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Management of Abortion
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Treatment Of Female Sexual Problems
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Symptoms, causes, and medications for PCOS
Hi! I’m Dr. Ravi from Kukatpally, Endocrinologist. Today we are going to learn about PCOS, it is Polycystic Ovarian Syndrome. In Polycystic Ovarian Syndrome, a woman will have irregular periods and acne, unwanted facial hair and also hair loss from the head. There will be difficulty in conceiving. And usually there will be overweight and obesity with this Polycystic Ovarian Syndrome. So what causes this Polycystic Ovarian syndrome? In PCOS patients, their ovaries won’t work normally. Every month one follicle will enlarge and mature and it will rupture releasing an egg. In PCOS multiple follicles will enlarge and they won’t rupture. And over a period of time, these follicles will accumulate. Now if you do a scan, a number of follicles will be there.
So what are the symptoms of this Polycystic Ovarian Syndrome? It contains as I told you, irregular menstruation periods, acne and androgen features just like facial hair and hair fall and the third one is irregular menses in the background of insulin resistance. These PCOS patients will have health related issues-hormonal and other problems. So they need to be evaluated, if they have high cholesterol, high blood sugar, high BP, other things, they need to get monitored and get treated accordingly.
Now we learn about what lab tests they need, okay, they need hormonal tests, blood sugars, cholesterol and they need to undergo some ultrasound scans, abdomen with the ovaries. Okay, these are the lab tests they need, and what is the treatment for PCOS? First thing is weight loss, if you lose weight around 5%, around 4-5 kgs, 50% of people, this Polycystic Syndrome will resolve. So, weight loss with diet and exercise is an important thing along with lifestyle modification and weight loss, some medications like birth control pills, they won’t acute the PCOS but the thing is they will ameliorate all problems with the…..so if you use birth control pills, your cycles will be regular, your unwanted facial hair will reduce. So these birth control pills are good, and they will protect the uterus from cancer if you use those birth control pills. Another drug is Anti-Androgens so they will block hormonal action
Side effects of these Anti-androgens like aldosterone, the thing is you will need to monitor the lever enzymes and also there is weight gain. That means water retention in the body. Okay, these are the two side effects for anti-androgens. Another drug we use is Metformin. Usually, we use that for controlling high blood sugar. But the thing is those who use this Metformin their insulin resistance will get controlled reduced and leading to normal…..cycles and other things in PCOS patients. So this can also be useful. Another one is individualizing problems; the thing is if an elderly person will come with this PCOS if their concern is they don’t want excess facial hair, so the best thing is anti-androgens. If a married person comes with PCOS, their main problem is to get a reproduction, to conceive, to get children. For them, we will use ovulation-inducing drugs. And if another married woman comes with PCOS and her complaint is hair fall and unwanted facial hair, we use another drug or local ointment to reduce facial hair or laser, these things. So, individualizing treatment depending on their problem is an issue in the treatment of PCOS.
Now, lastly, can a PCOS woman lead a normal life? Yes. The thing is whatever problem they are having there are good medicines and everything. They can lead a normal life with regular medication and regular doctor visit. So, don’t worry about PCOS.
Me and my gf had sex without protection and ipill was given on time, she did not have periods and then again in the same month v had sex and again ipill was given, still there are no periods and the month is about to end.
I had sex with my boyfriend and after that I had my periods on time but in next month was much stressed for no reason and now my periods are late by 4 days as comparing to normal date and still did not happen. Is there any problem?
My sister is pregnant. She has 32nd week of pregnancy. She had a scan that resulted that the baby had a loop around the neck. Is there anything to worry about that.
Hello doctor I have a slightly pain in my tummy nd breast too but can't find I might pregnant becoz I get blood shells while urine.
After periods of 3 days I have regular 7 days of white discharge coming. It's my monthly process. So I want to know if its normal then which date I can conceive.
I have completed my second baby's maternity of four months. So can I start with yoga to tone my body to neat shape? Is it safe doing yoga and assans?
If you do not mind can I text in hindi. Actually meri sister ki age 26 years hai. Ek saal ho gaye shaadi ko abhi koi baby nahi hua. Shadi se pahle usko shortness of breath, abdomen pain, ribs ke neeche pain, yawn lene per pain hota tha, to maine MD ko dikhaya ultrasound me ascitic fluid aaya, fir stomach se injection se thoda pani nikala gaya checkup ke liye fir report aai. Aur medicine chali 3 months yah usse upar jaisa docter ne kaha tha. But kabhi kabhi medicine missd ho jati thi. But course complete hone per sab medicine band ho gai. But abhi bhi usko ribs me pain, yawn me pain rahta hai, 3 se 4 ultrasound karaya kuch nahi aaya, fir whole abdomen ct scan karaya with contrast kuch nahi aaya. But pain ki problem hamesha rahti hai. Sab jagah dikhaya but kuch report me aa hi nhi raha hai. Aur ek saal shaadi ko ho gaye but pregnant bhi nahi ho pa rahi hai. Kuch samajh me nhi aa raha hai kya kare? Ascitic hua ho to pregnant na hone ki problem hoti hai kya? Please help me bahut paresaan ho.
I am 23 year old and I have pcos problem 4-5 years facing difficult time with irregular periods. Even after taking tablets I am not getting periods I have consulted 3different doctors no one able to at least last regular it. I am feeling upset because of this I am not able Concentrate on work I have been gained 20 kg excess even after exercise I not able reduce wait please help with a best suggestions for this is I am really confused and upset.
I am 17 weeks pregnant. First dating scan shows everything is normal. 3 days ago my right breast leaks a sticky fluid. Is that normal or do I have any problem? Can colostrum leaks at this time earlier or in third trimester. I am so nervous. Is everything ok? Please suggest me?
Mera qus hai k mere periods k bad pani girta h kya aise hone se pregnancy nai hoti nd physical relation bnane k bad hmme kuch khana peena chahye ya nai or wash kr skte hai hm krne k 15 min bd please suggest me.
Study has found that inhaled analgesics such as nitrous oxide or a flurane derivative is safe and effective in reducing pain during early stages of labour