PCOS (Polycystic Ovarian Syndrome)

Good evening friends. My self Dr Deepa. I have my own clinic at sector 86 at Faridabad with the name of get well medical center. Today we are going to discuss the topic as Polycystic Ovarian Syndrome. This is basically a spectrum of symptomologies in PCOS which range from acne in teenagers to weight gain, menstrual irregularity to infertility. we can see with patients presenting with any of these complains. First of all to diagnose the PCOS patient presents when we take the history, completely diagnose.. we completely find out where is the problem in menstrual periods is there any complaint. Are the periods regular? Normally the patients have irregular periods the high bleed every two three months. They don’t have periods in between. Then they gave vomplains with acne or weight gain and then there are patients, married females coming with problem of conception. Now, basically in PCOS the problem is the hormones are imbalanced. The ovary which is the harmones producing organ produces the harmones which are not required for the body or produce in excess. sex harmonse in females are supposed to be less in amount which is produced in excess in PCOS. Then the androgens, the level of androgens rises that leads to problem of acne, weight gain and dark, thickens hair which come out on the face or on other parts of the body which are not in the female pattern. The come out in the male pattern. Then the resistance to insulin can come and then that can lead to end organ resistance to insulin leading to diabetes. The complication of PCOS otherwise can be weight gain, obesity and hypertension. Diabetes. Now when we have known what is there in PCOS. What are the symptoms, patients presenting with acne, weight gain, infertility, menstrual irregularity now we need to diagnose. Diagnose is very basically with history, examination, increased BMI in weight gain, acne and then we need to get some lab test done to detect the hormonal imbalance. LS, LSFH, and testirone, ultrasound to detect the ovaries, to see the ovaries in which the, many many small number of systs appear and the have increased in normal thickness. This is how the diagnoses of PCOS is done. Then there can be how basically to treat PCOS on the bases of syptompology. If they are presenting with acne we need to give them treatment for acne. If they are coming with problem of menstrual irregularity we need to correct that. Weight reductinon is the first criteria of treatment of PCOS in which, even the patients loss around 5 kg’s of weight, 5% of patients get their periods regular. Then treatment also includes the medications, harmones, to correct the imbalance of the harmones in the body. Metform is the medicine. Patients that get their periods normal with metform. Then there are other medicines. For infertility they can go with ovulation induction. And then go ahead, planned IUI or IVF can be the treatment. This is how the PCOS is diagnosed and treated. Patients need to discuss it is not like the infertility patients coming with PCOS do not conceive that is a myth actually. They do conceive but they do need more monitoring and treatment proper. So this is how the PCOS diagnosed and managed. Thank you very much and you can contact me on Lybrate or at my clinic at Get well medical center sector 86, Faridabad.