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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

PCOS And Pre-Diabetes: Know The Connection

Diploma In Diabetology, MD - Diabetology
Endocrinologist, Delhi
PCOS And Pre-Diabetes: Know The Connection

Polycystic Ovaries Syndrome (PCOS) is a disorder of the endocrine system which leads to an imbalance of sex hormones in women. However, women are aware of the PCOS, but many of them do not know that is a pre-diabetic stage causes hormonal imbalance and infertility.

PCOS is known as a pre-diabetic stage because just like diabetes, it also starts resisting the insulin and causes a high sugar level in body. The study reveals women having PCOS three to five times are more prone to have diabetes hence, both the conditions are interrelated. PCOS is a condition that cannot be cured, but awareness can help a lot as one can recognize symptoms and prevent the further complication by diagnosing it in an early stage. The common sign and symptoms are given below:

PCOS is not a curable disease but can be managed to prevent the further complication. Birth control pills are prescribed by a doctor as they help to regulate the proper mensuration cycle, clear ance and reduce the androgen level. One can reduce the symptoms of PCOS by including exercise and proper balanced diet in daily routine.

How can PCOS lead to diabetes?
A study revealed that around 10 million women in the world suffer from Polycystic Ovaries Syndrome (PCOS), a disorder of the endocrine system. PCOS is the pre-diabetic stage that causes the imbalance of sex hormones in the women. This imbalance of hormone resists the excretion of insulin, which results in a high blood sugar level, Diabetes. Women who experience PCOS at an early age are more prone to have diabetes and heart problems. PCOS can be controlled by taking proper diet and starting a day with a physical exercise.

  1. Prevention measures: In this prevention measures taken to cure PCOS will indirectly help to prevent diabetes.
  2. Exercise: Regular exercise is vital for a healthy body as it is a remedy for obesity and diabetes. Regular exercise helps to burn the excessive sugar and make cell sensitive to insulin. This permit the body to use insulin in a better way and beneficial for both PCOS and diabetes.
  3. Balanced dietA balanced diet is fundamental to manage the overweight and reduce the risk of PCOS and diabetes. Make sure your diet is full of nutrients, including whole grain, lean proteins and healthy fats.
  4. Regular visits to the doctor: If you are suffering from PCOS consult to doctor for proper treatment and medication, this will help you to reduce the risk of diabetes. Minor life changes and medication can help to prevent these diseases.

PCOS is a deadly disease if not treated at early stage causes severe problems such as diabetes. It cannot be cured by can be prevented or manage to add exercise and diet into your routine. If you are experiencing any of symptoms, consult your doctor as it helps to avoid further complications.

18 people found this helpful

How Hormonal Imbalance Can Be Treated In PCOD Patients?

MBBS, MD - General Medicine, DNB, DM - Endocrinology
Endocrinologist, Gurgaon
How Hormonal Imbalance Can Be Treated In PCOD Patients?

The human body includes countless hormones. Most of these hormones control the internal physical functions of the body when they are in the perfect balancing state. When any infection affects the balancing state of the hormones, the body cannot function properly. Infertility happens due to hormone imbalance as well as due to the ovarian disease, Polycystic Ovarian Disorder (PCOD). However, there are different ways to treat the hormonal imbalance in PCOD patients.

Ways to treat the hormonal imbalance when a person is suffering from PCOD

Although there are several ways to treat the hormonal imbalance in PCOD patients, some of the most common ways include:

  • Creating some lifestyle changes
  • Medicines
  • Surgery

How can a lifestyle change treat the hormonal imbalance?

  1. Maintaining a healthy weight - Any obese PCOD woman will prone to hormonal imbalance. Losing the surplus weight will allow the woman to overturn the imbalance in her hormones effectively. Even a 5% decrease in weight will show a way to a considerable improvement in her hormonal balance effort. Moreover, healthy weight means maintaining the body mass index between the ranges 18.5 to 24.9.
  2. Following a healthy dietFollowing a healthy balanced diet will aid a PCOD patient greatly in maintaining her hormonal balance in an effective way. Food items, which are high in protein and low in carbohydrates, will allow the patient to keep up a healthy weight. These foods will help her in keeping her hormones in a perfect balancing level, as well.
  3. Exercise regularly - It is essential for a PCOD patient to maintain a regular workout regimen. This will not only allow her to lose the extra pounds, but also avoids the hormonal imbalance problem.

Role of medications in treating the hormonal balance in a PCOD patient

There are many medicines out there, which allow a PCOD patient to treat hormonal imbalance effectively. However, the medicine, Clomifene is considered the primary medicine to treat the hormonal imbalance in PCOD patients. It is always recommended to consult a specialist before taking any medicine. 

What type of Surgery can treat PCOD?

When a PCOD woman is incapable to treat her hormonal imbalance through lifestyle changes and medicines, then a surgery is the only feasible solution. An infertile woman can opt for the LOD or the laparoscopic ovarian drilling surgery to treat the disorder successfully. In case you have a concern or query you can always consult an expert & get answers to your questions!

2029 people found this helpful

PCOS: Why Ongoing Treatment Is Necessary To Manage The Condition?

MBBS, MS - Obstetrics and Gynaecology, MRCOG
Gynaecologist, Kolkata
PCOS: Why Ongoing Treatment Is Necessary To Manage The Condition?

PCOS or Polycystic ovary syndrome is a condition where a woman’s body produces excessive male sex hormones. This leads to an imbalance in the body, adversely affecting the chances of a successful pregnancy. Additionally, women who suffer from the disorder may have excess facial hair growth or baldness.

Treatment for PCOS
Even though there is no permanent cure for the PCOS, the treatment can help manage the symptoms. Here is a look at some treatments used.

  1. Birth Control- Regularly ingesting birth control pills can help regulate the female hormone levels in the body. These drugs contain estrogen and progestin hormones, which restores the normal hormonal balance.
  2. Type 2 diabetes medication- These drugs increase the insulin levels in the body. This not only helps deal with PCOS, but also restores the normalcy of the menstrual cycles.
  3. Fertility Drugs- These medications are used to induce ovulation. However, the usage of such drugs may lead to multiple births in some cases.
  4. Hair removal treatment- The excess hair growth can be stopped or prevented with the help of medications. Additionally, laser hair removal procedures may also be used to get rid of the unwanted hair from the body.
  5. Surgery- If all other treatments fail to prodcue with the desired results, surgery may be considered to restore normal ovulation.

Ongoing Care For Patients
Since this condition is incurable, patients need to stick to the treatment throughout their life. Along with medications, certain lifestyle and diet restrictions must also be maintained.

  1. Losing excess body weight
  2. Follow a health diet. Consult a doctor before you start a particular diet, but generally try to limit carbohydrate intake if you have PCOS.
  3. Exercising at least 30 minutes a day for three days a week

It is crucial to understand that PCOS is treatable, even though there is no cure. If you follow the directives of the physician, you can lead a relatively normal life, even when you suffer from this condition.

1 person found this helpful

PCOD - How It Is Ruining Your Body?

DNB (Obstetrics and Gynecology), MBBS
Gynaecologist, Ghaziabad
PCOD - How It Is Ruining Your Body?

Poly Cystic Ovarian Disorder or PCOD is one of the most common gynecological problems faced by women around the world. This condition is characterized by an imbalance of hormones that causes menstrual irregularities and can affect the way a woman looks. If left untreated, PCOD can affect your chances of having a child in the future and increase your risk of heart disease and diabetes. Some of the changes that may become visible as a result of PCOD are:

  1. Acne: Recurrent acne breakouts are the most common symptom of PCOD. This usually takes the form of large, red pimples that are deep-seated and do not respond well to topical creams. Acne caused by PCOD usually develops on the cheeks, chin and along the jawline. These parts of your face are referred to as the hormonally sensitive parts of the face. It may also get aggravated by certain foods. Birth control pills are the best form of treatment for this type of acne.
  2. Weight Gain: Women suffering from PCOD put on weight easily, but it becomes difficult to shed weight. The hormonal imbalance makes it difficult for the body to use insulin. Instead, this is converted into fat and stored around the abdominal area. Women with PCOD tend to have more of an apple shaped body because of this. Being overweight can lead to a number of other problems and hence it is imperative for a PCOD patient to constantly keep their calorie intake in check.
  3. HirsutismOne of the fallouts of a hormonal imbalance is that you may begin to notice excessive hair growth on your face, neck, arms, chest etc. This condition is known as hirsutism. Hirsutism is the result of an elevated presence of androgen hormones. These are the male hormones responsible for hair growth. Thankfully, this can be controlled. By eating a well-balanced diet, exercising regularly and living a healthy lifestyle you can control this hair growth.
  4. Balding: While on one hand, you will see unwanted hair growth on your arms and legs, the hair on your head may actually thin out. This is also a result of the excessive amount of androgen and testosterone hormones in your body. These hormones are converted into dihydrotestosterone or DHT by the body. DHT makes hair follicles shrink and thereby makes it easier for hair to fall out. It can also make hair finer and cause a lack of visual volume.

PCOD is responsible for infertily, abnormal menstrual bleeding and recurrant abortions. So, timely management is essential for protacting your health. In case you have a concern or query you can always consult an expert & get answers to your questions!

2641 people found this helpful

PCOS - How It Can Result In Infertility

MBBS Bachelor of Medicine and Bachelor of Surgery, DGO
IVF Specialist, Gurgaon
PCOS - How It Can Result In Infertility

PCOS tops the list of reasons for female infertility. A few women manage to conceive with PCOS but the pregnancy could be full of complications. Chances of miscarriages even during the 28th week are possible if a woman suffers from PCOS. This is also called as PCOD, which is an endocrine disorder. In this condition, the hormone levels are imbalanced and inflammation also occurs. This results in disruption of ovulation, and getting pregnant becomes a Herculean task. PCOS is not only the reason for infertility but also results in other discomforting symptoms such as weight gain, acne, hair fall, and skin darkening.

Ovulation problems in PCOS: PCOS results in anovulation, which is the lack of ovulation or irregular ovulation. This can be due to various reasons. Estrogen is not produced adequately by the ovaries, hypothalamus does now secrete the gonadotropin-releasing hormone, and there is hypothyroidism or the excess of testosterone in the adrenal glands. PCOS can occur due to various reasons ranging from wrong food habits, inadequate sleep, fatty liver, negative thoughts, stress, no detoxification, poor fat metabolism, and genetic reasons. Women who have mother or sister suffering from PCOS have an increased risk of being affected by this disorder. Women who have excess insulin in their body, too, can develop this disorder. Insulin resistance can trigger high blood sugar levels, and this means pancreas keeps producing more insulin. This can also lead to PCOS.

Managing PCOS: PCOS can affect fertility in multiple ways. The major problem is irregular ovulation. Ovulation may not occur because the follicles are not mature or when the woman has more testosterone. The hormonal imbalance does not let pregnancy happen even if there is ovulation. This is because the uterus is inefficient to develop the lining, which is vital for implantation to occur. The menstrual cycle is irregular, and it is unpredicted. PCOS can only be managed but the good news is that one can increase the chances of fertility with medications. The symptoms vary from woman to woman, so doctors give treatment options to suit the specific requirements. The hormonal imbalance is corrected with birth control pills. But if you are looking forward to a child, these pills should be the last thing you need. The doctor comes up with other options in such cases.

Medications: PCOS also needs medication to control the blood sugar levels. Often, one can see the dietary changes are recommended when getting treated for PCOS. An exercise routine is emphasized and such women also advised to maintain a healthy weight. This is to ensure that the insulin levels and the testosterone levels are under control. Medications to regulate the menstrual cycle is also prescribed to women who want to improve their fertility and chances of conception. Based on the scenario, a surgery may be on the cards. Laparoscopic ovarian drilling is a procedure performed by a team of medical professionals to treat PCOD.
Chances are there that PCOS isn’t the only reason for you to not get pregnant. So, a complete checkup to diagnose and analyze the problems for infertility is done by the doctor. You may need a combination of medications so that your chances of becoming a mother are heightened.

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

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Popular Questions & Answers

I am 22 years old female I am suffering from pcos from last 10 years presently. I'm married and trying to conceive. I am undergoing treatment under a specialized gynecologist. Kindly suggest me some tips to control pcos.

Gynaecologist, Sirohi
1.reduce weight. high protein diet. cardio exercises. meditation. 5.follow the medicines prescribed to u.
1 person found this helpful

Hello, I am 36 year old I am suffering from pcod after my marriage and my weight is 80 and also not getting pregnant Dr. told me to do blood test in that they my AMH is very low then they told me to go for egg donor.

MBBS Bachelor of Medicine and Bachelor of Surgery, DGO
Gynaecologist, Pune
If you have pcod, your amh is likely to be on the higher side. Low amh does not correlate with pcod. You need to reduce weight and also check your antral follicular count which will generally be good in pcod.
1 person found this helpful

I am 32 year old with intramural fibroid 1.2 cm. Also have pcos. I am trying to conceive. I did pregnancy test on sunday 6 it was faint positive. But then second day bleeding start and its get heavier. I want to ask fibroid could be reason for early miscarriage. Please suggest me further action needed.

MS - Obstetrics and Gynaecology
Gynaecologist, Delhi
1.2 cm intramural fibroid will not cause abortion, but you should get your hysteroscopy done to confirm wether it's an intramural or submucosal fibroid, or is it distorting the endometrial cavity. If it's an submucosal fibroid or a intramural fibroid distorting the endometrial cavity then it may cause abortion.
4 people found this helpful

I need help from a gynaecologist. I have been advised to take glyciphage 500 mg twice a day for pcod. Yesterday I had an unprotected intercourse. Should I take i-pill? What could be the interaction between these 2medicines? Or should I opt for something else?

MBBS (Hons.) , DGO, Obs and Gynae, MS- Obs and Gynaecology
Gynaecologist, Ranchi
Yes you can opt for I pill. If not planning pregnancy you can opt for condoms or drosperinone containing contraceptive pill next time with gynaec consultation.
1 person found this helpful

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?
Play video
Know About PCOS
Polycystic ovarian disease (PCOD) or syndrome (PCOS) is a condition where there are multiple cysts in the ovaries and as a result there are several symptoms in various body parts. One of the significant things to note is that there is a strong correlation between diet and PCOD/PCOS.
Play video
Polycystic Ovarian Syndrome
The specific causes of PCOD are yet to be determined. In PCOS patients, the ovaries produce excess androgens or male sex hormones, which result in an imbalance in ovulation, acne breakout and development of excess body hair. Your body faces problems using insulin and develops insulin resistance.
Play video
Polycystic Ovary Syndrome (PCOS)
This condition, known as PCOD and PCOS, or polycystic ovary syndrome, may make it difficult for you to get pregnant, and unwanted changes in your appearance are also indicated. In most cases, women with PCOD develop small cysts in their ovaries.
Play video
Polycystic Ovary Syndrome (PCOS)
Polycystic ovary syndrome (PCOS) is a hormonal disorder common among women of reproductive age. Women with PCOS may have infrequent or prolonged menstrual periods or excess male hormone (androgen) levels.
Play video
Polycystic Ovary Disease (PCOD)
Polycystic ovarian syndrome is one of the biggest issues around the world. Most women with polycystic ovary syndrome can expect to gain excess weight, facial hair growth, pimple on face and irregular periods. Obese and overweight females are more prone to it. It can be cured with a healthy diet and exercise. You should include more fibre-rich foods in your diet.
Having issues? Consult a doctor for medical advice