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What is PCOD/PCOS ?

What is PCOD/PCOS ?

27 Jan 2025

PCOD, short for Polycystic Ovary Syndrome, is a common hormonal disorder affecting many women worldwide. Despite its prevalence, understanding PCOS can be confusing. Let's simplify what PCOD is, its symptoms, causes, and available treatment options.

What is PCOD?

Polycystic Ovary Syndrome (PCOD/PCOS) is a hormonal disorder characterised by imbalanced levels of reproductive hormones, particularly oestrogen and progesterone. It can lead to irregular menstrual cycles, cysts in the ovaries, and various other symptoms.

Symptoms of PCOD:

  1. Irregular Periods: Women with PCOS often experience irregular menstrual cycles, which can manifest as infrequent, prolonged, or absent periods.
  2. Ovulation Issues: PCOS can disrupt ovulation, leading to difficulty conceiving or infertility.
  3. Excess Androgen: Elevated levels of male hormones (androgens) in PCOS can cause symptoms such as acne, hirsutism (excessive hair growth), and male-pattern baldness.
  4. Polycystic Ovaries: On ultrasound examination, the ovaries of women with PCOS may appear enlarged and contain multiple small cysts.
  5. Weight Gain: Many women with PCOS struggle with weight gain or difficulty losing weight, particularly around the abdomen.
  6. Insulin Resistance: PCOS is often associated with insulin resistance, which can lead to high blood sugar levels and an increased risk of type 2 diabetes.
     

Causes of PCOD:

The exact cause of PCOS is not fully understood, but several factors may contribute to its development, including:

  1. Genetics: There appears to be a genetic component to PCOS, as it tends to run in families.
  2. Hormonal Imbalance: PCOS is characterised by imbalances in reproductive hormones, particularly elevated levels of androgens (male hormones) and insulin.
  3. Insulin Resistance: Insulin resistance, where the body's cells do not respond properly to insulin, is common in women with PCOS and may play a role in its development.
  4. Lifestyle Factors: Obesity, a sedentary lifestyle, and poor dietary habits may exacerbate PCOS symptoms by contributing to insulin resistance and hormonal imbalances.

Treatment Options for PCOS:

  1. Lifestyle Changes: Adopting a healthy lifestyle, including regular exercise and a balanced diet, can help manage PCOS symptoms and improve overall health.
  2. Medications: Hormonal contraceptives (birth control pills), anti-androgen medications, and insulin-sensitising drugs may be prescribed to regulate menstrual cycles, reduce androgen levels, and improve insulin sensitivity.
  3. Fertility Treatment: For women trying to conceive, fertility medications such as clomiphene citrate or assisted reproductive technologies like in vitro fertilisation (IVF) may be recommended.
  4. Surgery: In cases where other treatments have failed to alleviate symptoms, surgery such as ovarian drilling may be considered to induce ovulation and restore fertility.

Conclusion:

PCOS is a complex hormonal disorder that affects many women worldwide. While there is no cure for PCOS, various treatment options are available to manage symptoms and improve quality of life. By understanding the symptoms, causes, and available treatments for PCOS, women can work with their healthcare providers to develop personalised treatment plans tailored to their needs and goals. If you suspect you may have PCOS or are experiencing symptoms of the condition, don't hesitate to consult with your healthcare professional Dr. Devanshi Mishra for proper diagnosis and management.