Polycystic Ovarian Syndrome

Hi,

I am Dr. Ruchi Malhotra, IVF Specialist. Today I will talk about PCOS. Ladies of 15 to 30 years of age are suffering from it. What are the symptoms and treatment for it? In this, a lady has multiple cysts in the ovaries. It can be diagnosed with ultrasound. Generally, we have seen that the patient is obese in PCOS. The patient has androgenic symptoms. There are male hormones in the female body. It promotes hair growth on the face and other parts of the body. Also, acne and pimples which are generally seen in teenagers are increased. There could be loss of hair. Periods will be irregular. The patient may have insulin resistance. The cause is unknown but still, we have found that lifestyle problems like sedentary lifestyle, junk food are some of the reasons for PCOS. If an unmarried girl is coming to us with such symptoms like periods issue then treatment is totally different.

We have to control their hair loss, acne and we have to regularize their periods. So, we have to give the hormones as per the requirement. For the lady who wants to get pregnant, there are different modalities for such kinds of patients. The first and foremost is weight reduction. Even 10% reduction in the body weight can make improvement in the lady. She can improve her cycle and make the ovulation regular which can help her in conceiving. They have to avoid all bad habits. They have to improve their living style. Such kind of improvements are actually going to help patients. At the time of the treatment, we give some pills to the patient and that is how we monitor the size of the egg. As the cycle progresses, we are more hopeful for the positive results. If something good is not happening then we have to give hormone injection to the patient so that egg formation can happen. Then there is another treatment which we call laparoscopic drilling.

In this, we make 4 holes in each ovary which is going to help the patient to ovulate. If all these will not work then we have to go for artificial reproductive technique which is called IVF. In this, we give special hormonal injections, in which the eggs are formed and eggs are taken out from the ovary outside of the human body and then fertilized with the sperm. Then we make the uterus ready to transfer the embryo. So, this is the last procedure which we have to do for PCOS patient. For any information, you can contact me through Lybrate.

Thank You!