral Salpingo-oophorectomy and Hysterectomy – If a woman is not willing to become pregnant. It may cause sudden menopause.
‘Polycystic Ovary Management is the effective way to control and cure the PCOD and PCOS under the guidance of expert gynecologist in Gurgaon at Pristyn Care Laser Clinic. Regular checkups and correct diagnosis will be done to know the actual reasons so that timely treatments can be offered. At puberty stage, PCOS & PCOD can be controlled by using healthy diet plans and medications. Women who are planning to become pregnant must consult the PCOS specialist to check for the signs and treatments thereof.