The Apollo Clinic

Polycystic ovarian syndrome (PCOS) is a medical condition related to a woman’s endocrine system. Generally, this disorder is characterised by an imbalance of the sex hormones (oestrogen and progesterone), which leads to the development of multiple small cysts in the ovaries. Symptoms of PCOS include acne, irregular menstrual cycle and depression to name a few.

The causes of PCOS have not been accurately identified so far, but researchers suggest that the following factors might contribute to the onset of the condition.

1. Increased amount of insulin secretion- Women suffering from insulin resistance may get Polycystic ovary syndrome (PCOS) as their body is not able to effectively use this insulin, which results in increased insulin secretion by the pancreas. This, in turn, triggers more androgen (male sex hormone) production in the ovaries, making it difficult for the ovaries to ovulate.
2. Genetic factor- If you have a family history of PCOS, it’s highly probable that you may also get it as the disease is linked with your genes.

How To Live with PCOS?

PCOS comes with numerous side effects like acne, obesity, infertility, excessive facial or body hair among others. There are certain lifestyle changes, which you may consider to manage PCOS and minimise its side effects.

1. Change your diet - Opt for a low carbohydrate, low sugar diet to keep your insulin levels in control, as insulin is responsible for increasing the severity of PCOS symptoms.
2. Try to maintain an ideal body weight - Obesity is known for worsening insulin resistance, and you can prevent this by regularly keeping your weight in check. You can practice some easy at-home exercise to reduce weight besides having a balanced diet.
3. Get yourself checked regularly - Visit a doctor and get yourself checked regularly for potential health risks as PCOS is often associated with increased chances of diabetes, heart diseases, certain forms of cancer, hypertension, and high LDL (bad) cholesterol levels.
4. Join a support group - Joining a PCOS support group will help you cope with your emotional difficulties, while helping you to live a better life by cultivating an optimistic outlook. If you wish to discuss about any specific problem, you can consult a Gynaecologist.

A woman's reproductive health is affected by several factors. It plays a very important role in maintaining your overall physiological health. Anomalies in the reproductive system can lead to irregularities in the menstrual cycle and cause severe complications when you try to conceive a child.

There are many signs and symptoms of reproductive disorders in women. It differs from case to case, depending on the exact nature of the disorder and the medical status of the patient. If you are experiencing any of these symptoms, consult a healthcare specialist right away. Some such signs are as follows:

• Persistent and unusual pain in the pelvic and abdominal region 
• Vaginal bleeding or spotting in between periods
• Periods occurring in unusual or irregular time intervals
• Excessively painful cramping during periods 
• Presence of blood in urine
• Sudden fluctuations in body weight and changes in general physical appearance
• Irregularities in sleeping habits and patterns

In most cases, reproductive disorders in women are caused by fluctuations in hormone levels which can be triggered by various factors. Mental dysfunction and emotional stress can also manifest themselves as disorders of the female reproductive system. Treatment of the disorder and alleviation of symptoms is done by conducting a thorough medical analysis of the signs by a specialist and providing a diagnosis accordingly.

In case you have a concern or query you can always consult an expert & get answers to your questions!

Vaginal bleeding stands for blood loss from the vagina (including the vaginal wall) or uterus. Marking the beginning of a new reproductive cycle, normal vaginal bleeding (menstruation) takes place every 21-35 days.
It is regarded abnormal if it takes place.

- Outside of your normal menstruation period
- When you’re pregnant
- After menopause
- Menstrual flow is heavier or lighter than normal

Common Causes of Unexpected Vaginal Bleeding:

1. Polycystic Ovary Syndrome (PCOS)
If your body’s hormone production is out of balance, it brings about a disruption in the normal ovulation (monthly discharge of an egg) cycle, causing abnormal vaginal bleeding.

2. Pelvic Inflammatory Disease (PID)
Infection or inflammation of the female reproductive organs namely, uterus, ovaries or fallopian tubes as a result of sexually transmitted bacteria can lead to abnormal bleeding. The problem occurs when the bacterial infection spreads from the vagina into these parts of the reproductive system. More importantly, inflammation of these areas can also bring about vaginal bleeding particularly after sexual intercourse.

3. Intrauterine Device (IUD)
The use of Intrauterine Device (a birth control tool that is inserted into the uterus to prevent future pregnancy) can also cause vaginal bleeding like spotting (light bleeding between periods) or heavy periods.

4. Medicines
Any hormonal medications, containing Estrogen or Progesterone (eg: certain birth control pills), when taken irregularly or indiscriminately, may lead to hormonal imbalance, leading to abnormal bleeding.

5. Early Pregnancy
Another very important cause of abnormal bleeding in women of reproductive age group is - Pregnancy. Any abnormal pregnancy or early pregnancy with certain defects, can lead to abnormal bleeding even though you may not yet be aware of the pregnancy. Usually, it is the first condition to be investigated in a woman with abnormal uterine bleeding, in reproductive age group.

Apart from these common causes, abnormal vaginal bleeding can also happen due to:

6. Thyroid Disorders
Changes in your menstrual cycle as a result of the hormonal imbalance brought on by an underactive thyroid gland (hypothyroidism) or an overactive thyroid (hyperthyroidism) can lead to irregular bleeding patterns.

7. Uterine fibroids
Abnormal growths in the uterus or on its surface can lead to unexpected vaginal bleeding (longer or heavier periods and bleeding between periods).

8. Cancer of the reproductive organs
Cancer of the uterus, ovaries, vagina or cervix is also known to be an uncommon cause of abnormal vaginal bleeding. The blood loss can take place after sexual intercourse or between one menstrual cycle and the next. If you wish to discuss about any specific problem, you can consult a Gynaecologist.

Are you experiencing unintentional loss of urine lately? This is an indication of a condition known as urinary incontinence in women. The condition usually arises from pregnancy, childbirth and menopause. In many cases, overactive and weak bladder muscles, and nerve damage may also cause urinary incontinence. This is a common problem in women, which is treatable. There are several types of this condition such as stress incontinence, urge incontinence, functional incontinence, mixed incontinence, transient incontinence and mixed incontinence.

Management of Urinary Incontinence
There are several ways and methods which you can apply to manage urinary incontinence. They are as follows:

1. Pelvic floor exercises: Pelvic floor muscles help in holding urine and when these muscles get weakened due to pregnancy or because of being overweight, leakage occurs. You have to carry out several exercises for improving the symptoms. Doing this exercise on a regular basis will prevent leakage and stop the existing leakage. These exercises are useful when you have a sudden urge for urination, and they involve the relaxation and contraction of the pelvic floor muscles.
2. Less liquid consumption: Leakages are more likely to occur when the bladder is full and drinking any kind of liquid will make you feel like urinating. You must limit your consumption of alcohol and caffeine as these cause the urine to increase. 
3. Bathroom schedule: In case you have to visit the bathroom too often or frequently, you must try to increase the time between bathroom visits. You have to practice bladder training along with pelvic floor exercises. Slowly, you will be able to reduce your bathroom visits.
4. Wearable devices: You can use wearable devices for placing support in the vagina as these prevent leakage. You may be fitted with a silicon device known as a pessary. Tampons can be used for the prevention of leaks as well. Tampons are recommended for women who leak during activities such as running. For preventing shock syndrome, the tampon should be changed every six hours.
5. Weight loss: Obesity and extra weight cause urinary incontinence as these put extra pressure on the bladder or the urethra, which is the tube which starts from the bladder. This is associated with stress incontinence and leaks due to sneezing, coughing, lifting or laughing. Heavier women are more likely to face this problem and weight loss can help in managing the same.

In case you are experiencing urinary incontinence, you must consult a doctor and discuss your problems. A doctor will provide you the best remedies for dealing with the stressful condition.

6 must-have foods during your first trimester

The first trimester of pregnancy (i. E. The first three months) is a very crucial time as this the time when your baby grows at a faster rate than at any other stage. Eating right is what you should be doing during such a time in your life as your body can make use of the energy and nutrients to build the body of your baby as well as to keep you strong. During the first trimester of your pregnancy, you should be including these 6 foods in your diet to provide you and your child with all the vital nutrients.

1. Spinach: high in folic acid, also known as folate (a form of vitamin b), consumption of spinach during these first few months (as well as before pregnancy) is extremely vital. It can help in preventing the occurrence of neural tube defects or birth defects pertaining to your baby's brain and spine.

2. Citrus fruits: your first-trimester diet should also consist of an adequate amount of citrus fruits. High in vitamin c, you should have at least 1 citrus fruit every day. If you prefer to take these fruits in juice form, you should restrict it to only 1 cup a day. This is because juices are high in calories and low in fibre, and, therefore, do not deliver on the fibre component.

3. Nuts: during this period your protein requirements also increase and it is advised that you have about 60 gm or more of protein every day. Nuts such as walnuts, almonds, cashews and pistachios are known to have healthy amounts of fibre, fats and protein. A study conducted by the Harvard medical school suggests that eating nuts can help in preventing allergies in children.

4. Eggs: in addition to helping you meet your protein requirements, eggs can also be an excellent source of vitamin d and calcium. The last two elements are extremely vital for your baby as they help in developing its bones.

5. Beans: providing you with necessary protein and fibre as well as helping you to deal with constipation, beans are must-haves during this period. Eating this fibre-rich food will ensure your bowel is functioning properly, thereby reducing your likelihood of developing constipation and even haemorrhoids (swollen veins of the anal and rectal region).

6. Yoghurt: a good source of calcium, having a cup of yoghurt every day will provide your baby with the calcium that it needs to grow and that you need to keep your bones strong. More importantly, by doing so, it'll prevent your baby from drawing calcium from your bones, leading to a deterioration of your bone health. If you wish to discuss about any specific problem, you can consult a Gynaecologist.

The cancer of the ovaries is known as ovarian cancer. In women there are two ovaries present on each side of the uterus. These ovaries are as big as an almond in size and produce egg also known as ova. They also secrete the hormones progesterone and estrogen.

Ovarian cancer goes undetected until it spreads to the abdomen and pelvis. When detected at this stage then it might be fatal and the treatment gets difficult. An early stage ovarian cancer where the cancer is restricted in the ovaries is much easier to treat with high success rates.

Risk Factors of Ovarian Cancer

1. Age - With increasing age the risk of ovarian cancer is higher and is more common in women who are 60 and above. It is less common in women below 40 years of age and develops often after menopause.
Obesity Women who have a body mass index of 30 are at a risk of developing ovarian cancer.

2. History of Reproduction - It is believed that women who conceive before 26 and carry the full term have a lower risk of ovarian cancer. However, the risk is higher in those women who get pregnant after 35 or who do not have a full term pregnancy. Also, breastfeeding the baby lowers the risk.

3. Gene Mutation - Inherited gene mutation causes some percentage of ovarian cancer. These genes are called breast cancer genes 1 and 2 (BRCA1 and BRCA2). These were initially found in cases with breast cancer but also pose great risk for ovarian cancer. Also, gene mutation leading to Lynch syndrome plays an important role in increasing the risk of ovarian cancer.

4. Family History - If a woman's mother, sister or daughter is suffering from ovarian cancer then she is at a higher risk of developing the same. The risk also increases if someone from the father's side also has ovarian cancer.

5. Fertility Drugs - Drugs like clomiphene citrate, if used for more than a year can increase the risk of the cancer. The risk is even higher if a woman taking the drug does not get pregnant.

6. Hormone Therapy and Estrogen Therapy - Long term use and large doses of estrogen can cause an increased risk. However, if estrogen is used in combination with progesterone then the risk is less.

7. Age of menstruation and menopause - If menstruation starts before 12 and menopause occurs before 52 then there is a higher risk of getting the cancer.

8. Diet - A low fat vegetarian diet has less risk of the disease. Fresh fruit and vegetables should be included in diet along with pulses, rice, pasta, beans, cereals and breads. If you wish to discuss about any specific problem, you can consult a gynaecologist.