Know your PCOD/PCOS

PCOS or Polycystic ovary syndrome is the largest cause of infertility in women.It is a hormonal imbalance situation in women that cause irregularity in periods and difficulty in conceiving.
In India nearly 1 in every 5 women of fertile age are suffering with PCOS and is steadily on a rise . More and more teenagers nearly 5-10% are being diagnosed from PCOS because of thier sedentary lifestyles.
In a normal mensturating woman ,large number of follicles containing eggs are present in each ovary. Every month several follicles begin to develop but only one of the egg is matured and released from the ovary . In polycystic ovaries, the follicles do not develop properly; as a result a woman with polycystic ovaries will not ovulate regularly. This leads to irregular periods and difficulty in conceiving.
• The causes for PCOS are to date unclear, however, it is widely believed that the most common causes are genetic, obesity, high blood pressure, and insulin resistance.
Symptoms of PCOD
If even after regular and unprotected intercourse,a women is not able to concieve,following symptoms may indicate polycystic ovaries:
• abnormal menstrual cycle
• Absence or delay of periods
• scanty menses
• excess weight gain
• Excess facial and body hair
• Acne
• hair loss and increase in dandruff.
Diagnosis of PCOD
Your doctor generally requires a series of test to diagnose PCOS. These tests include –
- Physical Examination:
Your doctor measure your weight and waist and Calculate your BMI, observe abnormal hair growth in unwanted parts like face, chin or chest etc. - Pelvic ultrasound: to detect the presence of cysts in one or both ovary in typical “string of pearl” apperance.The presence of polycystic ovary does not mean you have PCOD.
- Blood Tests:
Physical evidences generally lead to a battery of tests like Serum Prolactin ,TSH, T3, and T4.Hormone Tests (FSH, LH, Testosterone, Estrogen, Androgen)
Management of PCOD
There is no definite cure for PCOS so far. It can be eliminated or reversed through a strict lifestyle modification but it is not completely cured. The women with PCOS have to maintain a healthy weight, follow a strict diet chart, avoid stressful situations and take medication regularly, to help reverse or control PCOS .It can be reversed through weight loss but weight loss in itself is difficult with PCOS.
• PCOS if left untreated, it may contribute to severe infertility and may lead to chronic conditions like Diabetes, Blood Pressure ,Heart Disease, Depression and Anxiety which is inarguably more challenging to treat. Therefore, timely and proper treatment of PCOS is essential for your physical and emotional wellbeing