Good morning I am Dr R Melitha, practicing as general physician at Rohini Delhi.
Now I am going to talk about most common topic which is which everybody knows that is PCOD. PCOD is Polycystic ovarian syndrome occurring in females affecting 5 to 10% of women, often effects in the age group of 15 to 45 years. Whenever you come across here, young fat girl having menstrual disturbance, facial hair growth, gain in weight, acne and if a young married woman comes across not becoming pregnant, it may be a case of Polycystic ovarian syndrome. Polycystic ovarian disease is a syndrome is characterized by excess of androgen production. Next is an ovulation and increase insulin resistant, how will the patient present a symptom, patient usually comes to the clinic having menstrual problems, menstrual problems are either scanty menses or they are not getting menses for 3 to 4 months. They come with hairy growth on the face, obesity, recurrent miscarriage, chronic pelvic pain that is pain in lower abdomen and they may come across with insulin resistant problem like hypertension, cardiovascular diseases and obesity and acanthosis nigerians that is pigment and patch, usually seen on the nape of the neck, the axilla and inner aspect of the thigh. Now you all come to know what are the causes which produces PCOD, causes are usually unknown, it is genetic it may be due to change in lifestyle, diet and stress. What are the pregnancy complications are with PCOD they are usually come with recurrent abortion, impaired glucose tolerance test, gestational diabetes that is blood sugar level usually high during pregnancy and small for deep babies which means the babies size do not correspond with the duration of pregnancy. Then out of diagnose a case of PCOD, PCOD is diagnosed by simply by doing ultrasound, ultrasound examination tells multicystic enlarged ovary or Polycystic Ovary with oyster wall effects. Secondly you can do blood test, blood test includes thyroid including hormones, fasting insulin level, triglyceride, cholesterol, testosterone, progesterone, FSH, LH and androgen level. How to diagnose, in case diagnose is done by these things what is the aim of the treatment of polycystic ovarian syndrome, aim of the treatment is reduce the symptoms, First is to reduce the weight, how will reduce the weight? Weight is reduced by exercise, diet, diet you have to have is which in carbohydrate, Omega 3 fatty acids, reduce calorie intake, reduce saturated fat and reduce cholesterol level. The next is to increase fertility, the patients usually come with not becoming pregnant, so do ovulation induction and in very rare cases you have to go for surgery to treat the polycystic ovarian disease syndrome. Secondly, you have to treat the fertility cases treatment of recurrent infection, diet advice, reducing cholesterol level and treatment of facial hair growth.