PCOS

PCOS - Polycystic Ovary Syndrome Treatment

Polycystic ovary syndrome (PCOS) is a common endocrine disorder among women of childbearing age group with no predilection for race. However, common signs and symptoms of PCOS disease may vary in different ethnic groups. It is a multisystem metabolic disorder, which has a major impact on the quality of life as well as fertility. The pathogenesis of PCOS disease treatment in Chandigarh involves various metabolic pathways that culminate in metabolic, reproductive and cutaneous effects.

Hallmark clinical features of the syndrome are:

Acne, Hirsutism, Androgenetic Alopecia & Acanthosis Nigricans. Hyperandrogenism and hypersulinemia are among cardinal clinical manifestations.

More than 1 in 5 suffer from PCOS. It has such a great impact on your skin’s health.

1. PCOS diagnosis can be reached if 2 of the 3 criteria are present:

• Oligo-ovulation (fewer than 8 menses per 12 month period)
• Clinical hyperandrogenism and/or biochemical signs of hyperandrogenism
• Polycystic ovaries (>12 follicles in each ovary measuring 2-9 mm in diameter and/or increased ovarian volume >10ml) by ultrasonography

PCOS SYMPTOMS:

• Obesity: Losing 5% to 10% of body weight may help making periods regular. It also helps in managing blood sugar levels and ovulation.
• Menstrual Irregularities - Oligomenorrhoea (57%), Amenorrhoea (8%) Weight gain
• Infertility is one of the most difficult symptom. It can lead to frustration and resentment that can affect relationships with your partners.
• Skin manifestations: Acne, Hirsutism, Seborrhoea, Androgenetic Alopecia, Acanthosis Nigricans, Striae and Acrochordons
• Anovulation: A leading cause of infertility; lack of ovulation is one of the reasons many women with PCOS have difficulty in conceiving.
• High cholesterol & high blood pressure: Women with PCOS are at a higher risk of comportised cardiovascular health. These symptoms are worrisome and must be monitored regularly.
• Sleep disorders: Sleep apnea and insomnia are the most prevalent of sleep disorders reported in women with PCOS.
• Mood swings: Unstable mental health including issues like anxiety, depression and irritability are very common in women suffering from hormonal imbalances.
• Cardiovascular disease (CVD) risk factors: Obesity, hypertension, lack of physical activity, dyslipidemia, impaired glucose tolerance, smoking etc.

PREVENTION:

• Eat a nutritious diet that is high in fibre and low in simple carbohydrates and sugars. Carbohydrates should be the ones with low glycemic index.
• Establish and maintain a healthy workout routine - physical fitness will keep all hormonal imbalances under control.
• Incorporate nutritional supplements into a healthy diet.
• Lifestyle modifications: Don't skip breakfast and sleep early so as to avoid imbalances in hormonal rhythm.

PCOS TREATMENT:

1. Behavioural strategies: Less usage of mobile, ipads etc.
2. Dietary interventions: Take a balanced diet. For weight loss, energy deficit of 30% or 500-750 kcal/ every day (1200 — 1500 kcal/d) is required.
3. Exercise intervention:

For preventing weight gain and maintaining good health:

• Muscle and bone strengthening exercises
• Adults: 150min/week moderate intensity or 75 min/week vigorous physical activity
• Adolescents: 60min moderate to vigorous activity/day

For weight loss:

• 250 min/week moderate intensity
• 150/min/week vigorous intensity
• Minimize sedentary/sitting/screen time
• Daily 10000 steps ideal
• 30 minutes of structured physical activity or 8000 steps

ORAL MEDICATIONS:

COCPs (Combination oral contractive pills), anti obesity drugs, inositol etc.

KEY MESSAGE:

• Counselling and education of the patient and his/her family
• Treatment is symptomatic
• Prevention of complications

Dr Ashima Goel offers the best treatment for PCOS in Chandigarh and all its symptoms. Women with PCOS disease have resistant acne and more resistant hair growth. We provide customised treatments that treat physical changes, giving our patients the best outcome for their skin and internal problems. We offer a cocktail of treatments which start with counselling, acne treatment, laser hair reduction, fat loss therapy and therapies to control further hair fall.