PCOS

Woman's Era - - Short Story - E-mail: drarad­hanakalra@gmail.com, in­fodel@mi­lann.co.in For ap­point­ment: 08527699266

Poly­cys­tic Ovaries Syn­drome

Poly­cys­tic ovaries syn­drome or PCOS is the most com­mon en­docrine dis­or­der seen in fe­males. It's preva­lent in ado­les­cent girls to re­pro­duc­tive age group women. And the in­ci­dence is as high as 6 to 25%. The pa­tients may present with de­layed pe­ri­ods, in­abil­ity to con­ceive, acne, obe­sity, ex­ces­sive hair on the face.

In­fer­til­ity in these pa­tients is due to dis­turbed ovu­la­tion/ anovu­la­tion. In our clinic 3 out of 10 pa­tients who re­port to us with in­fer­til­ity have PCOS. PCOS also poses long term health risks like di­a­betes, hy­per­ten­sion, dis­lipi­demia and en­dome­trial can­cer.

Re­mem­ber PCOS is not a dis­ease, only a dis­or­der. On the bright side, sta­tis­ti­cally 20% of women, who have poly­cys­tic ovaries, may not have prob­lems in ovu­lat­ing or con­ceiv­ing.

Man­age­ment aims at the symp­toms the pa­tient presents with. Most im­por­tant here is life style mod­i­fi­ca­tion. As obe­sity plays a vi­cious role in PCOS, just los­ing 5% of the body weight may cause re­sum­tion of nor­mal cy­cles. Reg­u­lar ex­er­cise, balanced healthy diet and avoid­ance of junk food is im­por­tant. Aware­ness is in­creased these days and we see PCOS clubs and spe­cialised clin­ics com­ing up for the same.

Good news is that the pa­tients with PCO and in­fer­til­ity can be eas­ily treated with sim­ple mea­sures like in­duc­ing ovu­la­tion with medicines and then timed con­tact/ IUI. Nearly 60- 70 per­cent women will achieve ovu­la­tion and 40% of them will con­ceive over the first 3 at­tempts. It is not ad­vis­able to con­tinue the treat­ment if there is no re­sponse to same or if 6-10 cy­cles of these med­i­ca­tions have not helped achieve preg­nancy.

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