PCOS (Polycystic Ovarian Syndrome) and YOU

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Information about PCOS (Polycystic Ovarian Syndrome) and YOU

Published on January 19, 2016

Author: draprajitasingh

Source: slideshare.net

1. PCOS (Polycystic Ovarian Syndrome) and YOU A typical case scenario commonlyseen in our clinic is a young obese girl with intractable acne,irregular cycles, and increased facial hair.On ultrasound polycystic ovaries are seen,creating a lot of anxiety in her mind.But it is the mostcommon endocrine disorder affecting 25 to 30% of young women.Approximately 75% of anovulatory women have polycystic ovaries.. About the disease PCOS, as called as Stein-Leventhal syndrome is a syndrome ofovarian dysfunction along with features of increased male hormones and ovaries showing polycystic morphologyin the absence ofother explanatory endocrinopathy. The etiology is complexwith recent studies suggesting role ofinsulin resistance.Obesityexacerbates the signs and symptoms ofPCOS by worsening insulin resistance symptoms.The symptoms maybe as varied as irregular or missed periods,excessive hair growth on the face, around the nipples,and/or around the lower abdomen, obesity, thinning ofthe hair on the head, intractable acne,infertility, miscarriage,and type 2 diabetes or pre- diabetes. Management A good history, clinical examination,followed by pelvic ultrasound,and hormonal profile completes the diagnosis of PCOS. Ultrasound shows enlarged ovaries,with multiple small cysts generallyoriented in the periphery, like "String of pearls".Hormonal profile reveals high levels ofDHEA, LH, AMH, and a normal FSH level. High LH Levels with a normal FSH level is typical of PCOD Goal of Treatment Weight loss bydiet and exercise is the mosteffective treatment.It lowers insulin resistance which restores regular cycles and ovulation.Anti-diabetic drugs like metformin,glitazone,newer drugs like D-chiro-inositol,Myo- inositol,Vitamin D3,and acupressure are other supportive therapies. Restoration offertility - Not all women have difficulty in conceiving.For those that do, ovulation is induced with drugs like clomiphene or HMG/FSH injections.Some mightrequire laparoscopic ovarian drilling (A laser or cautery is used to drill 4-10 multiple holes through the thickened ovarian capsule).Those notresponsive to these and diet and lifestyle modification,IVF (In-vitro fertilisation) is the option.Treatmentresults with PCOS are good Treatmentof hirsutism or acne Restoration ofregular menstruation,to prevent endometrial hyperplasia and endometrial cancer byusing progesterone or combined contraceptive pill.If periods are occurring atleastevery three months no treatmentis needed. Early diagnosis and treatmentmayreduce the longterm risk of type 2 diabetes and heartdisease.. Is there a cure ? There is no straightforward cure.Medical treatments reduce the symptoms and consequences ofPCOS. Majority of women respond excellentlyto lifestyle modifications only Author: DR APRAJITA SINGH, MD,DNB,MNAMS OBSTETRICS & GYNAECOLOGY Consultant,Director & Founder Aaditri MultispecialityClinic R-274,Greater Kailash Part-1,New Delhi 110048 (INDIA) aaditriclinic@gmail.com +91-11-65658647

2. Attending Consultant Indraprastha Apollo Hospitals,New Delhi

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