Medically Verified By: Dr. Sangeeta Desai
Polycystic ovary syndrome (PCOS) is one of the most common endocrine and metabolic disorders in premenopausal women. This condition produces an abnormal amount of male sex hormones, namely, androgens, usually present in women in small amounts. PCOS is a disorder characterized by increased androgen levels, menstrual irregularities, or the presence of small cysts on ovaries.
Ovulation takes place when the egg is released from ovaries such that the sperm can fertilize it. For PCOS, the woman does not make sufficient amount of hormones necessary for ovulation. Cysts are developed when ovulation does not take place. Cysts produce high levels of androgens, which can hinder with a woman’s menstrual cycle and account for the multiple symptoms of PCOS.
As per the Rotterdam Criteria, PCOS can be divided into four types:
1) Classic polycystic ovary PCOS is characterized as a chronic absence of ovulation and increased androgens with polycystic ovaries. Women with this type of PCOS have considerable risk of metabolic and cardiovascular disorders.
2) Classic non-polycystic ovary PCOS is characterized as a lack of ovulation, increased level of androgens, and normal ovaries.
3) Non-classic ovulatory PCOS - Ovulation occurs and there are regular menstrual cycles, increased levels of androgens, and polycystic ovaries.
4) Non-classic mild PCOS - There is a lack of ovulation, polycystic ovaries, and an average androgen level. Here, women have less insulin-resistant and lack metabolic features of PCOS.
PCOS can lead to the development of various diseases. The three common problems associated with PCOS include ovulation irregularities, increased levels of androgens, and cystic ovaries. According to Rotterdam’s criteria, if a woman has two out of the following three symptoms, she has PCOS.
Signs and symptoms of PCOS may vary as per the type of condition; however, commonly occurring signs include the following:
· Irregular menstrual cycles - This can include absent periods, periods that infrequently occur, heavy periods, or unpredictable periods.
· Infertility
· Obesity
· Excessive hair growth on the face, chest, and abdomen
· Severe acne and oily skin
Causes
The exact cause of PCOS is unclear. It is related to different genetic or family history and environmental factors that determine the condition’s type. The different causes are listed below:
· Environmental factor - This can cause obesity and weight gain because of poor dietary choices and inadequate physical inactivity. Weight gain is closely related to PCOS, although certain women with average weight may suffer from this condition. Exposure to infectious agents and toxins may contribute as an environmental factor.
· Family history: The family history may give information about the type of PCOS and severity, which helps determine additional complications. Women with a family history of PCOS or type 2 diabetes are more prone to develop PCOS.
· Insulin resistance - The body cells fail to respond to insulin; the body generates additional amount of insulin, leading to excess insulin in the blood. Therefore, there is an improper balance of insulin in the body, which may cause a higher androgen level. Lifestyle habits such as physical inactivity and an unhealthy diet contribute to insulin resistance, which causes weight gain and worsening of symptoms.
Risk Factors
PCOS not only affects the reproductive system but also affects all other areas of the body. It increases the risk of a woman’s health, which may have lifelong consequences.
· The primary risk factor for developing PCOS is if your mother or sister has it. You possibly develop it if you have insulin resistance or are obese.
· Insulin resistance is one important risk factor for the development of PCOS. It increases the risk of type 2 diabetes and cardiovascular disease.
· In some women, PCOS can cause excessive thickening of uterus lining, which increases the risk of endometrial cancer.
· The risk of sleep disorders, such as sleep apnea and depression, is higher with PCOS.
PCOS is developed during puberty with menstrual abnormalities and infertility in adulthood and contributes to an increased risk of diabetes; thus, prevention of PCOS is important.
· Women with obesity should follow long-term intervention programs that focus on weight loss and restricted diet, resulting in beneficial effects on the symptoms and severity of the condition.
· It is necessary to be aware of insulin and androgen levels because they are responsible for PCOS development.
The symptoms of PCOS are similar to those that are caused by other health problems. A proper diagnosis will help exclude conditions and determine the type and severity of the disorder.The different diagnostic tests include-
· Medical history and physical examination - This will provide the physician with information about sudden weight gain, menstrual cycle abnormalities, male pattern hair growth, skin changes, and elevated blood pressure. It will help to predict other development of risk factors such as diabetes or cardiovascular diseases.
· Ultrasound/pelvic exam - A pelvic exam confirms the health of your reproductive organs both inside and outside the body. The technology uses sound waves and provides images of blood vessels, tissues, and organs. This test can help determine the size of ovaries, presence of cysts, and thickness of the lining of the uterus.
· Blood tests - The blood tests detect the high levels of androgens, glucose, and lipid levels.
The assessment period of PCOS should eliminate other potential causes associated with reproductive and endocrine disorders.
Various treatments are available to address PCOS-related problems. Treatment is tailored to each woman as per symptoms, other health problems, and whether she wants to get pregnant.
There is a range of treatment options available to address the PCOS-related problems. Treatment may vary as per symptoms, type, other health problems and chances of pregnancy, and therapy aims.
If the woman plans to become pregnant:
· Lifestyle modifications - A change in diet and more physical activity will promote weight loss and reduce symptoms. These can help the body use insulin more efficiently, lower glucose levels and increase chances of ovulation.
· Fertility medications - Oral or injected drugs are usually used to help ovaries release eggs. Although these medications have risks including increased chances for multiple births or cause the ovaries to release multiple hormones and cause symptoms such as pelvic pain and bloating.
If the woman does not plan to become pregnant:
· Birth control pills - These are used to prevent pregnancy and regulate menstrual cycles, lower androgen levels, reduce acne, and manage hair growth.
· Diabetes medication - This is a non-hormonal treatment option used in diabetic patients. Even if the woman does not have diabetes, this medication helps reduce insulin resistance in PCOS, decreases androgen levels, and helps to regularly ovulate. Diabetes medication is usually prescribed in obese women. This medicine can assist
with weight loss and reduce hair growth. Myoinositol can be attributed to both obese and non-obese women.
· Supplementary medications - Specialities may help manage other symptoms such as obesity, acne, and hair growth in these specific areas.
· Other treatment options include: Surgical treatment: These are secondary treatments when medications do not respond. Ovarian drilling is performed to restore ovulation in patients when medication management has failed.
· Assisted reproductive technology (ART): This is used to manage infertility in PCOS patients when medication and surgical treatment do not work. It includes fertility treatment that has a woman’s egg and a man’s sperm. In vitro fertilization (IVF) is the most common and effective type of ART.
Lifestyle modifications are considered cost-effective treatment with the necessary medications for treating PCOS. The primary cause of PCOS is unclear; therefore, it is important to improve the patient’s condition when symptoms occur.
· Appropriate nutrition, physical exercise, yoga, and other stress management therapies contribute to the overall health benefit that influences the outcome of infertility treatment.
· Weight reduction in obese patients and a restricted healthy diet will help regulate hormone levels, thereby increasing the ovulation-related chances.
Prognosis
Appropriate care for the patient requires to both treat current symptoms and prevent any morbidity that might develop later in future; thus, the importance of screening recommendations as an essential part of managing PCOS. This section will focus on what is recommended in screening for morbidities in patients with PCOS.
Women with PCOS require to be treated for both presenting symptoms and prevent any morbidity that might develop in future. Therefore, screening and monitoring of the progression of symptoms are highly recommended. Women with PCOS should be routinely screened for diabetes and cardiovascular risk factors because these are the most commonly occurring conditions with PCOS.
Women are prone to develop depression and anxiety, eating disorders, and negative body image if there is no improvement in symptoms.
Complications
PCOS is a lifelong condition and can be treated at an appropriate time. Women with PCOS develop considerable complications. Some of these include:
· Diabetes: Type-2 diabetes mellitus is seen in almost 50% of the woman by the age of 40.
· Heart disease: The risk increases with age and improved cholesterol levels.
· High blood pressure: This can cause severe damage to heart, brain, and kidneys.
· Stroke: Restricted blood flow can cause clots that can turn into a stroke.
· Thickening of uterine wall may lead to endometrial cancer.
PCOS symptoms are associated with high levels of androgens, birth control pills help lower the hormone levels. Read on to know more
Because PCOS is so strongly linked to obesity, lean women with PCOS are frequently misdiagnosed for years. Here are other challenges they face.
Weight loss is an integral part of the treatment plan for PCOS, but it is more difficult to lose weight when you're suffering from this hormonal disorder. Help is here.
Ovarian cysts and PCOS are conditions with many common symptoms. As a result, many women often confuse the two and believe they have PCOS when they do not.
A diagnosis of PCOS does not prevent you from becoming pregnant naturally or through assisted reproductive technology, but it can make the process longer and more difficult.
Some women with PCOS may experience strong, intense, and even urgent cravings. If these cravings are not fulfilled, it can lead to increased calorie consumption and weight gain. Read on to find out the other reasons:
Polycystic ovary syndrome (PCOS) is a hormonal disorder that affects women of child-bearing age. It can lead to dire consequences, including obesity. Here are some diet tips to manage the disease.
Regular exercise and right food can help reduce the severity of PCOD symptoms like abdominal weight gain, irregular periods, male pattern hair loss and infertility.
Have you heard of seed rotation? This is method that is being touted as an effective remedy for PCOD or PCOS. Read on to know all about this.
Acne is common symptom of PCOS affecting up to 34% of women with the condition. Read on to explore the link between PCOS and acne.
As we are observing PCOS Awareness Month in September, it is crucial to raise awareness about this condition and look at ways that can prevent it.
Women with PCOS aged 50 and over, however, did not have a higher risk of developing cardiovascular disease compared to their peers without PCOS.
PCOD is not life-threatening but it can affect your overall health. It can cause infertility, obesity and more. Read on to know all about this disease.
Weight loss is a challenge for all, including your favourite Bollywood stars. We tell you about the common barriers against it and ways to fight them.
Mindless eating and sedentary lifestyle are not the only culprits behind your weight gain. There are certain diseases and condition that could also give you extra kilos.
From losing weight after pregnancy and lowering your chances of getting osteoporosis to dealing with hormonal imbalance and getting rid of stress, aquatic therapy can help you achieve overall wellness.
You'll be surprised to know that some common ingredients in your kitchen can help reduce pain during periods.
Alarmingly, various estimates prove that about 6 percent to 21 percent of women of childbearing age are affected by PCOS. The medications for PCOS last for long and it is best to prevent the condition. If not prevent it, it is best to treat it by using natural remedies.
September, being World PCOS awareness month, Dr Batra's Multi-Specialty Homeopathy aims to raise awareness about the disease and its safe and effective treatment through Homeopathy.
Here are some herbs that are useful in maintaining general reproductive health in women. Make sure to consult an Ayurveda expert to find out if these remedies work for you.
Irregular periods, menstrual pain, premenstrual pain, acne, anaemia, missed periods -- how many of these problems do you face? Take care of your reproductive health, women!
Diabetes, hypothyroidism, PCOS and other hormonal imbalances can be dealt with. All you need is a disciplined diet, regular exercise, stress management and high motivation levels. Follow these tips as recommended by a nutritionist.
Read this to know the answer.
This breakthrough treatment could help in treating woes of PCOS, a syndrome that affects roughly 1 in every 5 women. This could, in turn help in treating fertility issues of women with this syndrome.
PCOS symptoms are associated with high levels of androgens, birth control pills help lower the hormone levels. Read on to know more
Because PCOS is so strongly linked to obesity, lean women with PCOS are frequently misdiagnosed for years. Here are other challenges they face.
Weight loss is an integral part of the treatment plan for PCOS, but it is more difficult to lose weight when you're suffering from this hormonal disorder. Help is here.
Ovarian cysts and PCOS are conditions with many common symptoms. As a result, many women often confuse the two and believe they have PCOS when they do not.
A diagnosis of PCOS does not prevent you from becoming pregnant naturally or through assisted reproductive technology, but it can make the process longer and more difficult.
Some women with PCOS may experience strong, intense, and even urgent cravings. If these cravings are not fulfilled, it can lead to increased calorie consumption and weight gain. Read on to find out the other reasons:
Polycystic ovary syndrome (PCOS) is a hormonal disorder that affects women of child-bearing age. It can lead to dire consequences, including obesity. Here are some diet tips to manage the disease.
Regular exercise and right food can help reduce the severity of PCOD symptoms like abdominal weight gain, irregular periods, male pattern hair loss and infertility.
Have you heard of seed rotation? This is method that is being touted as an effective remedy for PCOD or PCOS. Read on to know all about this.
Acne is common symptom of PCOS affecting up to 34% of women with the condition. Read on to explore the link between PCOS and acne.
As we are observing PCOS Awareness Month in September, it is crucial to raise awareness about this condition and look at ways that can prevent it.
Women with PCOS aged 50 and over, however, did not have a higher risk of developing cardiovascular disease compared to their peers without PCOS.
PCOD is not life-threatening but it can affect your overall health. It can cause infertility, obesity and more. Read on to know all about this disease.
Weight loss is a challenge for all, including your favourite Bollywood stars. We tell you about the common barriers against it and ways to fight them.
Mindless eating and sedentary lifestyle are not the only culprits behind your weight gain. There are certain diseases and condition that could also give you extra kilos.
From losing weight after pregnancy and lowering your chances of getting osteoporosis to dealing with hormonal imbalance and getting rid of stress, aquatic therapy can help you achieve overall wellness.
You'll be surprised to know that some common ingredients in your kitchen can help reduce pain during periods.
Alarmingly, various estimates prove that about 6 percent to 21 percent of women of childbearing age are affected by PCOS. The medications for PCOS last for long and it is best to prevent the condition. If not prevent it, it is best to treat it by using natural remedies.
September, being World PCOS awareness month, Dr Batra's Multi-Specialty Homeopathy aims to raise awareness about the disease and its safe and effective treatment through Homeopathy.
Here are some herbs that are useful in maintaining general reproductive health in women. Make sure to consult an Ayurveda expert to find out if these remedies work for you.
Irregular periods, menstrual pain, premenstrual pain, acne, anaemia, missed periods -- how many of these problems do you face? Take care of your reproductive health, women!
Diabetes, hypothyroidism, PCOS and other hormonal imbalances can be dealt with. All you need is a disciplined diet, regular exercise, stress management and high motivation levels. Follow these tips as recommended by a nutritionist.
Read this to know the answer.
This breakthrough treatment could help in treating woes of PCOS, a syndrome that affects roughly 1 in every 5 women. This could, in turn help in treating fertility issues of women with this syndrome.
