August 25: PCOS is a hormonal disorder that affects ovaries and primarily affects women during their adolescence and early twenties. It affects at least one in ten women globally. 

Dr Shweta Shah, a leading gynaecologist in Mumbai, states,’ Polycystic ovarian syndrome affects the functioning of the ovaries, and there is no cure for it. Hence, it has to be managed, especially under medical guidance, to reduce long-term risks.’

Women are likely to develop PCOS if their mother or sister has PCOS. Also, it is possible that the patient’s body could be producing excess insulin, which could harm the ovaries and their ability to release eggs.  

As mentioned earlier, there is no definite reason or cure for its occurrence. Moreover, it has to be diagnosed on time and accurately. Hence, managing PCOS is very important, which can be done by consulting an experienced infertility specialist and support of the family members and loved ones.  

Long-term risks of PCOS include high blood pressure, cardiac issues, diabetes type 2, uterine cancer and diabetes. Also, likely complications in pregnancy include diabetes, hypertension, and even miscarriage.  

Typical symptoms of PCOS include weight gain, oily skin, pelvic pain, irregular periods, excess body hair on the face, chest, back, hair loss, and difficulty conceiving. If the patient has more than two of these symptoms, she is said to have PCOS.

A gynaecologist can suggest the most suitable protocol to treat PCOD. Generally, it is a combination of medicines along with changes in diet and lifestyle. Birth control and hormonal pills help to regularize the menstrual cycle, prevent hair loss and control excess hair growth on the body.

Progesterone is advised for patients who have infrequent periods at an interval of three months. This medication also reduces the risk of developing uterine cancer in the future.  

Ovarian drilling is minor surgery to destroy the androgen-producing tissue in the ovaries. It is a minimally invasive surgery and safe. Ovarian drilling is recommended to treat fertility issues that arise due to PCOS. It lowers testosterone and luteinizing hormone (LH) levels while raising follicle-stimulating hormone (FSH) levels. Hence, it ensures the correction of hormonal imbalance and normal functioning of the ovaries.  

Dr Shah stresses attaining normal weight through exercise and a healthy balanced diet. The diet should include plenty of vegetables, whole foods and fruits. 

As a general advisory, patients with PCOS should undergo regular health check-ups, especially for blood pressure and blood sugar levels, for better health management. In addition, they should limit the consumption of alcohol and tobacco and practice a stress-free and highly disciplined lifestyle.  

Dr Shweta Shah is a highly passionate gynaecologist who emphasizes the health of her patients. She treats gynaecological issues from adolescence till menopause. An extremely caring and compassionate doctor, she gives adequate time and patience to every patient, especially in the first round of consultation. 

She is available at Cloud Nine Hospital, Malad (W), Mumbai, Maharashtra. She can be reached at drshwetashah31@gmail.com and at +91-7977126520, 9769888955.

 

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