PCOS Treatment in Chennai | PCOS Clinic

PCOS – PolyCystic Ovary Syndrome is a condition that is caused due to the imbalance of hormones. Women who produce more male hormones and less female hormones have disturbances in their ovulation cycles, menstrual cycles and as a result, have problems in bearing children or getting pregnant.

PCOS problem is typically is seen in women during their childbearing age, approximately from 14 years o 40 years of age. Many women wouldn’t even know that they have the problem if they are seeing it from the day they started having their first period. Many women will come to know about the issue when they fail to get pregnant even after several natural attempts.

What happens in women with PCOS?

The pituitary gland in the brain releases two different hormones – Follicle Stimulating Hormone (FSH) and Luteinizing Hormone (LH). These two hormones control the ovulation in any woman. FSH stimulates the ovaries to produce the follicles, a sack-like thing that can hold an egg. Luteinizing Hormone triggers the release of the mature eggs by the ovary.

The ovaries of a woman produce estrogen and progesterone, the main female hormones that regulate the menstrual cycle. Ovaries also produce a very little amount of male hormone, androgens.

In women suffering from PCOS, the sacks that are produced are usually filled with fluids and immature eggs. Immature eggs are not released into the uterus during ovulation. This causes disruption in the ovulation process and that results in disruption of the production of other hormones such as progesterone, estrogen, androgen (by the ovaries), and FSH and LH by the pituitary gland. When the ovulation doesn’t happen at regular intervals, the endometrium layer (the internal lining of the uterus) is not shed instead it keeps piling up in the uterus. When the woman is having her period (after a very long interval), the amount of endometrial layer that is shed is big and so will be the periods. That’s the reason why women suffering from PCOS have:

  1. Irregular menstrual cycles with long gaps to very long gaps.
  2. Heavy to very heavy menstrual bleeding
  3. Difficulty conceiving
  4. Cysts in the ovaries.

Causes of PCOS

Out of several hundreds of medical conditions for which our medical community is not sure about the reason, PCOS is one among them. The exact cause of PCOS is still unknown but some co-relations have been made that could be causing PCOS.

  1. Genetics or Hereditary. If PCOS runs in a family, many women in the family may be suffering from the same problem.
  2. Insulin resistance. Insulin resistance is a condition when the body parts/organs are not able to absorb the sugar from the blood even when enough insulin is present. This triggers the body to produce more insulin and that builds up the insulin levels in the blood. This insulin excess can also trigger produce higher amounts of androgen, the male hormone that in turn affects the ovulation process.
  3. Obesity or being overweight is one other condition that is commonly seen in women suffering from PCOS. Insulin resistance and obesity can result in increasing the risk of type 2 diabetes.
  4. Women with PCOS have higher levels of inflammation in their bodies. Excess body weight also contributes to inflammation. Inflammation can lead to higher levels of androgen hormone production.

Symptoms of PCOS

  1. Irregular periods. As described above, the production of immature eggs and fluid-filled follicles can’t result in regular ovulation. Irregular ovulation leads to irregular periods and infertility.
  2. Heavy bleeding. When the long piled up endometrium sheds, that is seen as a heavy flow of blood during the periods.
  3. Growth of hair on the face, back, and other parts of the body. Androgen hormone, which is primarily a male hormone, when produced in excess quantities can result in the growth of facial hair.
  4. Androgen hormone is again a cause of this issue which makes skin oily and promotes the growth of pimples.
  5. Weight gain. Around 80% of women with PCOS are obese or overweight as PCOS also affects the metabolism in their bodies.
  6. Baldness on the scalp. Hair on the head thins and also falls off sooner resulting in baldness.
  7. Headaches and darkening of the skin in the groin, under the breasts, are commonly observed in PCOS patients.

 

How PCOS affects a woman’s body?

  1. Sleep Apnea. Women with PCOS ‘forget’ to breathe while they are asleep. This wakes them up from sleep causing disturbances during their sleep.
  2. Endometrial Cancer. When the lining of the uterus builds up, the risk of getting endometrial cancer goes up.
  3. The changes happening inside the body and outside of it can be a cause of concern in many women. Facial hair, pimples can mentally affect women and can lead them eventually into anxiety and depression issues.
  4. Metabolic issues. The metabolism is disturbed in women with PCOS resulting in obesity, an increase of bad cholesterol, a decrease of good cholesterol, high blood sugar, and blood pressure, etc.
  5. Irregular ovulation and unpredictable menstrual cycles can lead to infertility.

Treatment of PCOS in our Chennai clinic

Once PCOS is diagnosed by the gynecologists, there are some treatment options that exist and your doctor will explain them to you and also the most suitable one depending on your medical condition.

  1. Birth control or hormone therapy. The women will be given progesterone and estrogen hormones (depending on the need) to reduce or stabilize the imbalance of hormones.
  2. Certain medications may be given to control insulin resistance.
  3. In order to get rid of unwanted hair, some procedures may be performed or you may be put on medication to get rid of the hair.
  4. In order to restore normal ovulation, drilling or putting small homes in the ovaries is done surgically. This improves the chances of fertility.

 

Note. A normal pap smear test is done to check for cervical cancer and PCOS has hardly anything to do with cervical cancer as per some online resources.

 

References:

  1. https://www.mayoclinic.org/diseases-conditions/pcos/symptoms-causes/syc-20353439
  2. https://www.healthline.com/health/understanding-glycemic-index
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