DR. SHIKHA GUPTA | Best Gynecologist in Jaipur | Pregnancy and Maternity Specialist in Jaipur

PCOD CLINIC

Polycystic ovary syndrome (PCOS) is a common endocrine system disorder among women of reproductive age. Women with PCOS may have enlarged ovaries that contain small collections of fluid — called follicles — located in each ovary as seen during an ultrasound exam. Infrequent or prolonged menstrual periods, excess hair growth, acne, and obesity can all occur in women with polycystic ovary syndrome. In adolescents, infrequent or absent menstruation may raise suspicion for the condition. The exact cause of polycystic ovary syndrome is unknown. Early diagnosis and treatment along with weight loss may reduce the risk of long-term complications, such as type 2 diabetes and heart disease.

Causes:

Weight gain(commonest)
Genetic
Thyroid and prolactin disorders
Rarely associated with certain hormonal disorders( congenital adrenal hyperplasia)

Symptoms

acne
Weight gain
Excess body hair
Hair fall
Menstrual irregularity, including delayed periods, less flow, excess flow , continuous flow etc.
Infertility

When to treat

inability to conceive after one year of trying
Serious menstrual issues leading to low haemoglobin
Excess hair and acne causing cosmetic problem

Tests and diagnosis

Sonography
FSH ,LH ,TSH,Prolactin , serum testosterone
AMH

TREATMENT

Treatment of the patient varies according to symptoms

Weight loss and lifestyle changes is the 1st line treatment
Oral contraceptives for menstrual issues
Dermatological and hormonal treatment for hair and acne
For Fertility , ovulation induction with medicine is the first line treatment
Laparoscopic ovarian drilling can be done

Complications

Endometrial cancer
Diabetes and hypertension
GDM
PIH
Ovarian cancer if Medicines are not taken judiciously