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Overview

Pcos - Symptom, Treatment And Causes

Infertility in women is caused due to PCOS. Many a time PCOS are genetically inherited from either the mother or father side. PCOS also causes insulin resistance, women with PCOS have a high chance of developing diabetes due to the insulin resistance. Other complications that women develop due to PCOS include sleep apnea, problems with the heart and blood vessels, and uterine cancer.

Once a woman goes to a gynaecologist for the treatment of PCOS, she is thoroughly examined and checked for medical history. The gynaecologist will check for details of menstrual cycles and symptoms of excess hair growth, insulin resistance, hormone levels and examination of the pelvis to check for cysts in the ovaries with the help of an ultrasound.

After a thorough diagnosis of the condition, treatment begins. Treatment includes checking the age, symptoms and pregnancy plans of the patient. Treatment for PCOS includes birth control pills that will regulate the periods, ovulation induction, androgen blocking medications, topical anti-hair growth and excess hair growth treatments, treatment for skin problems. Ovulation induction is done to treat infertility and enable the patient to conceive.

The first and main step towards the treatment of PCOS is in reducing weight. A healthy weight is required to bring the hormones into the body to control. Eating a proper nutritious diet will enable one to bring weight in control. Besides a healthy diet, a person should focus on moderate exercise that will enable one to maintain the healthy weight.

Dealing with PCOS is stressful and time-consuming. Many women may need to visit a counsellor to keep depression away.

Treatable by medical professional Require medical diagnosis Lab test always required Short-term: resolves within days to weeks Non communicable
Symptoms
Acne Excess hair growth Menstrual abnormalities Weight gain

Popular Health Tips

HOW TO KNOW IF YOU HAVE PCOS?

DNB (Obstetrics and Gynecology), MBBS
Gynaecologist, Mumbai

How to know if you have PCOS?

There is no single test to diagnose PCOS. There are many myths about PCOS. Some common signs and symptoms to look for are:

Irregular menstrual cycles
Irregular periods also called Oligomenorrhea
Weight gain, overweight (difficulty losing weight)
Difficulty losing weight
Excess hair growth on face and body- called Hirsutism
Darkened patches of skin
Skin tags
Infertility
Thinning hair
Insulin resistance
Type 2 diabetes
High cholesterol and high triglycerides
High blood pressure
Cysts on the ovaries(multiple)
Pelvic pain
Depression
Anxiety
Sleep Apnea(when breathing stops for a short period of time while asleep)
Decreased sex drive
Increase in stress levels

What one should try and understand is that out of these battery of symptoms which are listed above not all but a few would be present in an individual. If you as a patient compare yourself with another PCOS patient, some symptoms would overlap and some would be unique to you.

PCOS has become very common these days no doubt but it should not be over-diagnosed either. If you feel that you have any or many of these symptoms please consult your doctor.

4 people found this helpful

PCOS

MD - Obstetrics & Gynaecology, MBBS
Gynaecologist, Noida
PCOS

PCOS Treatment?

Treatment for PCOS is not curative. Treatment focuses on controlling symptoms and managing the condition to prevent complications. The treatment will vary from woman to woman, depending on specific symptoms.

A healthy diet and regular exercise are recommended for all women with PCOS, particularly those who are overweight. This can help to regulate your menstrual cycle and lower your blood glucose levels.

Women who don't want to become pregnant may be prescribed birth control pills. These can help treat acne, regulate the menstrual cycle, and lower levels of male hormones, such as testosterone, in the body. If a woman with PCOS is suffering from infertility, fertility drugs may be administered for helping her to ovulate.

Anti-androgens are drugs that reduce male hormone levels. These can help stop excess hair growth and reduce acne. Diabetes medications may also be prescribed to lower blood glucose and testosterone levels.

Surgery may be recommended for some women with PCOS. Ovarian drilling is a procedure in which the doctor punctures patient's ovary with a small needle that carries an electric current, in order to destroy part of the ovary. This is a short-term solution that can promote ovulation and reduce male hormone levels.

Potential Complications of PCOS?

Women with PCOS have a higher risk of developing:

If you become pregnant, your doctor may refer you to a doctor who specializes in high-risk pregnancies. Women with PCOS have a higher rate of miscarriage, gestational diabetes, and premature delivery. They may also require extra monitoring during pregnancy.

The earlier the PCOS is diagnosed and treated, the lower is the risk of developing these complications. Avoidance of tobacco products and participating in regular exercise can also reduce the risk of some of these co-morbidities. The patients must talk to the Gynae about what PCOS means for your overall health and how you can prevent serious complications.

5 people found this helpful

PCOS

MBBS, DGO, MD - Obstetrics & Gynaecology, MRCOG
Gynaecologist, Delhi
PCOS

What do we mean by Polycystic Ovaries?

Ans: Poly means many (multiple) and cysts are fluid-filled areas. Thus, a woman with polycystic ovaries will have a higher number of follicles (immature eggs which look like small cysts) in her ovaries. Because of more follicles growing in her ovaries, these appear larger in size on ultrasound. It is like to accommodate more number of students in a classroom, we need a larger room.

Polycystic ovaries are very common affecting 20 in 100 (20%) of women.

Having polycystic looking ovaries on ultrasound does not mean you have a polycystic ovary syndrome. Only around 6 or 7 in 100 (6 - 7%) of women with polycystic ovaries have PCOS and we need to look at other symptoms and hormones to diagnose this condition.

6 people found this helpful

Keep PCOS at BAY

Masters Of Science In Dietetics And Food Service Management Msc. (DFSM), Certified Diabetes Educator (CDE), Advanced Clinical Nutrition Program, Post Graduate Diploma In Clinical Nutrition And Dietetics PGD, Bachelors Degree In Applied Nutrition Bhsc
Dietitian/Nutritionist, Mumbai
Keep PCOS at BAY

Polycystic ovary syndrome is one of the most common diseases that are faced by the women of today and the major reason for this is the lack of healthy balanced diet. Pcos is a disease that prevails most commonly in obese or over-weight women. Women with pcos have higher level of insulins than normal and this causes your ovaries to produce excess androgens.

The pcos diet consists of food high in fibre and protein. High fibre food can help combat insulin resistance by slowing down digestion and reducing the effect of sugar on the blood. High fibre food includes beans, lentils, leafy vegetables, almonds and sweet potatoes. Lean protein plays a crucial part in the pcos diet as it ensures that it is filling and is a health dietary option for women. Lean protein is concentrated in food such as tofu, chicken and fish. The diet should also include food reducing inflammation such as tomatoes, kale, spinach and almonds and olive oil.

There are certain food items that should be avoided if you have pcos. They include foods with refined carbohydrates such as white bread, snacks and drinks with high sugar levels and inflammatory food such as red meat. Pcos like many other diseases is positive to proactive lifestyle. Weight loss dieticians state that a healthy diet along with daily exercises would keep pcos at bay.

3 people found this helpful

PCOS

FNB Reproductive Medicine, MD -Obstretics & Gynaecology, MBBS, Fellow ship of Indian College of Obstetrics and Gynecology (FICOG)
Gynaecologist, Delhi
PCOS

What is PCOS?
There are no cysts in ovary instead the normal development of egg is arrested due to hormonal imbalance.

Popular Questions & Answers

I have pcos and I have been prescribed carbophage xr 500' to be taken two times a day. How long will it take to be effective in helping me reduce my excessive facial hair growth? (approximately)

MBBS, DPD-Cardiff (U.K)
Dermatologist, Noida
The medicine you are taking contains metformin which helps in reducing insulin resistance, but does not really help in reducing excess facial hair growth. You need to consult your dermatologist again regarding this. Laser hair removal is the only solution for permanently reducing hair growth in case of PCOS.
3 people found this helpful

I'm suffering from PCOS from around 12 years due to which I do not get periods at all I'm facing a problem of hair loss and I'm gaining weight too. Please suggest any treatment so that my weight is under control also get my periods regularly.

MD, MBBS
Gynaecologist, Ahmedabad
If you have PCOD then following guidelin. Get USG done for diagnosis You need Life style modification for PCOD for whole life, You should do physical activities like brisk walking or cycling or any activities which leads to perspiration daily for one hour. Start doing for 5 minutes in first week, 10 minutes in 2nd week, 15 minutes in 3rd week within 2-3 months you will reach to your target of doing exercises for one hour/day. You have to control taking high carbohydrate and lipid diet daily. E.g. If you want to take one SAMOSA or One Gulabjambu or one pizza or ice cream, you have to do extra workout for 30-60 minutes over above the daily one hour of daily exercises then only you can eat extra calories food otherwise not. So controlling calories intake and daily burning calories regularly wil help to loos one kg/month- slow and steady control over long period. With PCOD if your BMI remain between 20 to 25 everything will be fine otherwise you will develop Gestational diabetes.
1 person found this helpful

Hi ,I'm suffering from pcos and trying to conceive what medicine should I take to reduce pcod & any other tips if you can give me Dr. I would be really thankful.

MBBS, DGO - Preventive & Social Medicine
Gynaecologist, Sri Ganganagar
In pcod instead of medication changing your lifestyle really helps Reduce weight do regular exercise, meditation,drink lot of water As far as medicine is concerned take myoinositol n d chiroinositol combination And ovulation inducing tablets which your gyneac will prescribe according to day of your menstrual cycle.

Hello. I am 32 years. I have PCOS problem for past several years. I was taking Novelon. I stopped taking taking Novelon for past two months as I wanted to conceive. I got my periods late this month by 14 days. My doctor suggested me - GLYCOMET, OVALIFE. Please advise.

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
PCOD is a disease where there is hormonal imbalance. Depending on your complaints, examination, reports and stage of life treatment differs and it also needs more time so get yourself treated with patience. Meet Gynecologist in whom you have trust as you will need to go for long time to him/her. Overweight is very common so in case you have that reduction of weight helps tremendously. In PCOD ovulation- release of ovum is deranged because of hormonal changes. So long time different trials are required to treat same so with patience continue consulting Gynaecologist or infertility specialist in whom you have trust.

Table of Content

Infertility in women is caused due to PCOS. Many a time PCOS are genetically inherited from either the mother or father side. PCOS also causes insulin resistance, women with PCOS have a high chance of developing diabetes due to the insulin resistance. Other complications that women develop due to PCOS include sleep apnea, problems with the heart and blood vessels, and uterine cancer.

Once a woman goes to a gynaecologist for the treatment of PCOS, she is thoroughly examined and checked for medical history. The gynaecologist will check for details of menstrual cycles and symptoms of excess hair growth, insulin resistance, hormone levels and examination of the pelvis to check for cysts in the ovaries with the help of an ultrasound.

After a thorough diagnosis of the condition, treatment begins. Treatment includes checking the age, symptoms and pregnancy plans of the patient. Treatment for PCOS includes birth control pills that will regulate the periods, ovulation induction, androgen blocking medications, topical anti-hair growth and excess hair growth treatments, treatment for skin problems. Ovulation induction is done to treat infertility and enable the patient to conceive.

Play video
Causes of PCOS
Brief knowledge about causes of PCOS

I'm Dr. Sunita Gupta. I'm Consultant Gynecologist at Max Hospitals, Saket, and Panchsheel. Today I'm going to talk about Polycystic Ovarian Syndrome.

Polycystic Ovarian Syndrome consists of three symptoms. One is Anovulation. Anovulation means there is no egg formulation in the ovary. Second is Hyperandrogenism which an is excess of male hormones in the body, and third is Cyst in the body which is visible in the ultrasound. So the main symptoms of Polycystic Ovarian Syndrome are obesity. Most of the patients of Polycystic ovary have obesity. Obesity worsens the Polycystic Ovary Syndrome and it is a vicious cycle and Polycystic Ovarian people have more obesity because what happens is that the female hormones get deposited in the fat and that's why there is deficiency of female hormone in blood of Polycystic patients and all that's why the male hormones starts dominating the system and all the male symptoms start appearing like acne, hair on the face or on he body, excessive hair on the body, irregular cycles. So, obesity is the main culprit in the patients. So, if they lose weight then all the symptoms regress because the hormone in the fat goes back to the blood and all the hormonal imbalance gets corrected and all the acne and facial hair everything will disappear.

Second thing is acne which is very common in Polycystic Ovarian patients. So many times patient go to a skin specialist for acne treatment and then they discover they have Polycystic Ovarian Syndrome. So for acne is again because of male hormones in the blood and sometimes it a response to local applications which the skin specialist gives to them. But sometimes they need to take hormonal treatment. We give the oral contraceptive pills to these patients for correcting the acne. Basically the oral contraceptive pills have perfect combination of female hormones which your body, ovary should be producing. But the in case of Polycystic ovaries the ovary is producing more of male hormones, little bit more male hormones.

So once we give pills from outside the body gets the signal that there are enough hormone in the blood and there is no need to make any more hormone. So the ovaries stops working and the male hormones also stop getting formed and all the symptom then gets regressed till the patient is on he pills. Once the patients stops the pills again the ovaries take over, again the male hormone starts getting formed by the ovaries and again the symptoms may slowly appear. So once the patient has been kept on OCPs for 6 months she may become alright for 1-2 years and again the symptoms may come back.

So Polycystic Ovary disease is a not disease which can be cured by a 6 months treatment or a one week treatment like any fever or antibiotic you give and the patient becomes alright. This is a lifestyle disease which is going to be there for the rest of your life. You can keep it under control by having a healthy lifestyle or maybe taking some medication if required or you if let it go if you allow yourself to gain weight then it can become worse and get out of hand.

If you want to know anything more about PCOS you can contact me on Librate.com or Max hospital, Sanket and Panchsheel.
Play video
All About PCOS
I am Dr Rita Bakshi, the consultant physician in Gynaecologist and IVF specialist at International Fertility Centre. Today, let us talk about Polycystic Ovarian Syndrome (PCOS) which is commonly heard by every single person. Every young girl now has a diagnosis of PCOS.

Now, what is PCOS?

This is a syndrome in which the girls have abnormal cycles. Abnormal cycles mean prolonged cycles, they bleed frequently and also they have symptoms of excessive androgens i.e, an excessive male hormone. So may see these girls have lot of hormones on their chin, neck, on their breast, on their arms. And also they have Acanthosis nigricans that mean they have darkness in their neck and they have small cysts in the ovary. This is just due to the hormonal pattern disturbance in girls and instead of having one egg every month, they have a number of eggs start developing but not even one good egg. So these girls not only have abnormal cycles, hair growth, loss of hair from the head, but also they may have some difficulty in getting pregnant.

Now, if I speak about the long term problems of PCOS is that there are most chances of Diabetes. And not only in them, but the chances of Diabetes in their siblings are also higher. Also, if you go in even longer term then the chances of endometrial cancer is also higher. So it is important to recognize this when it exists and how to treat it.

Now these girls are taking a lot of stress. So you have to teach them to stay stress-free by doing yoga, change their lifestyle, getting rid of junk food and do some exercises every day. 45 minutes of exercise every single day is going to work a long way to help them normalise the hormonal patterns. Besides that, these girls sometimes put on over contraceptive pills to regularise their cycles. There are some drugs like metformin and myo inositol which have come in a big way, which are changing the pattern. So there are some girls which are in slim PCOS and there are some under obese PCOS. So in obese PCOS, we have alfacalcidol and comunicacion which help these girls to lose weight and also develop the normal hormonal pattern. So we have to treat two patterns differently, a lean PCOS and an obese PCOS.

The girls should understand that this is not something for which they should be worried about. Yet it is a known entity so they should keep it under control and take help whenever required. It is important when we are trying to become fertile or trying to become pregnant that they can go to a specialist who is dealing with this problem and take some help. Because some help may be required to develop their eggs and help try to conceive.

One should know that their sister or mother or anyone is suffering from the same pattern. It is not something to worry much. My only emphasize is please do not get tensed, just change your lifestyle, do some exercise, take some help from doctors. And that is all you require to get overcome from PCOS.

Thank you.

If you require any help, you can consult me through Lybrate or can directly visit International Fertility Centre.
Play video
PCOS
Here are symptoms, effects, and treatments of PCOS.

Hi I am Dr. Tripti Rheja. I am working as consultant, Gynea and obstetrician, Max Hospital Pitampura. This video will provide you information regarding PCOS or Polycystic Ovarian Syndrome.

Polycystic Ovarian Syndrome is a very common condition that affects up to 10-20 percent of women in India. Polycystic Ovarian Syndrome is a condition that affects your periods, your fertility, your hormone levels and also your appearance. It also affects your long term health. Symptoms of Polycystic Ovarian Syndrome are irregular period or absent period, increase facial hair or body hair there could be loss of body hair from head or there could be acne, oily skin and many come with complain of decreased fertility. They find difficulty in conceiving. It can affect your long term health also and it can cause diabetes in around 10-20 percent of patients later in the life. If diabetes remain untreated then it can lead to damage other internal organs also.

Then in some women it can cause high blood pressure since most of these women are overweight and if hypertension or high blood pressure remains untreated then it can cause heart problems also. Then if you have irregular period and if you bleed less than three times a year then there could be the thickening of the lining of uterus which can later on develop into cancer of uterus in some women. To reduce the risk to long term health you can do certain lifestyle modifications. You should have a healthy diet which should contain lots of fruit, vegetables. You should cut down the intake of salt, sugar, caffeine or alcohol. You should exercise regularly. You should exercise for at least 30 minutes in a day for a minimum of three days a week.

Then in addition to losing weight is going to help you if you have PCOS. If you can lose weight there are several benefits like periods will become more regular. You will find conceiving easier than your appearance will improve, there will be the reduction in acne, reduction in facial hair and then there is a benefit to your long term also. There will be less chance of development of diabetes or high blood pressure or cancer of uterus. In addition to these lifestyle changes there are medicines you can take after consultation with your gynecologist. These medicines can help you reducing the symptoms and consequences of Polycystic Ovarian Syndrome.

If you want to consult me further you can connect me via lybrate. You can do chat or you can do video call or you can book an appointment via lybrate.
Play video
PCOS
Here are Causes, Symptoms, Precautions and Treatments of PCOS

Good afternoon. My name is Dr. Hitu Madan. I am a gynecologist. I practice in the old part of Gurgaon and attached to the corporate hospitals. I have got my own centre on Old Railway Road called New Madan Medical Centre. Today, the topic of discussion is PCOS that is the polycystic ovarian syndrome.

The rate of the incidence of PCOS is highly increasing because of changing of the lifestyle, weight gain, sedentary dietary habits, smoking, and alcohol. Of course, genetic phenotype also has a factor in this. PCOS is mostly encountered in the young girls and also a major cause of infertility nowadays. The main symptom encountered in this is the irregular menstrual cycle. Basically, what happens in this is that there an imbalance in the female sexual hormones mainly the estrogen and progesterone. They go out of balance and there is more production of the androgen that is one of the types of the male hormones. Then there are problems encountered in this are infertility, changes in appearance of a lady and in extreme cases there may be cardiac symptoms also.

The deranged ratio of the LH and the FSH hormone leads to all these problems. Certain other symptoms are the irregular periods, acne, weight gain, infertility, depression. Females in extreme cases may have diabetes, hypertension and increased cholesterol level. This is not curative but it can be controlled first by weight reduction- decreasing your BMI by less than 25. In cases of androgen excess, you can control it with the help of the hormonal pills. In the ladies who want to have pregnancy, ovulation induction can be done and if other management required per se, can be done. In certain cases, the lady might have to undergo surgical therapy.

If you have any other concern regarding PCOS, you can contact me on Lybrate.
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Know More About PCOS
Causes and treatment of PCOS
Having issues? Consult a doctor for medical advice