26 October

Polycystic Ovarian Disease

PCOD is one of the reasons for infertility in women. Women with PCOD have anovulatory menstrual cycles, i.e In these women, there is no release of the ovum from the ovary every month. They have multiple small cysts fluid filled sac-like structures in their ovaries.  In fact, the word “Poly” means Many. These cysts occur when the regular changes of a normal menstrual cycle are disrupted.

The ovary is enlarged and produces excessive amounts of androgen and estrogenic hormones. This excess, along with the absence of ovulation, may cause infertility.

Patients with PCOD typically have persistently elevated levels of androgens and estrogens.  Obesity can aggravate PCOD because fatty tissues are hormonally active and they produce estrogen which disrupts ovulation. Overactive adrenal glands can also produce excess androgens, and these may also contribute to PCOD. Some women who are obese also tend to have insulin resistance, that is the cells in their boded not respond to insulin

Symptoms and signs

irregular menstrual cycles, which are unpredictable and can be very heavy

Sometimes there may be no periods for an extended period and the woman may need to take hormonal tablets to induce a period.

They are usually obese and may have hirsutism, (excessive facial and body hair) as a result of the high androgen levels.

Diagnosis

Vaginal ultrasound shows both the ovaries are enlarged and there are multiple small cysts in the ovaries.

Blood tests are also very useful for making the diagnosis. blood levels of hormones reveal a high LH (luteinizing hormone) level and a normal FSH level (follicle stimulating hormone) and elevated levels of androgens ( a high dehydroepiandrosterone sulfate ( DHEA-S) level)

Treatment

As Anovulation is the main cause for the signs and symptoms of PCOD. Treatment lies in regularizing the periods and convert it back to ovulatory cycles.

Patients who are obese could benefit from weight loss as we had seen earlier that fatty tissues are hormonally active and they produce estrogen which disrupts ovulation.

Increasing physical activity is an important step in losing weight. Aerobic activities such as walking, jogging or swimming are advised. Long-term permanent weight loss is important than crash diets.

Another form of treatment is inducing ovulation. This is done with medication. The first choice of drug in obese women is Metformin. This is also used in diabetic patients in order to decrease their insulin resistance. The same principle is used here as many women with PCOD are also thought to have insulin resistance. So Metformin could improve their condition.


About our blogs

We have put together weekly developments during pregnancy. These articles are only for information. Every pregnancy is different and every woman's experience may be different. We also have articles relating to women's health, infertility and plan to add information about newborn care. Through the blogs, videos and our online consultation services, we are trying to empower mothers (as well as soon-to-be-moms) with health information which is easily understandable. Our mission is to help mothers have a happy pregnancy and a very happy postpartum experience. 

Have a passion to write, want to share a pregnancy story... Send in your articles, our team of experts will go through it and publish it on our website. 






Call us at +91 80 39534676  for a second opinion from our doctors. This is a paid service.

Pregnancy brings a new meaning to the concept of beauty to a woman. It is a period of immense joy, excitement and anxiety. The feeling of carrying a little soul within you is beautiful.

Last modified on Monday, 06 August 2018 11:45
MedHealthTV

Dr Madhu handles technology and business development for MedHealthTV.

www.medhealthtv.com

Leave a comment

Make sure you enter all the required information, indicated by an asterisk (*). HTML code is not allowed.

Ticket

Support info@medhealthtv.com

Contact Us Form

Contact Us
security image
Live Chat

Live ChatInstant Reply