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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

Conceiving After PCOS Or Endometriosis - How Can IVF Help?

MBBS Bachelor of Medicine and Bachelor of Surgery
IVF Specialist, Agra
Conceiving After PCOS Or Endometriosis - How Can IVF Help?

Getting pregnant can become an immensely frustrating experience for women with endometriosis or cyst with IVF treatment. Many women with endometriosis worry about whether they will be able to conceive and bear a child. This is because, in such a case, there is a collection of endometrial tissues outside the uterus that results in a painful inflammation along with the formation of blood-filled cysts in the ovary and bands of scar tissues.

How does PCOS or endometriosis affect the process of reproduction?
When a woman has any of these fertility issues, there could be endometrial growths of the tissue hindering the normal functioning of the reproductive organs. When the endometrial tissue formation involves the ovaries, there is a restriction on the release of eggs. On the other hand, when the fallopian tubes are affected, it would prevent the sperm from reaching the egg or it may also stop the fertilized egg from travelling to the uterus. Though each of these instances may sound challenging, experts suggest that IVF treatment can be helpful in offering desired results. It is estimated that about one-third of women suffering from endometriosis can conceive naturally without any treatment whatsoever. But for the rest of the women that suffer from endometriosis, IVF can be the best bet.

How can IVF help in getting pregnant in this scenario?
In order to make pregnancy possible for women with multiple adhesions, endometriosis or PCOS, the doctor would definitely begin with a comprehensive evaluation of hormones along with the presence of other chemicals in the body. Diagnostic tests such as hysteroscopy, hysterosalpingography, and laparoscopy can also be of great value in offering an insight into the individual patient’s condition.

When the IVF process has been successful, the embryo will get implanted in the uterus and cause the much-desired pregnancy. If there is any embryo remaining, it may be stored for use in future or donated to other couples. IVF is deemed successful for overcoming most of the female factor caused infertility including cyst, PCOS, and even endometriosis. There are 5 fundamental steps in IVF and they are:

  1. Super-ovulation or the process of stimulating the reproductive organs of a woman for releasing numerous healthy eggs. This is the first point of contradiction between IVF and normal pregnancy where a single egg is released and ovulated.
  2. The second step constitutes retrieval of eggs and sperm collection
  3. Then there is insemination as well as fertilization of the eggs with the help of the sperm
  4. Development of embryos and subsequent genetic evaluation when needed
  5. Transfer of the embryo in the uterus of the woman

Since IVF allows a controlled interaction between the egg and the sperm, it offers a high rate of success even when the patient is affected by complex disorders such as endometriosis, PCOS or cyst. Hence, discuss with your doctor if it is a viable option for the given situation. In case you have a concern or query you can always consult an expert & get answers to your questions!

1556 people 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. Hirsutism: One 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.

2 people found this helpful

PCOS - How It Can Result In Infertility?

MBBS Bachelor of Medicine and Bachelor of Surgery, DGO, MD - Physician, Certificate Course In Reproductive Medicine & Ivf, Basic Life Support (B.L.S), Advanced Infertility Management Training, ivf training in NUH singappre, masters in Reproductive Medicine
IVF Specialist, Gurgaon
PCOS - How It Can Result In Infertility?

For most women, the ultimate feeling is bringing their bundle of joy into this world. However, as much as you want, getting pregnant is not always in your hand. Infertility among women has seen an exponential growth in the last decade or so. In this article, we will limit our discussion to the factors responsible for female infertility.

In many women of reproductive age, PCOS (Polycystic Ovarian Syndrome) is found to be one of the common underlying factors making it difficult for the affected female to conceive. PCOS, as indicative of the name, is a condition whereby cyst formation takes place in the ovary or the ovaries. PCOS triggers a hormonal imbalance with increased production of androgen by the ovary interfering with the ovulation process. The mature eggs either don't get released from the ovary or in some cases, the eggs may not mature at all. Infertility can be one of the many depressing complications associated with the disorder.

Primary Ovarian Insufficiency can also be responsible for female infertility. True to its name, the disorder is an autoimmune condition resulting in the loss of eggs prematurely (from the ovary). The condition can be a genetic predisposition or at times may be a consequence of chemotherapy.

The hormones Follicle Stimulating Hormone (FSH) and Luteinizing hormone (LH) play a pivotal role in ensuring a healthy ovulation process. However, certain factors including obesity, drastic changes in the body weight (gain or loss) or stress (physical, mental, or emotional) can spell doom inhibiting the production of FSH and LH. In the absence of these two hormones, the ovulation process will also be affected, often giving rise to female infertility. The increased production of another hormone, Prolactin can also act as the trigger resulting in infertility. Proper treatment and medications can go a long way to reverse the condition.


Under certain conditions, the tissues that are supposed to line the inside of the uterus (a term called endometrium) grows outside it (often in the fallopian tubes, or ovaries) a condition termed as Endometriosis. While the painful condition in itself can lead to female infertility (can damage the implanted fertilized egg), removing the tissues through surgery can also damage the fallopian tube. With a damaged fallopian tube, infertility is the obvious consequence.

Certain medical conditions such as pelvic tuberculosis, STDs that triggers inflammation and infection of the fallopian tube and the uterus, women having undergone surgery for ectopic pregnancy, or the inflammatory diseases of the pelvis can also damage the fallopian tube

Infertility in females can also be an outcome

  • Cervical stenosis (the cervix narrows down to a great extent).
  • Congenital uterine disorders and abnormalities.
  • The formation of noncancerous tumors and polyps in the uterus can trigger infertility in some females only.
  • In some rare cases, the exact cause of infertility may be hard to explain (Unexplained Infertility).

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

2800 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!

3014 people found this helpful

PCOS - How Treatment Differs For Patients?

Masters of Surgery Obstetrics & Gynaecology
Gynaecologist, Pune
PCOS - How Treatment Differs For Patients?

When female sex hormones such as Estrogen and Progesterone are out of balance and male hormone levels such as androgen are elevated within the body, it might lead to PCOD or polycystic ovarian disorder. This may cause the enlargement of the ovaries and numerous cysts to grow on the outer wall of the ovary. These growths can result in painful periods, infertility and several other symptoms because of the abnormalities in the body.

Most common symptoms of PCOS include:
1. Irregular and painful periods
2. Growth of facial and body hair also known as hirsutism (areas such as the face, fingers, toes)
3. Development of acne all over the body including the face
4. Sudden weight gain
5. Mood swings such as anxiety and depression
6. Thinning of hair
7. Pain in the pelvic area

Some of the other less common symptoms of PCOD are darkening of the skin, especially in the creases of the body such as the groin, neck, the area underneath the breasts and sleep disorders such as sleep apnea. Many women diagnosed with PCOD can have children without medical infertility treatment, although many other women tend to have fertility problems.

Causes 
A few underlying factors have been noticed to be common in most cases. Some of these common factors that have been noticed are:

  1. Insulin Resistance: Insulin resistance is a condition wherein the body is either not able to produce enough insulin or cannot metabolize the sugar to produce energy. This results in blood sugar not being used up and thus accumulating within the blood which in turn forces more insulin to be made to compensate. High levels of insulin cause the ovaries to produce too much androgen which may lead to polycystic ovarian disorder. Insulin resistance can also lead to weight gain, which can worsen the symptoms of PCOD.
  2. Hormonal Imbalance: Women with PCOD have imbalances in certain hormones such as raised levels of testosterone, higher levels of prolactin and luteinizing hormone (LH), among others. The exact reasons for these imbalances are unknown. Scientists have suggested that the problem can start within the ovaries, or the part of the brain that controls their production of these hormones.
  3. Genetics: This syndrome runs in families; women with mothers, aunts, and sisters with PCOS have a higher chance of developing PCOD themselves. Genetics have definitely shown to have a correlation with the occurrence of the disorder.

Treatment

PCOD doesn’t have any treatment yet, but the symptoms can be managed through medications and healthy habits. Treatment for PCOD differs for every woman depending on factors such as:

  1. Severity of the symptoms
  2. Condition of the ovaries
  3. Plans to have children in the future
  4. Risk of long term health complications or current problems such as heart diseases or diabetes among others
  5. Some of the basic steps to manage PCOD at home are through weight loss, improving your diet, reducing blood glucose levels, amongst others.

Some medications that may be used to relieve symptoms of PCOD are

  1. Hormonal birth control pills - These regularize the period cycle, help reduce acne and extra hair growth and also help in prevention of unwanted pregnancies.
  2. Anti-androgen medicines - They can block the effects of excess androgen and thus help in reducing hair loss, facial and body hair growth and acne.

Certain medications which are used to treat type-2 diabetes have also been put to the test and have shown effective results in trials. However, these have still not been approved by the regulatory authorities.

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

2579 people found this helpful

Popular Questions & Answers

I am suffering from ovarian cyst and had cystectomy for endometrioma and m under medication oxygen d3 for last two months .when my periods will resume and when I can conceive?

MBBS, DGO, Ceritification in Minimal Invasive Surgery
Gynaecologist, Ghaziabad
Hello lybrate-user. For endometriosis surgery is usually followed by medication to suppress reformation of endometriosis. Periods will resume once you stop medication. You should try to conceive early. Discuss with your doctor. If you are married take help from doctor for conceive good early as there are always chances reformation of endometrioma and cyst.
2 people found this helpful

Hello Dr. Am 23 years old (Married since 9 months) suffering with Pcod. I have taken 3 months course but did not found any results. Please help me out of it.

MBBS, MS - Obstetrics and Gynaecology, MRCOG
Gynaecologist, Kolkata
Get following blood tests done: FT4, TSH, Prolactin level in morning blood sample. Get FSH, LH on Day 2 of your period. Get TVS ((Trans- Vaginal Sonography) done.
2 people found this helpful

I'm 29+, married 5 years, but I'm have no baby, because I have endometrial, pcod. I am done laparoscopy operation. My lap report both tubes totorous/dilated - free spillt, small a ovaries server endometriosis (AFS. My amh report is 1.53.doctor taken me ovstore sr 75 mg. Can I take this medicine? Pls tell me how I am conceive pls I'm hopeless.

DNB - Obs & GYnae, MBBS, D.G.O - Obs & Gynae, Fellowship in Reproductive Medicine
Gynaecologist, Ghaziabad
Hi lybrate-user. With severe endometriosis ,tortuous dilated tubes. And with this Amh you must go for Ivf early even if your age is just 29. Yes you can take ovstore it's in studies helps in improving quality and quantity of oocytes.
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
PCOS (Polycystic Ovarian Syndrome)
Hello,

Myself Dr Shilpa Bansal consultant gynaecologist at Harleys Clinic, Mumbai at Andheri West.

Today I am going to talk about a common endocrinal abnormality imbalance which is happening known as Polycystic ovarian syndrome. According to the present statistics about 20 to 25% of Indian females suffered with it, Polycystic ovarian syndrome becomes a part of an Android excess problem there are other problem such as adenomas, hyperplasia of adrenal, stress and thyroid abnormalities which too mimic something like symptoms of Polycystic ovarian. In Polycystic ovarian syndrome we expect various signs and symptoms to trouble a lady, at the teenage this becomes the teenage crisis, symptoms like she has acne, she has weight, she has bald patches, hirsutism becomes the issue weight which is uncontrollable or which is very difficult to lose. These teenage prices after sometime do become reproductive age crisis or medial crisis, in medial crisis again she is struggling to conceive she is struggling to get her period back to normal, if unattended that time again leads to old age crisis. Old age, she is at risk of endometrial carcinoma, she become at risk of diabetes, she become at risk of atherosclerosis. Now after all of this the point is that we can't blame everything on hormones you get stressed you skip your periods and your hairs start falling and you blame it on hormones, not that. There are various causes for getting the symptoms as well, so correct diagnosis is very important that are we really dealing with PCOD or there is something else which needs to be attended. So now the situation is how to combat PCOS, how to handle the picture, first people who do not have it please don't get it. We have to understand the importance of discipline in life, we have to understand the difference of diet in 8th schedule in our daily life, we have to give importance to the sports in our daily activities in our daily schedules, this helps a woman not to become a PCOS. Moreover, thin lady does not mean a fit lady, if we eat a junk food, if we are induldged into activities which are not good that we all of us know comes with the price, she eventually would be the one of the candidates to become PCOS. People who are struggling at the moment with the PCOS, we need a group of people to handle PCOS like cosmetologist to handle pimples coming we need, a diet Counsellor to tell you what portions to be omitted, what portion to be started, how much you should be taking to combat that weight issues and for the gynaecologist we can give you certain medications to combat those acute crisis in which all the things are troubling you and we decides the time you need to take it up to. People who are struggling with the PCOS again have to understand that we have to take care of the diet, we have to take care of the exercise and we can put some of the medications but that is for sometime to combat those acute crisis. We need lot of more people like as a cosmetologist, who can take care of the acne hair, fall and hirsutism. We need of the diet counsellor who can talk to you about your diet which things can be added which can be omitted, we need a psychotherapist sometimes if there is a mood swings which are troubling a lot are there is a depression between a part of the PCOS. We can help you out with certain cases of infertility and because of PCOD, we can correct the menstrual irregularity through medication, till you reach your own target, till you did the right weight with you hoping to get in the end.

In case of further questions or any queries you can write to us through lybrate or you can contact Harleys clinic.
Play video
How Are You Putting Yourself At The Risk of PCOS?
Hi,

I am Dr. Neha Jain. I am a consultant gynecologist and obstetrician and also infertility specialist.

I have done my MBBS and post graduation from Lady Hardinge Medical College, currently, I am running my own clinic with the name Dr. Jain's bliss and bless women's health clinic and Dr. Jains Pathlab in Mehrauli. I am also associated with a visiting consultant with Hospitals like Fortis Hospital and Adiva Hospital.

Today I would like to talk about PCOD that is Polycystic ovarian disease as such the incidence of PCOD reported worldwide is something around 7 to 22% but in our day to day, a clinical practice we see one out of every 2 patient is suffering from diseases. Now first I would like to talk about the symptoms of PCOS, the commonest symptom of PCOS is menstrual irregularities that are there will be daily cycles, short cycles or frequent cycle these all are signs of anovulation. The next symptoms are the signs and symptoms of hyperandrogenism, androgen is like male hormones and here we will see that the patient may have hirsutism that is excessive hair growth or male pattern baldness or acne. If you go to your doctor then your doctor will suggest you some test and on these tests, you may get reports like access free testosterone levels or free androgen index is high. Then the third symptoms is of polycystic ovaries on ultrasound, if one is having polycystic ovaries on Ultrasound that does not mean that the patient is suffering from Polycystic Ovarian Syndrome, in fact in people with polycystic ovaries only about 20% have problem of PCOD, then your doctor with rule out other causes of hyperandrogenism that is hypothyroidism or hyperprolactinemia. Now PCOD is associated with mostly with obesity and the lifestyle issues, it is also seen in ladies with a family history of diabetes or metabolic syndromes. Now the foremost important thing is I would like to talk about is the treatment, of course, lifestyle modification is the first thing which we advise to our patients. In lifestyle changes patient need to do exercises and almost 30-40 minute exercises per day are recommended which have to be moderate-to-severe in nature. Then dietary changes need to be made, patients are advised to avoid fried food, fatty food, junk food than sweets, sugar, empty calories have to be avoided. Reduction in 5% of the weight can result in 50% improvement of your symptoms or chances of women to become pregnant. So that is the mainstay of treatment then next your doctor will suggest you some medication like metformin or combined oral contraceptive pills.

So, in short, that is what I wanted to talk about PCOD which is mainly a lifestyle problem and you need to improve your lifestyle in order to get rid of this disease.

In case of any problem or any such issue, you can come to my clinic or book an appointment via Lybrate. Thank you.
Play video
Polycystic Ovarian Syndrome
PCOS Risk: What You Can Do To Minimize It?
Play video
Polycystic Ovarian Disease
Causes and symptoms of Polycystic ovarian disease
Play video
Why PCOS is so prevalent?
PCOS: What Increases Your Risk?
Having issues? Consult a doctor for medical advice