Polycystic Ovary Syndrome (PCOS)

Hi,

I am Dr. Rupali, IVF Specialist, Chikitsa Hospital, Indraprastha Apollo Hospital, & Apollo Cradle Royale, Delhi. Today I will talk about PCOS. Aaj kal ke time mein ye bahut hi common diagnosis ban gaya hai. Ye middle class and upper-middle class mein jyada dekha jata hai. Ismein kya hota hai? Ismein periods time pe nahi aate hain ya fir prolong hote hain ya fir kam ho jaate hain ya fir 3-6 months tak nahi aate. Patients ko hyperandrogenemia ho jata hai. Iska matalb hai masculine features aa jaate hain. Like body pe hair jyada hona, pimples hona. Ultrasound mein polycystic ovaries dikhti hain. In conditions mein se agar koi 2 conditions bhi hain toh hum patient ko PCOS bolte hain. Young girls mein jab tak periods regular nahi ho jaate, hum 2 saal ke baad hi unhein PCOS ka label dete hain. Shuru mein hum ultrasound ek diagnostic criteria nahi lete hain. Although we have a lot to tell in this topic I would be very brief. The most important complaint the patient is present to me is weight gain. Agar patient ka weight badhta hai to PCOS ke features bhi badh jaate hain. Aise mein weight lose karna mushkil ho jaata hai.

Aise mein aap ko weight gain control karna hota hai. So, please remember, jitni marzi medicines le lein, sabse pehla control and prevention hai weight loss. You have to have good lifestyle management and regimen. Jo aap kar rahein hai, is problem ko stop kar sakte hain. Apart from this, yes, mere pass aise patients bhi aate hain jinko pigmentation hota hai, neck ki skin dark ho rahi hoti hai. Ye manifestation hain insulin resistance ke. Kafi sare patients aate hain infertility le ke. Aisa jaruri nahi hai ki har ek patient ko ek lamba choda treatment mile. Jo treatment humara hota hai infertility ke lia, basic step ladder pattern mein jata hai. Kuch patients jo PCOS ke hote hain, unhein simple medicines se hi pregnancy ruk jaati hai. But han kuch logon ko dusra spectrum yanike IVF ki bhi jarurat padti hai. So, these are the main symptoms of PCOS jiske sath patient humare paas aata hai. Iske alwa, I would also want to tell you, later on in life, patient ko jab time ho jata hai, in patients mein metabolic syndrome hota hai. Ismein patient ka BP high hota hai, again motappa hota hai, diabetes ke high chances hote hain. So, jo bhi management aap ko samjhayein jaate hain vo aap k life long lene hain. Iske alwa jo aage ka management hai, I will be speaking about it in the next video.

Thank You.