Treatment of PCOS

Our Treatment of PCOS focuses on managing your concerns, such as infertility, hirsutism, acne or increased body weight. Specific treatment of PCOS may involve lifestyle changes, medication or both. PCOS Doctor may recommend weight loss through a special diet plan combined with specific exercise activities. Even a little reduction in your body weight — for example, losing 4 to 5% of your body weight — may improve your condition. Decreased weight may also increase the effectiveness of medicine that your doctor recommends for PCOS, and also can help with infertility problems.

Medications

Together with management of lifestyle, medications are prescribed which are broadly of two categories viz, Nutraceuticals and Pharmaceuticals.

  • Nutraceuticals

These are like nutritional supplements and supplement the minerals and essential elements which are deficient in PCOS patients like inositols, selenium, chromium, manganese,berberine etc and make the body and ovarian cells sensitive to insulin, thus reversal of PCOS is augmented without any side effects. 

  • Pharmaceuticals

To improve your menstrual cycle and hormonal derangements, your doctor may recommend:

  • Combination OCP (birth control pills) : These Pills that contain estrogen and progestin decreases androgen hormone production and also regulate estrogen. Improving your hormones can lower your risk of endometrial cancer and correct menstrual irregularities , excess facial and body hair growth and pimples . Instead of pills, you may use a skin patch or vaginal ring containing the same drug.
  • Progestin therapy: Taking progestin therapy can regulate your periods and protect against endometrial cancer. Progestin therapy does not improve androgen levels and does not prevent pregnancy. The progestin-only mini pill or progestin-containing intrauterine device is an alternative choice.

To Help You Ovulate And Solving Infertility, Your Doctor May Recommend ovulation inducing drugs:

Clomiphene : This oral anti-estrogen medicine is taken during the early part of your menstrual cycle, for stimulating ovaries to form a proper egg.

Letrozole : This treatment can work to stimulate the ovaries to form a proper egg. 

Inositol : These are the latest nutraceuticals which act as insulin sensitizers and improve the deficiency of important elements of inositol caused in PCOS and improve your fertility rate.

Metformin : This oral medicine for diabetes helps in improving insulin resistance and lowers blood insulin levels. If you have prediabetes, metformin can also slow the progression to diabetes and also helps with weight loss.

Gonadotropins: These hormones are given by injections for ovulation.

To Reduce Excessive Hair Growth, Your Doctor Might Recommend

Birth Control Pills : Regulates androgen production that causes excessive hair growth

Inositol: To correct insulin resistance as high insulin leads to increased androgen.

Spironolactone (Aldactone) : This Medicine blocks the effects of androgen on the skin. It is not recommended if you are pregnant or planning pregnancy.

Eflornithine : This cream can slow facial hair growth in women.

Diode Laser : It is  now a gold standard treatment for getting rid from unwanted hair. Multiple sessions are usually required.

LIFESTYLE AND HOME REMEDIES    

 TO HELP DECREASE THE SYMPTOMS OF PCOS TRY TO

  • Maintain a healthy weight : Weight loss can reduce blood insulin level and also androgen levels and may help in restoring ovulation. Ask your doctor about a weight-control program which also involves dietitian for help in reaching weight-loss goals.
  • Limit carbohydrates : Low carb diet helps in improving insulin levels. Ask your doctor for a low-carbohydrate diet if you have PCOS. Also Choose complex carbohydrates, which tend to raise your blood sugar levels more slowly.
  • Regular exercise : This helps in lowering blood sugar levels. If you have PCOS, increasing your daily physical work and maintaining a regular exercise program may help you keep your weight under control and avoid developing diabetes.

PREPARING FOR YOUR APPOINTMENT

Here’s some information which help you to get ready for your Appointment

WHAT YOU CAN DO
  • List your Symptoms, and also for how long they exist.
  • List all medicines, vitamins and supplements you take.
  • List key personal and medical information, including other medical or surgical conditions, recent life modifications and stress factors.
  • Keep a record of your menstrual periods.
  • During your Appointment, don’t hesitate to ask other questions as they occur to you.

WHAT TO EXPECT FROM YOUR DOCTOR

  • List your Symptoms, and also for how long they exist.
  • List all medicines, vitamins and supplements you take.
  • List key personal and medical information, including other medical or surgical conditions, recent life modifications amd stress factors.
  • Keep a record of your menstrual periods.
    During your
  • Appointment, don’t hesitate to ask other questions as they occur to you.

FAQs

PCOS means polycystic ovarian syndrome. PCOS is the pathology of ovaries in which multiple eggs are formed which leads to formation of multiple cysts, get arranged peripherally in ovaries. It is a heterogeneous and heritable disorder which causes reproductive, metabolic and hormonal disturbance in the females.

PCOS is the leading cause of infertility. It is solely responsible for 40% cause of Anovulation hence female infertility. Insulin resistance plays crucial role in the pathogenesis of PCOS which is responsible for androgen excess and leads to anovulation hence infertility.

Remember PCOS is not a disease, only a disorder. On the bright side, statistically 20% of women, who have polycystic ovaries, may not have problems in ovulating or conceiving. Also, with help of ovulation medication nearly 60-70% women will achieve ovulation and 40% of them will conceive over the first 3 attempts.

PCOS presents with an array of symptoms which may vary from person to person. There is a cure for PCOS, provided early diagnosis is made together with implementation of proper integrated approach personalised according to symptoms of patient.

PCOS is diagnosed if two features are positive out of following three:

1.Clinical features/ biochemical hyper-androgenemia (male hormone excess) like weight gain, acne, excess facial hair, irregular menses, scanty/heavy menses, baldness, hair fall, inability to conceive etc.

  1. Oligo- Ovulation / Anovulation
  2. Ultrasound appearance of ovaries with multiple cysts arranged peripherally in necklace pattern.

PCOS can present with long term health risks like Type 2 diabetes mellitus, Hypertension, Hyper-lipidemia, Atherosclerosis, ischemic heart disease, stroke and even Endometrial Cancer in long run, if syndrome is left untreated.

Yes, treatment of PCOS focus on managing your concerns. First line management is Lifestyle Modification so as to enhance your insulin sensitivity. Medication is focused on increasing your insulin sensitivity and correcting the hormonal disturbance. Then Cosmetic, reproductive or metabolic disturbances are taken care of as per patient requirement.

PCOS is a disorder of ovaries (not a disease) which is in-built and heritable so its control and reversal is possible. Complete cure is possible for any disease which happens in lifetime. Its reversal for lifetime requires more of the patient dedication and understanding of the cause of her own disease. Our PCOS specialist tries to involve patient actively in formulating her diet and exercise modification and explain the action of medicines. We have a very peculiar way of treating PCOS. We help our patients to understand the pathogenesis of their disease and once they understand it, they are far more capable to control such a nuisance of PCOS which is known to remain otherwise, for lifetime.

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