Things Every Woman Should Know About PCOS!

A woman suffering from PCOS must have two of the following three criterias 

1. Oligomenorrhoea (delayed and scanty menses) and /or anovulation (Hampered growth of Graffian Follicle of ovary ,leading to non- ovulatory cycles) 
2. Hyperandrogenism (Increased secretion of androgenic hormones in females). It is clinically manifested as increased facial and body hair growth, acne (pimples) etc. It is also revealed in blood tests as increased levels of testosterone, DHEA etc hormones. 
3.  Polycystic appearance of ovaries that is seen in sonography.

Hormonal imbalance- 

• Alteration in Gonadotrophin releasing hormones with preferential production of Leutinizing Hormone (LH ) over Follicle Stimulating Hormone ( FSH ) 
• Insulin resistance at receptor level resulting in Hyperinsulinemia in blood 
• Elevated levels of Free Testosterone and Androstenidione
• Decreased levels of Sex Hormone Binding Globulin ( SHBG ) Clinical significance 
• Irregular menses 
• Obesity 
• Dyslipedemia ( increased cholesterol levels ) 
• Development of Type -2 Diabetes in later years of life -    Subfertility 
• Increased incidence of early pregnancy loss 
• Higher risk of pregnancy complications like Gestational Diabetes, Pregnancy Induced Hypertension, Preterm Birth etc 
• Obstructive sleep apnea etc Treatment 
• Weight loss by following healthy diet and bringing modification in lifestyle 
• Exercise on regular basis 
• Medicinal treatment which include both hormonal and non-hormonal agents 
• Surgical treatment which include cosmetic surgeries as well as ovarian drilling 

PCOS is a spectral disorder, some women have very mild form while others may suffer more. The treatment options depend on woman’s age, symptoms, marital status, and eagerness to conceive. Regular and long term follow up with your Gynaecologist should be done. In case you have a concern or query you can always consult an expert & get answers to your questions!