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Endometrial Ablation Procedure
Treatment of Treatment of Breast Cancer
Management of Abortion
Hormonal Replacement Therapy Treatment
Caesarean Section Procedure
Treatment of Gynae Problems
Gynecology Laparoscopy Procedures
Treatment Of Female Sexual Problems
Treatment Of Menopause Related Issues
Treatment Of Menstrual Problems
Treatment of Mirena (Hormonal Iud)
Pap Smear Procedure
Polycystic Ovary Syndrome Treatment
Treatment of Uterine Bleeding
Antenatal And Postnatal Exercise
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PCOS is a disorder characterized by enlarged ovaries and the formation of tiny cysts on the outer sides of the ovaries. Polycystic Ovary is a hormonal condition that stimulates surplus production of androgen in women. Androgen being a “male hormone,” causes development of muscle mass and hair in men, and it has similar effects on women as well when present in high amount. They trigger acne and excessive growth of body hair in women accompanied by irregular or lack of ovulation in the form of absent or erratic menstrual cycle. Hence, owing to troubles in ovulation (discharge of ovules from the ovaries), one may experience difficulties in getting pregnant.
Many women suffering from PCOS are unaffected by the influence of the hormone ‘insulin’, which indicates, that it requires a larger amount of insulin to sustain a normal blood sugar level. High levels of insulin as a result of insulin resistance, in turn drastically boosts androgen production.
Symptoms of PCOS include:
Irregular Menstrual Cycle. Women with PCOS may miss periods or have fewer periods (fewer than eight in a year). Or, their periods may come every 21 days or more often. Some women with PCOS stop having menstrual periods.
Excessive hair. Excessive hair on the face, chin, or parts of the body where men usually have hair. This is called "hirsutism." Hirsutism affects up to 70% of women with PCOS.3
Acne. Acne on the face, chest, and upper back
Hair Loss. Thinning hair or hair loss on the scalp; male-pattern baldness
Weight Gain. Weight gain or difficulty losing weight
Skin Darkening. Darkening of skin, particularly along neck creases, in the groin, and underneath breasts
Skin tags. Skin tags, which are small excess flaps of skin in the armpits or neck area
Treatment for PCOS:
There is apparently no procedure to cure PCOS and improve fertility; but the treatment is tailored as per the symptoms of the condition:
A lack of ovulation and menstrual cycles hinders the secretion of progesterone (a hormone preparing the uterus for pregnancy), thus hampering conception. In this case, the treatment is directed at maintaining a regular ovulation and menstrual cycle which can be fixed by consuming birth control pills. These pills comprise of both progestin and estrogen which aid to bring down androgen production.
PCOS along with insulin resistance warrants the use of certain medications such as metformin which are prescribed to enhance insulin sensitivity. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.
I am having thyroid problem after marriage[before 2years]. My tsh is varying. Many times it was less than 0.5. And two times without any medicines it goes to >100. So now I am using thyronorm 50mcg. After using this tab for one month now it is 7.9. Does it varies like this. I am also having pcos. No children yet. Should I go to gynae or endocrinologist doctor. Please suggest.
We had general sex On 30 th dec means we are not intercourse but only physical touch nd there is not any ejection on her vagina but I rubed only my finger and penis for just 5second and I think at that time penis get enter in vagina for a just while on the entrance of vagina, and she got her period on the next date i. E 31 st december but now she has missed her period we are in confusion about pregnancy please suggest what should we do aur is that possible to pregnant only by touching?
I have PCOD since 4 years, and I have never taken any medications regarding this. But I get continuous bleeding since past 4 months and I have consulted 4 doctors concerning this, and they say it's due to hormonal imbalance, and I have been into Primolut-N since then. I have to take it continuously for being in normal condition or else my bleeding starts again. There is no permanent solution for this problem? Please doc help me!
My friend is trying for baby from last 6 months neither she is pregnant nor her periods are coming. She used injections for avoiding around 9 months before. Please help.
Hi Warm Greeting!!! My Question is to Gynecologist... When Can I have 2nd Ultrasound in my Pregnancy. I am in my 16th Week of Pregnancy. I have done through all the prescribed checkup at 7th Week and everything was absolutely right. Please guide on this.
I am 27 years old female I am suffering from pcod and thyroid so I am taking thyronorm 37.5 mcg my tsh value is 2.71 after taking thyronorm. My lh is 6.11, fsh is 5.15, prolactin 27.92 and hb is 11. My doctor has prescribed me metformin 500 mg twice daily. I want to know how long I have to take these medicine I have been taking it since 6 mths. Kindly help me. I am frustrated.
The biological basis of mental illness
Mental illness is, in part, an illness of the brain. Learning about the brain can:
? give information from a biological and medical perspective (and some idea of its complexity)
? help you understand and support treatment
? assist you in dealing with the stigmas of mental illness
? support the realisation that no one is to blame for the onset of mental illness.
About brain research
A lot of what the community commonly thinks and knows about mental illness is based on previous experience and social stigma. It is often information that is out of date and leaves us with an impression of hopelessness. In fact:
? Over half of what we know about the brain in relation to mental illness we have learnt in the last 10 years. As a consequence, medications and treatments have improved significantly and people who are now being diagnosed with mental illness have a better prognosis than people diagnosed before that time.
? New imaging technology allows the brain to be examined while the person is experiencing mental illness, whereas before we relied on autopsy information.
? Research indicates that physical changes commonly occur within the brain in
? The brain pathways responsible for ?higher? mental functioning (feeling emotions, interpreting information) are affected.
? The linking of an illness to particular changes in the brain is extremely difficult. (Brain scanning techniques are used alongside assessment of behaviour and symptoms.)
? Brain research has already achieved much, and has further capacity to improve medications and other physical treatments.
What changes in the brain when mental illness is present?
Like other body parts, the brain is susceptible to injury and change.
Both the chemical messaging system and the physical structures of the brain can be
altered in mental illness.
The chemical, or neurotransmission system in the brain Neurons.The brain is made up of billions of cells called neurons. Each neuron is a link in a chain and can have thousands of connections to other neurons. These connections of neurons form chains through which messages are relayed in the brain.
The synapse is the meeting point of two neurons. A signal must be transmitted from one neuron across the synapse to the other neuron. These events occur within
? Neurotransmitters are the chemicals that conduct the messages across the
? When a signal arrives at the end of a neuron, the neurotransmitter spills into the gap and crosses the gap.
? Scientists have identified over 50 neurotransmitters that are messengers communicating information from one part of the brain to another, and to all
parts of the body.
? From this simple system, complicated brains are built. And this system seems
affected in many mental illnesses.
Neurotransmitter malfunctions can occur because there is:
? not enough neurotransmitter
? too much neurotransmitter
? malabsorption of the neurotransmitter.
Some important neurotransmitters and their roles are:
? dopamine: activation level, mood, movement Understanding the Brain and
Mental Illness continued.
? norepinephrine: mood, activation level
? serotonin: mood, sleep, appetite, aggression
? acetylcholine: mood, autonomic nervous system.
Malfunction in these neurotransmitters is found in many forms of mental illness. It is possible that, in biologically vulnerable individuals, high stress levels ?trigger? malfunctioning in neurotransmitters (e.G. Production of neurotransmitters cannot
keep up with the body?s demands or the neurotransmitters are
not effectively removed from the system).
There is evidence to strongly suggest that some brain structures are altered or damaged in mental illness. It is clear, however, that many parts of the brain are affected by mental illness, including the following:
The main purpose of the frontal lobe is control of movement
It is also thought to be responsible for behaviour, character, emotional state, short-term memory and planning.
Think of the behaviours that are often displayed when someone is psychotic. They often have poor concentration, they can be emotional or lack emotion and display odd behaviours.
Movement can also be random and disjointed.
The parietal lobe is involved in:
? long-term memory
? obtaining and retaining accurate knowledge of objects
? sensory speech (responsible for perceiving the spoken word).
When a person develops certain mental illnesses, these pathways/speech may be affected. Hence someone with schizophrenia, when psychotic, may develop a language of their own or words of their own, called neologisms. Often people?s
ability to retain information is limited.
Roles of the temporal lobe include:
? auditory (hearing), the area that receives and interprets
impulses from the inner ear
? olfactory (smell), the area that receives and interprets
impulses from the nose
? taste, the area that interprets nerve impulses from the tongue.
The cells in this area receive and interpret impulses from the various parts of the body, i.E. Nose, taste buds and ear. When someone is psychotic they may be hearing voices, but the parts of the ear usually involved in hearing (the anvil hammer, etc.)
are not physically moving from sound waves. However, the impulses in the brain are working and sending messages, as if the person is hearing. This also occurs in relation to smell and taste ? people may think the food is being poisoned because it
Message Occipital lobe
The occipital lobe receives impulses from the eye and interprets them as visual impressions. The eyes do not actually do the seeing ? it is the brain that receives the impulses from the eyes and interprets them. When someone experiences visual
hallucinations, the occipital lobe is seen to be very active ? impulses are interpreted and processed ? thus the person sees objects that may not be present.
Thought to influence muscle tone ? if control is inadequate, movements are uncoordinated.
Receives impulses from the body?s sensory nerves associated with pain, temperature, pressure and touch. Here crude, uncritical sensations reach consciousness (e.G. Awareness of pain but not the ability to identify the body part involved). People with schizophrenia may wear lots of clothes on hot days because
this part of their brain is affected by the illness.
Involved in the pituitary gland?s orchestration of hormone release and in the autonomic nervous system (hunger, thirst, body temperature, heart and blood vessels, and defensive reactions such as fear and rage).
? Controls and co-ordinates the movements of various muscle groups to ensure smooth, even and precise actions.
? Maintains balance and equilibrium of the body.
? Jerky, unco-ordinated movements indicate the involvement of the cerebellum in mental illness.
The limbic system
? Is more a functional than an anatomical entity.
? Involves parts of the brain essential for organising emotional responses and processing information.
? Is involved in schizophrenia, which affects the emotions of the person and their ability to process information.
Applying the knowledge ? theories about what happens in the brain relating to
schizophrenia, depression and obsessive compulsive disorder
Current research indicates the following theories about what is happening in the brain in relation to schizophrenia:
There is an excess of the neurotransmitter dopamine. Dopamine is involved in regulating thoughts and feelings, both of which are disturbed in schizophrenia. It is also thought that high dopamine levels make someone more sensitive to stress.
Research indicates that some people with schizophrenia appear to have larger ventricles. Research also indicates that some people experiencing schizophrenia seem to have a loss of tissue in the anterior hippocampus, which may account for memory problems and irrationality. Recent research carried out in Melbourne seems
to indicate some people have this tissue reduction before the onset of psychosis, which leads to the hope that results of
Magnetic Resonance Imaging (MRI) can be used as a predictor
In depression, not enough neurotransmitter appears to be released into the gap between neurons, or too much of it is removed before it has completed its function.
When antidepressants are used, there is more neurotransmitter is available in the gap between neurons, which eases a depressed mood.
Obsessive compulsive disorder
Researchers think obsessive compulsive disorder (OCD) may be linked to parts of the basal ganglia involved in fixed patterns of behaviour resulting in an imbalance among a variety of neurotransmitters.
One hypothesis is that the brain signals for a contaminant (like dirty hands) cause the cortex to send signals to preprogrammed cells in an area of the basal ganglia that produce the neurotransmitter serotonin, with other neurotransmitters also involved.
In short, we provide this basic information about the brain and mental illness for the following reasons:
To increase your familiarity with the terms so that when they are described by people in the treating profession, you might recognise them and be able to engage in a discussion that is fruitful for you.
For you to understand more about some of the behaviours associated with mental illness and their origins.
Because our experience is that many families when they first come into contact with mental illness believe that it is due solely to a negative psychological experience early in life (that the family may have caused). More information about the biological origins of mental illness gives you an opportunity to revisit these ideas. Mental Illness Fellowship Victoria - for people with mental illness, their families and friends