Polycystic Ovary Syndrome (PCOS) is a condition, a hormonal disorder which affects women during their
reproductive age. Nowadays, PCOS is becoming a serious concern among the society because around every 1 in 10 women is now being detected with PCOS. This health problem makes the ovary produce a higher number of clustered fluids which thereby fails the ovary to release eggs and affects fertility.
PCOS generally lasts long for years or may sometimes even last a lifetime. Treatments will definitely help you to recover, however, there is no exact cure for PCOS. Laboratory test and imaging are required to detect the conditions of PCOS. Medical diagnosis is essential to test it. PCOS generally caused due to hormonal imbalance and affects the ovary. Women suffering from PCOS tend to produce higher amounts of male hormone or androgen. And this type of hormonal imbalance leads to skipping of their menstrual periods and may also decrease their chances of getting pregnant.
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The best ways to lose weight when you have PCOS:
- Change your lifestyle: Changing your daily routines, habits, and regime can definitely help you in shedding some pounds. Sticking to one chair and table will not help. Change your routines. Start making movements.
- Workouts and exercises: Always try to spare some time and dedicate them to exercise your body and follow some workout sessions, every morning and/or evening. Try starting with simple warm-up sessions and slowly increase the timings and repeats of a workout.
- Increase your daily activities: Apart from the regular workouts or exercises, you even need to increase your daily activities routine and engage yourself in as many different varieties of activities as possible, throughout the day. Keep yourself busy and engaged in activities.
- Minimize your stress: Give your health your first priority. Stay away from any type of stress. Keep your minds free and refreshed. Do what pleases you and don’t forget to relax your mind. Be positive and stay healthy.
- Keep breathing: Start taking deep breaths in between your routines. Try some deep breathing yoga or exercises. Always spare few minutes to breathe with a feel of exhaling and inhaling. Take a moment to breathe in fresh air.
- Avoid processed food: Try to keep yourselves away from processed and packaged foods like bread, pasta, noodles, canned juices, cookies, etc. that are rich in sugar and carbohydrates. Consuming these products are not providing you any vitamins or minerals, rather they are making you undernourished. Stay away from consuming any extra calories.
- Increase your vegetable intake: Include lots of veggies and salads in your daily menu. Do maintain a proper nourished diet plan full of veggies. Vegetables and salads are rich in fibers and nutrients and are low in calories. Also, try to consume different colors of vegetables because every veggie color contains a different nutrient, essentially beneficial for your health and weight loss regime.
Health gain today is one of the major concern among the youth. And PCOS is such a problem that it directly increases your weight rapidly. However, women try best possible ways to control and lose their weight even if they have PCOS. Although it is not an easy task, yes, it is possible if you are ready to struggle and make that extra effort.
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Polycystic Ovarian Syndrome(PCOS), is a set of symptoms that result from a hormonal imbalance affecting women and girls of childbearing age.
PCOS, a heterogeneous disorder is the most common endocrine abnormality among women of reproductive age.
PCOS can be described as an oligogenic disorder in which the interaction of a number of genetic and environmental factors determine the heterogeneous, clinical, and biochemical phenotype.
Although the genetic etiology of PCOS remains unknown. The current literature suggests that the clustering of PCOS in families resembles an autosomal dominant pattern.
Environmental factors implicated in PCOS (eg. : obesity) can be exacerbated by poor dietary choices and physical inactivity; infectious agents and toxins may also play a role.
PCOS is the most common cause of anovulatory infertility, meaning that the infertility results from the absence of ovulation, the process that releases a mature egg from the ovary every month.
PCOS can cause other problems as well, such as unwanted hair growth, dark patches of skin, acne, weight gain, and irregular bleeding.
Women with PCOS are also at higher risk for:-
- Obstructive sleep apnea, a disorder that causes pauses in breathing during sleep.
- Insulin resistance
- Type 2 diabetes
- Heart diseases and high blood pressure.
- Mood disorders
- Endometrial hyperplasia, a condition in which the lining of the uterus becomes too thick, and endometrial cancer.
The pathophysiology of PCOS involves primary defects in the hypothalamic-pituitary axis, insulin resistance and action, and ovarian function.
Although the cause of PCOS is unknown, it has been linked to insulin resistance and obesity.
Follicular maturation arrest is a hallmark sign that an ovarian abnormality exists.
Clinical signs of PCOS include elevated Luteinizing Hormone(LH) and Gonadotropin-Releasing Hormone(GnRH) levels, whereas follicular-stimulating hormone(FSH) levels are muted or unchanged. As a result of the increase in GnRH, stimulation of the ovarian thecal cells, in turn, produces more androgens.
PCOS is a hormonal disorder with a potential to lead to various diseases. It also continues to be a common cause of infertility among women.
Although signs and symptoms vary, the three most common factors associated with PCOS include ovulation irregularities, increased androgen levels, and cystic ovaries.
If PCOS is suspected, a complete medical history, physical examination, blood tests, and a pelvic ultrasound should be performed.
During the assessment period, other potential causes associated with reproduction, endocrine, and metabolic dysfunction should be excluded. Moreover, a pregnant woman with PCOS should be informed is the increased rates of miscarriage, gestation diabetes, pre-eclampsia, and premature delivery.
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1) Weight reduction for obese patients with PCOS is beneficial in many ways. Weight loss helps to decrease androgen, luteinizing hormone(LH), and insulin levels. It also helps to regulate ovulation, thereby improving the potential for pregnancy.
2) Laparoscopic ovarian drilling is an outpatient surgical intervention in which multiple perforations are created in the ovarian surface and stroma. It is thought that this intervention destroys androgen-producing tissue, which should lead to decreased androgen levels and also increases the risk of multiple pregnancies besides being effective as medical interventions.
Pharmalogical Approaches :-
- Anti-diabetic agents
- Aromatase inhibitors
- Oral Contraceptives.
- Medroxyprogesterone acetate
Polycystic ovary syndrome is a complex disorder for which multiple treatment approaches are required, depending on the reason a patient seeks treatment.
Clomiphene has shown that the best results in treating infertility, whereas data are limited regarding pharmacological treatment of androgenic symptoms.
Long-term consequences of PCOS, which include Type-2 diabetes and cardiovascular disease can be treated with anti-diabetic drugs and statins.