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Overview

Polycystic Ovary Syndrome: Treatment, Procedure, Cost and Side Effects

What is the treatment?

Reproductive hormonal imbalance related disorder that affects women is called Polycystic Ovarian Syndrome (PCOS). In this syndrome, fluid-filled cysts fill the ovary and causes it to get enlarged and stop functioning normally. Women with PCOS produce higher-than-normal amounts of male hormones. This hormone imbalance causes them to skip menstrual periods and makes it harder for them to get pregnant.

The most common PCOS symptoms are irregular periods, heavy bleeding, acne, hair growth, weight gain, headache etc.

Treatment of PCOS depends on the symptoms and personal choices of pregnancy. hormonal birth control (most often birth control pills) is a standard treatment. Doctors recommend regular exercises, a healthy diet, weight control, to improve health conditions. To regulate the menstrual cycle, birth control pills are prescribed. Besides regulating periods, it helps to improve excess hair growth and acne. Pills that contain estrogen and progestin decrease androgen production and regulate estrogen. Progestin therapy can also regulate periods and protect against endometrial cancer. Surgery can be an option to improve fertility if the condition of the patient does not improve to the other treatments. Ovarian drilling is a procedure that makes tiny holes in the ovary with a laser or thin heated needle to restore normal ovulation.

How is the treatment done?

Medical treatment of PCOS aims at the treatment of metabolic derangements, anovulation, hirsutism, and menstrual irregularity. At first,, the doctor diagnoses the problem by questioning about medical history of symptoms such as irregular or skipped periods, weight changes, hair changes, and acne. Weight, vitals and a complete physical examination is carried out for better assessment. A number of lab tests may be prescribed which include pelvic exam, ultra sound, blood sugar and androgen level tests. A sonogram may also be done by the patients to evaluate the ovaries. If polycystic ovarian syndrome is diagnosed, then the doctor might recommend additional tests which include periodic checks of blood pressure, glucose tolerance, and cholesterol and triglyceride levels, screening for depression and anxiety and obstructive sleep apnoea.

Medical treatment usually begins with an oral contraceptive to induce regular menses. The contraceptive helps to inhibits ovarian androgen production and also aids to increase sex hormone-binding globulin (SHBG) production. If symptoms such as hirsutism are not sufficiently eradicated, the doctor tries a medicine such as metformin or clomiphene to help ovulation in the patient. Hormone therapy also can be used to help with male-type hair growth and acne. This therapy along with Androgen-lowering spironolactone (Aldactone) lower down the excessive growth of hair and other skin problems. Birth control pills, patches, or vaginal rings are prescribed for hormone therapy. Laser hair removal and electrolysis can help to get rid of unwanted hair on the face and body. Surgery can be an option to improve fertility if the patient does not show any major improvement in condition post other treatments. Ovarian drilling is a procedure that makes tiny holes in the ovary with a laser or thin heated needle to restore normal ovulation in the patient. A combination of surgery and metformin or letrozole can be used as a second line treatment in infertile women. Besides these, regular exercise, proper diet and sufficient sleep are prescribed by the doctor accordingly.

Who is eligible for the treatment? (When is the treatment done?)

People who have missed periods even if not pregnant or have irregular menstrual cycle, with excessive vaginal bleeding must consult a doctor immediately. When symptoms of polycystic ovarian disorder like hair growth on your face and body, diabetes with excess thirst or hunger, blurred vision, or unexplained weight loss occur, it is essential the person sees a specialist. Also women trying to conceive but not being successful, repeated mood swings can be symptoms of PCOS.

Who is not eligible for the treatment?

Sometimes irregularities and missed periods can be caused because of other problems. Hair fall can occur due to seasonal changes while weight gain can be addressed to over or improper intake of food. If symptoms do not persist and there are no additional problems or sufferings of the patient, then it might get better with some other diagnosis. In such cases, treatment of polycystic ovarian disorder is not necessary.

Are there any side effects?

Drugs which are usually used to treat PCOS have very low risk of severe adverse effects. But, there is an increased risk of multiple pregnancy (rarely more than twins) with these treatments. Metformin, a common drug that is used to treat polycystic ovarian syndrome can also lower insulin and blood sugar levels in women.Possible side effects of metformin include nausea, vomiting, stomach pain, diarrhoea and loss of appetite. Another medication called gonadotrophins also provide a higher risk that they may overstimulate the ovaries and lead to multiple pregnancies. Apart from this, patients seldom face any adverse effect with the treatment of PCOS.

What are the post-treatment guidelines?

Post treatment, the person should maintain her medicines regularly and go for regular check ups. It is essential to visit the doctor once every month to confirm upon the condition. Also change of medicines can be opted for if the initials do not give effective results. The person should maintain a fit and healthy body by regular exercises, routine work out and eating healthy diet. Maintenance of a proper body weight can help decrease the effects of PCOS.

How long does it take to recover?

PCOD or PCOS is a chronic life-long disorder that has no permanent cure. There is no known cure to this problem but it can be managed within time depending on the severity of the hormonal imbalance. Symptomatic relief from PCOS can be achieved in about 6 months with regular medicines and exercises. However, the long term management of the condition usually continues for many years.

What is the price of the treatment in India?

Overall treatment of Polycystic ovarian syndrome does not require a great expenditure. However, constant check ups and tests may sum the amount to around Rs 6000 approximately.

Are the results of the treatment permanent?

Treatment of polycystic ovarian syndrome does not include complete cure. The symptoms can be managed and brought under control post medicinal therapy. The medicines help to get periods on time and also check the insulin level. Also, exercises, which is the most vital therapy, help to cut down the extra weight one puts on due to polycystic ovaries.

What are the alternatives to the treatment?

This common endocrine system disorder among women of reproductive age can be managed alternatively by ayurvedic or homeopathic treatment. Treatment of PCOS in ayurveda include panchakarma and internal medication. Panchakarma procedures like udvartana, vamana, virechana and basti help to reduce body weight, remove toxins, decrease insulin resistance and regulate normal hormone secretion. Internal medications are used to destroy the cyst, stimulate ovulation, induce menstruation, regulate flow during menstruation etc. This treatment takes a long time. Also, homeopathic medicines are used. These medicines are mostly without any side effects and can help reduce the symptoms when consumed for a long time. Alongside, home remedies can help the person ease out. Use of hot water compression can lower pain. Vitamin D, apple acid vinegar, coconut oil, castor oil etc can be used to reduce the symptoms of polycystic ovarian syndrome.

Safety: Medium Effectiveness: Medium Timeliness: Medium Relative Risk: Very High Side Effects: Low Time For Recovery: High Price Range:

Rs 800- Rs.5000

Popular Health Tips

PCOD - How Ayurveda Can Help You Treat It?

Bachelor of Ayurveda Medicine & Surgery (BAMS), MD [Masters In Ayurveda - Kaumarabhrutiya( Pediatrics)]
Ayurveda, Panipat
PCOD - How Ayurveda Can Help You Treat It?

PCOS (Polycystic Ovarian Syndrome) can throw life in jeopardy. A disorder of the endocrine system, PCOS is characterized by the formation of a cyst or multiple cysts in the ovary of a woman of reproductive age. More than often, PCOS affects the ovulation process giving rise to many complications including infertility and menstrual problems. In women with PCOS, the level of the hormone androgen is found to be quite elevated. While conventional treatments and surgical options are available, people are gradually switching over to Ayurvedic treatment. With a holistic approach amalgamated with a healthy diet and beneficial modifications and lifestyle changes, Ayurveda has been instrumental in treating the condition of PCOS with elan. In this article, we will discuss the Ayurvedic approach to deal with PCOD and the associated symptoms.

To enjoy a sound and disease free health, a proper balance and equilibrium between the three doshas (Vata, Pitta, and Kapha) are essential. A disruption of the dosha balance can, in turn, trigger contamination and impairment of the any of the seven Dhatus or tissues (Rasa Dhatu, Rakta Dhatu, Mamsa Dhatu, Meda Dhatu, Asthi Dhatu, Majja Dhatu, Shukra Dhatu) leading to a built-up of internal toxins (Ama).

In PCOS, there is vitiation of the Kapha Dosha that goes on to block the Vata and Pitta Doshas. The vitiation affects the Rakta and Rasa Dhatu which triggers the Ama to build up in the Manovahi Strotas (mind channels). This acts as a catalyst resulting in a hormonal imbalance with the symptoms and complications characteristic of PCOS.

Ayurvedic Treatment for PCOS
Once the trigger for PCOS has been diagnosed, the next step involves cleansing (detoxifying) the body of the harmful Ama through

  1. The use of medicated oil baths and oil massages (Oleation) and Fomentation (the body is made to sweat excessively).
  2. A Therapy known as Panchakarma is often used to carry out the necessary detoxification.
  3. Oleation and Fomentation, extensively used in Panchakarma go a long way to soften as well as liquify the toxins which remain attached to the body tissues. The softened and liquefied toxins are then easily eliminated and flushed out using different Panchakarma steps (Vamana, Nasya, Basti, Virechana, and Raktamokshana).
  4. There is also a dietary modification. In most of the times, a woman with PCOS is recommended a light and vegetarian diet, avoiding saturated and trans fats (Bad fats such as Margarine, cookies, pastries).
  5. Processed and refined foods, desserts, candies, red meat, dairy products (high fats) aerated drinks, and beverages, white bread, are best left avoided.
  6. Include foods such as onion, cauliflower, grapefruit, peaches, apples, oats, (low glycemic index).
  7. Choose complex carbohydrates (lentils, beans, oatmeal, whole grain bread, green leafy vegetables) over simple ones.
  8. Drink more fluids (water, fresh fruit juice, soup).
  9. Exercise and meditation is a must. However, do not overstress yourself.
  10. Keep stress (physical, mental, emotional) at bay.
  11. Methi seeds and flax seeds can work wonders for PCOS. You can soak the methi seeds in water (overnight) and drink the water the next day.

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

3619 people found this helpful

PCOS: Long Term Health Consequences

BSc - Home Science, Diploma In Health & Nutrition, MSc - Dietitics/Nutrition
Dietitian/Nutritionist, Delhi
Play video

Polycystic ovary syndrome (PCOS) is a hormonal disorder usually found amongst women. Early diagnosis and treatment along with weight loss may reduce the risk of long-term complications.

1 person found this helpful

PCOS - Role Of Homeopathy In Treating It!

Diploma in Gastroenterology, Diploma in Dermatology, BHMS
Homeopath, Hyderabad
PCOS - Role Of Homeopathy In Treating It!

Polycystic Ovarian Syndrome or PCOS is referred to as a condition that leads to an imbalance in the hormonal levels of women between the ages of 18 to 44. Women suffering from the syndrome develop small cysts in the ovaries. These cysts might disrupt the normal functions of the ovaries resulting in hormonal imbalances. If you suffer from PCOS, the secretion of the male hormone androgen (which is present in a small amount in every female) increases abnormally, thereby causing a significant disruption of the ovulation process and the menstruation cycles.

Basically, PCOS develops when egg follicles get trapped just under the surface of the ovary and thereby are unable to release their eggs. Instead, multiple small cysts form. PCOS is usually more prevalent in the young women during their reproductive period. It is a complex disorder characterized by excessive production of hormones called androgens by the ovaries and the adrenal glands. Due to this overproduction, the ovarian follicles fail to mature.

Causes:

Women suffering from obesity or who have a past history of PCOS in their families are at a higher risk of suffering from the syndrome.

Symptoms:

The symptoms that one might experience along with syndrome are as follows:

  1. Appearances of acne along with the development of excess body and facial hair.

  2. Irregular or no periods.

  3. Problems with conception and infertility.

  4. Intense pain in the pelvic area and severe depression.

Homeopathic Treatment for PCOS:

Polycystic Ovarian Syndrome is curable with the Homeopathic mode of treatment. Homeopathic treatment for polycystic ovarian syndrome is very safe and free from any side effect.Which Homeopathic medicine is required to extract the disease from its roots varies from case to case. Both the physical and mental spheres of the patient are thoroughly investigated while prescribing the Homeopathic medicine. The complete cure of PCOS is a time-consuming process and it cannot be expected in a few days. It requires complete observation regarding the change of symptoms in the patient and frequent clinical follow-ups. 

Using homeopathy for PCOS is a good idea because it offers permanent treatment for the condition. Homeopathy treats and cures the root cause of the condition rather than focussing on the external factors that cause the disease. Therefore, the treatment offered by homeopathy is more reliable. For example, the medicines prescribed for an interrupted period is different from the medicines prescribed for profuse bleeding.

No Side-effects

Homeopathic treatment is based on the belief that the human body was meant to remain disease free always. So it never tries to make use of drugs that can disturb the body’s ability to function naturally. All that homeopathic medications do is to restore the vitality of the body so that it can find its way out of the disease all by itself. This kind of a treatment ensures that there are no side-effects whatsoever of homeopathic medicines.

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

6955 people found this helpful

PCOS (Polycystic Ovarian Syndrome)

MBBS, MD - Obstetrtics & Gynaecology, DNB, Fellowship in Infertility
Gynaecologist, Mumbai
Play video

Polycystic ovary syndrome (PCOS) refers to a hormonal disorder which is common among women of reproductive age.Early diagnosis and treatment along with weight loss may reduce the risk of long-term complications.

3737 people found this helpful

Hormonal Acne And PCOS

MD - Dermatology, Venereology & Leprosy, MBBS
Dermatologist, Chandigarh
Hormonal Acne And PCOS

Hormonal acne is becoming very common nowadays with rising incidence of PCOS. Oral and local medication along with lifestyle dietary modification + weight reduction is important for cure of hormonal acne. PCOD is common cause of infertility, menstrual irregularity and excessive hair growth.

Dietary tips:

1. Eat high fiber goods like beans, almonds, berries, pumpkin
2. Have lean protein sources like tofu, chicken, and fish
3. Have foods that help reduce inflammation like, tomatoes, spinach, olive oil

Foods to avoid: White bread, muffins, pasta noodles, white potatoes

10 people found this helpful

Popular Questions & Answers

My 9th day right ovary 11 mm 12 mm left ovary 12 mm 13 mm 16 mm et 8.5 mm fluid nil what is my chance to be for pregnancy.

MBBS Bachelor of Medicine and Bachelor of Surgery, M.S Obsterics & Gynaecology, DNB (Obstetrics and Gynecology), Fellowship in Reproductive Medicine & Infertility
Gynaecologist, Delhi
Since one of the follicle on your left ovary is dominant i: e 16.5 mm, It is the one that is likely to be released in 1-2 days. For optimal chances of pregnancy intercourse in the coming 2-3 days is advised. The likelihood of getting pregnant is 15-20 % in a month cycle, if all is OK. Since I don't know your tubal status and husband's semen parameters it is difficult to comment on the exact pregnancy chance.

I hav pcod since cls 8.my period is nt regular. Smtymz its of 2mnth gap and its painful. I feel very weak. Evn I hav hair growth problem. Wats d soln for that and specially unwanted hair growth?

MBBS Bachelor of Medicine and Bachelor of Surgery, M.S Obsterics & Gynaecology, DNB (Obstetrics and Gynecology), Fellowship in Reproductive Medicine & Infertility
Gynaecologist, Delhi
PCOS is a problem that can have different symptoms in different women. The treatment is attaining optimal BMI which is ideal weight for your height and medications depending on the symptoms. For hair growth laser hair reduction / removal as immediate solution and medications for months as long term solution.
1 person found this helpful

I have PCOD problem since 8 years. Since 5 months I have not got my periods. What should I do? I have no diabetes no thyroid.

MD, MBBS
Gynaecologist, Ahmedabad
If you have PCOD then following guidelin. Get USG done for diagnosisYou 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 duri.

Hi I am 29 year old from Nepal. I am married since last 4 yrs. Last year I had a complex ovarian cyst which was endometriosis for that I have done open surgery that time but now according to my recent reports I again have an endometriosis an bilateral tubal blockage. I would like to ask is hetroscopy will be helpful to me can I conceive naturally after hysteroscopy. Where should I go for best treatment in India or in Delhi? How much will it cost to me approx.

MD, MBBS
Gynaecologist, Ahmedabad
Hysteroscopy is advised before IVF. You had previous open surgery for chocolate cyst - Endometriosis. Now you should get blood report of S.AMH level done to understand your ovarian reserve- potentiality of producing your ova which is judged by S.AMH level and menstrual day-3 showing normal antral follicle count in tvusg a log with existing chocolate cyst. You should go for laparoscopic surgery for Tubal testing and surgery for Endometriosis because if tubes are open and your ovarian reserve is good you can concive naturally normally by doing sexual relation around the 14th day of menstrual cycle- ovulation time. You can arrange audio consultation through Lybrate fir further discussion and can send your recent usg reports to me for further planning.
1 person found this helpful

mein 42 years old ki hu. Mujhe chocolate cyst hai. Last ten years se hai. Mujhe 15 to 20 days heavy bleeding rahta hai last 6 to 7 months se. uterus size but hai. Hypothyroid hai mujhe. High Bp bhi hai. Weight bhut jyada hai 96. Mera weight loose Karna hai. Uterus bulky hai size mean measure 89×53×44 mm. Lt ovary shows a48×34 mm size thick walled cystic lesion with internal dense thick fluid suggest .left sided chocolate cyst. Please give some suggestion.

MBBS Bachelor of Medicine and Bachelor of Surgery, M.S Obsterics & Gynaecology, DNB (Obstetrics and Gynecology), Fellowship in Reproductive Medicine & Infertility
Gynaecologist, Delhi
The treatment of Chocolate cysts and bulky uterus would depend on your symptoms and whether or not you are desirous of pregnancy. There are variety of treatment options available ranging from simple tablets to mirena to surgical removal. I would like to know more details before advising any one specific treatment.

Table of Content

What is the treatment?
How is the treatment done?
Who is eligible for the treatment? (When is the treatment done?)
Who is not eligible for the treatment?
Are there any side effects?
What are the post-treatment guidelines?
How long does it take to recover?
What is the price of the treatment in India?
Are the results of the treatment permanent?
What are the alternatives to the treatment?