difficulty getting pregnant (because of irregular ovulation or failure to ovulate)
excessive hair growth (hirsutism) - usually on the face, chest, back or buttocks
thinning hair and hair loss from the head
oily skin or acne
HOW IS IT DIAGNOSED?
A diagnosis of PCOS is made when you experience at least two of these signs:
Irregular periods - Infrequent, irregular or prolonged menstrual cycles are the most common sign of PCOS
Excess androgen - Elevated levels of male hormone may result in physical signs, such as excess facial and body hair (hirsutism), and occasionally severe acne and male-pattern baldness.
Polycystic ovaries - Your ovaries might be enlarged and contain follicles that surround the eggs.
PCOS signs and symptoms are typically more severe if you're obese.
When to see a doctor ?
See your doctor if you have concerns about your menstrual periods, if you're experiencing infertility or if you have signs of excess androgen such as worsening hirsutism, acne and male-pattern baldness.
What Are the Causes?
The exact cause of PCOS isn't known. Factors that might play a role include:
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.
WHAT ARE THE Complications?
Complications of PCOS can include:
Gestational diabetes or pregnancy-induced high blood pressure.
Miscarriage or premature birth.
Metabolic syndrome - a cluster of conditions including high blood pressure, high blood sugar, and abnormal cholesterol or triglyceride levels that significantly increase your risk of cardiovascular disease
Type 2 diabetes or prediabetes
Depression, anxiety and eating disorders
Abnormal uterine bleeding
Obesity is associated with PCOS and can worsen complications of the disorder.
What are the tests ?
Doctor might recommend:
A pelvic exam - The doctor visually and manually inspects your reproductive organs for masses, growths or other abnormalities.
Blood tests - Your blood may be analyzed to measure hormone levels.
An ultrasound - Your doctor checks the appearance of your ovaries and the thickness of the lining of your uterus
What are the different ways for PCOS Treatment?
Polycystic ovary syndrome treatment starts with a proper diagnosis. Treatments are then chosen based on a woman's symptoms, age and future pregnancy plans. Treatment for PCOS includes :
Weight Loss Solutions.
Birth control pills to regulate menstruation.
Ovulation induction to treat infertility.
Topical anti-hair-growth medications.
Other excess hair treatments.
Treatments for hair loss.
Removal of other skin problems.
WHAT ARE THE Lifestyle MODIFICATIONS ?
One of the best treatments for PCOS is a healthy lifestyle.
A healthy diet, low in refined carbohydrates, is important, as this can help regulate blood sugar levels.
Exercise can also help the body regulate insulin and keep excess weight off.
Losing weight is challenging with PCOS, but doing so can help reduce the male hormone levels in the body, and some women will begin to ovulate naturally.
With a proper diagnosis, lifestyle changes, and PCOS treatment, women can get relief from this condition and the overwhelming health problems it can cause.
Lifestyle modification programmes with an emphasis on behavioural management and dietary and exercise interventions have been successful in the general population in reducing the risk of diabetes and the metabolic syndrome, and have had some initial success in improving fertility outcomes in PCOD.
Any Diet Instructions for PCOS women?
Eat the right kind of food.
Eat lots of vegetables, fruits and protein-rich food. Have green vegetables as it contains a lot of folic acid in them.
Folic acid is often advised by gynecologists to women who are planning to conceive or who are pregnant.
Consume vitamin C-rich food by eating plenty of fruits like orange, lemon, sweet lime, grape fruit, and grapes.
Alcohol and smoking is a big NO.
Eat wholegrain foods instead of processed, refined foods such as wheat flour (maida). Also, whole fruit instead of fruit juice will maintain insulin and blood sugar levels.
Avoid cakes, pastries, junk food, colas, jams and pickles.
Eat foods that are high in fiber as they will also cause a slower, more controlled rise in blood sugar and insulin levels.
Incorporate legumes and vegetables in your diet as they're high in fiber and nutrients and will manage your sugar levels.
Combine protein and carbohydrates as protein helps to regulate the blood sugar spike caused by the carbs.
Eat small, healthy meals more frequently to manage cravings and hunger pangs and NEVER miss breakfast!
Corn, soy, cottonseed, and grapeseed oils should be avoided.
Avoid soy products.
Also avoid chemical preservatives, additives, artificial sweeteners and colorings
HOW DOES WEIGHT LOSS HELP?
Weight loss is a mainstay in the treatment of polycystic ovary syndrome, or PCOS/PCOD. While the cause of this complex female endocrine disorder remains unknown, even modest weight loss improves symptoms of PCOS. The best approach to losing weight with PCOS is to work with your health care provider to develop a healthy diet and exercise program.
Reducing your body weight helps decrease hormonal abnormalities. Losing as little as 5 percent of your body weight can improve insulin resistance and thus symptoms of PCOD
It's really easy to think of an excuse for not exercising. I don't have time. I don't feel like it. The weather outside is horrible. I'm tired. It's too embarrassing to go to the gym. It's too expensive.
The truth is, increasing your physical activity is one of the simplest and most effective things you can do for PCOS. Regular exercise improves every aspect of your health. It also may help you become more fertile.
Appreciating your body -for its miraculous ability to carry out millions of intricate functions without conscious direction, for its continual pursuit of equilibrium, for its complex adaptive ability -- is the first step on the road to total fitness. Lay aside your judgments, fears, expectations and disappointments in favor of a positive framework that sets the stage for a lasting and consistent exercise program.
Can You Get Better by Exercise Alone ?
Even if you don't follow A healthy diet for polycystic ovary syndrome at all, you can still get some benefit from regular exercise. (Of course, we strongly recommend that you do both!.
Yoga is good for stress management ?
Yoga can play important role in the prevention and management of polycystic ovarian syndrome. Yoga is one of the important refreshing and rejuvenating modalities which can contend and even root out stress completely. Since stress is playing important factor in exaggerating pcos, so yoga therapy is also effective in relieving stress and helps balancing hormonal imbalance in PCOD.
DOES IT AFFECT FERTILITY?
Women with polycystic ovaries and fertility problems:
1. Do not release an egg (ovulate) regularly.
2. Have ovaries that contain many small cystic structures, about 2-9 mm in diameter.
What are the chances of having PCOS?
It is estimated that polycystic ovarian syndrome affects about 8-10% of women of reproductive age. It is very common.
What is the infertility rate with PCOS?
The infertility rate with polycystic ovaries is very high. these women usually will have difficulty getting pregnant - and usually require treatment to improve chances for pregnancy.
Some women with polycystic ovary syndrome will ovulate (release a mature egg) occasionally - others do not ever ovulate. In order to conceive, sperm must find and fertilize a mature egg - so we need to ovulate.
Can I conceive with PCOS ?
The good news is that the chance of getting pregnant with polycystic ovarian syndrome using fertility treatments is very good. The great majority of women with polycystic ovarian syndrome will be able to have a baby with fertility treatment.
For young women under age 35 with polycystic ovaries, the real question is more about which treatment will be effective - and not so much whether any treatment can ever work.
What IS Ovarian drilling?
Also known as multiperforation or laparoscopic ovarian diathermy, is a surgical technique of puncturing the membranes surrounding the ovary with a laser beam or a surgical needle using minimally invasive laparoscopic procedures.
PCOS is the primary cause of anovulation, which results in female infertility.
WHAT IF PREGNANCY DOES NOT HAPPEN AFTER DRILLING?
If patients do not become pregnant 12 months after ovulation has been reestablished from ovarian drilling treatment, OVARIAN stimulation treatments may be reintroduced or in vitro fertilization (IVF) may be considered
How does it work?
The procedure causes a drop in serum androgen levels and possibly in estrogen levels ,causing follicular maturation and ovulation
What are the advantages?
The advantages of the procedure also include its singular treatment, as opposed to several trials of ovulation inductions
.Other benefits of this technique include cost-effectiveness and that it can be performed as an outpatient procedure.
How is it done?
It is done under general anaesthesia with laparoscopy
IS THERE A CURE FOR PCOS?
There is no cure yet, but there are many ways you can decrease or eliminate PCOS symptoms and feel better. Your doctor may offer different medicines that can treat symptoms such as irregular periods, acne, excess hair, and elevated blood sugar. Fertility treatments are available to help women get pregnant. Losing as little as 5% excess weight can help women ovulate more regularly and lessen other PCOS symptoms. The ideal way to do this is through nutrition and exercise.