Polycystic Ovarian Disease (PCOD) in Women
1. Polycystic ovaries is seen in about 20% women – however, not everybody will manifest with features of Polycystic Ovarian Syndrome or Disease (PCOS/PCOD) and need intervention
2. PCOS is a complex endocrine disorder characterised by – irregular menses, hyperandrogenism and polycystic ovaries
3. Insulin resistance affects about 50-70% of women with PCOS which lead to other comorbid conditions like metabolic syndrome, hypertension, dyslipidemia, diabetes and glucose intolerance
4. Mental Health disorders such as depression, anxiety, bipolar disorder and binge eating disorder are also seen more frequently in women with PCOS
5. Proper diet, regular and exercise weight loss are shown to improve menstrual irregularities, symptoms of androgen excess and infertility
6. Early diagnosis and management of PCOS will not only help patients address their queries but also prevent future complications related to metabolic, endocrine, psychiatric, cardiac complications
Current guidelines by American Association of Clinical Endrocrinologists (AACE-Nov 2015) recommend diagnostic criteria for PCOS to include one of the following 3 criteria – chronic anovulation, hyperandrogenism (clinical/biologic), and polycystic ovaries. Please contact our expert panelists to have a #VirtualConsultation or #SecondMedicalOpinion @ http://www.activdoctorsonline.in/
Signs and Symptoms include:
● Numerous small cysts on either one or both ovaries – diagnosed by tests
● Irregular Periods
● Painful or Delayed Menstrual Cycles
● Weight Gain (especially Central Obesity)
● Hirsutism – occurrence of abnormal hair growth on Chin, around the nipples, abdomen and back
● Sudden unexplained hair loss.
How can I rule out PCOS ?
A thorough clinical examination and history collection can help to rule out the occurrence of PCOS. No single test can help to find out the presence of disease – multiple tests are required.
▪ History Collection – give your doctor a detailed history of duration and interval of menstrual cycle, medications you are currently on, eating habits and exercise, sexual history, any family history of diabetes or obesity, etc.
▪ Physical Examination – a physical examination to check your thyroid gland, skin, hair, breasts, and belly. Check for blood pressure and a pelvic exam to find out if you have enlarged or abnormal ovaries. Your doctor can also check your body mass index (BMI).
▪ Lab tests – checking for LH, FSH, oestrogen, progesterone to identify any hormonal imbalances
Thyroid profile to check for any abnormal thyroid function
HbA1c and glucose tolerance test to check for insulin resistance
HCG test to rule out pregnancy
Can I get treated for PCOS completely?
There is diverse opinion and debate upon the diagnosis, treatment for PCOS based on the diagnostic criteria used. Though the complete cure of PCOS is not yet found, treatment for the PCOS completely depends upon the symptoms and severity of the disease or whether you are planning for pregnancy.
The symptoms of PCOS can be controlled by following a strict diet regime including regular exercise and a healthy lifestyle.
Hormonal Medications are prescribed by Doctors in certain situations.