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Polycystic Ovarian syndrome (PCOS) – PowerPoint PPT presentation

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Title: Piles (Haemorrhoids) treatment (1)

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Polycystic ovarian syndrome (PCOS) is a health
problem that affects 1 in 10 woman of child
bearing age. Woman with PCOS have a hormonal
imbalance and metabolic problem that may affect
their overall health and appearance. PCOS is a
common and treatable cause of infertility. The
hormonal imbalance creates problems in the
ovaries. The ovaries form multiple fluid filled
sacs called follicles in its outer edge which
fail to mature and ovulate. The egg may not
develop as it should or it may not be released
during ovulation as it should be.
CAUSE- Exact cause is still not known but genetic
and environmental factos both plays a role.
Genes Studies show that POCS run in families.
It is likely that many genes contribute to this
High levels of androgens - All women make small
amounts of androgens or male hormones. Androgens
control the development of male traits like male
pattern baldness. Women with PCOS have more
androgens than normal. Higher than normal
androgen levels in woman can prevent the ovaries
from releasing an egg (Ovulation) during each
menstrual cycle and can cause extra hair growth,
High level of insulin Insulin is a hormone
produced by pancrease to help body use sugar from
foods for energy. When cells cannot use insulin
properly, the bodys demand for insulin
increases. The pancrease makes more insulin to
compensate. Extra insulin trigger the ovaries to
produce more male hormones. Insulin
resistance occurs and Insulin blood levels become
higher than normal. Many woman with PCOS have
insulin resistance, specially those with
overweight or obesity, have unhealthy eating
habits, lack of physical activity and family
history of diabetes. This with time leads to Type
II Diabetes.
Inflammation Woman with PCOS often have
increased levels of inflammation within their
body. Being overweight can also contribute to
inflammation. Studies have linked excess
inflammation to higher androgen levels.
SIGNS AND SYMPTOMS-Signs and symptoms vary
ranging from menstrual irregularities, excess
hair growth, darkening of the skin (in the neck,
groin and under breasts,) headaches to obesity.
Menstrual irregularities include infrequent,
irregular or prolonged cycles (fewer than 9
periods per year). Excess androgens may result in
excess facial body hair (hirsuitism) acne
and male pattern baldness.A diagnosis of PCOS
can be made when at least two of these signs are
present . Irregular periods . Excess androgen
. Polycystic ovaries (enlarged ovaries which
contain follicles that fail to ovulate and
release eggs on time)
COMPLICATION- Complications of PCOS can include
Infertility, pregnancy complications like
pregnancy-included hypertension, mis carriage or
premature births, gestational diabetes), Non
alcoholic steatohepatitis, Metabolic syndrome (
hypertension, diabetes mellitus abnormal
cholesterol or trigly cerides , obesity, cardio
vascular disease), Type II diabetes mellitus or
prediabetes , sleep apnea ( the condition
causes repeated pauses in breathing during night
which interrupts sleep and is more common is
woman who are overweight ), Depression, Anxiety,
Eating disorders, Abnormal uterine bleeding and
cancer of uterine lining (endometrial cancer).
TREATMENT- Treatment can help but this condition
cant be cured. Life style change is the key to
keep it under contro .
SELF CARE - Self care includes physical exercise
( at least 30 min 5 days a week of aerobic
activity), weight lose ( improves cardio vascular
health and reduces the risk of complications
related to obesity), diet Losing first 5-10 of
body weight can help regulate the menstrual cycle
and improve cholesterol levels, lower insulin and
reduce heart disease and diabetes risk. Any diet
that helps to lose weight can help the condition.
Low carbohydrate diets are effective for both
weight loss and lowering insulin levels. A low
glycemic index (GI) diet that gets most
carbohydrates from fruits, vegetables and whole
grain help better Some evidence shows that
acupuncture can help improve PCOS, but more
research is needed. Some evidence shows that
acupuncture can help improve PCOS, but more
research is needed.
Medications- May included birth control pills to
regularise periods, antidiabetic medications like
metformin to prevent diabetes, statins to control
high cholesterol, hormones to increase fertility
and procedures to remove excess hair
growth. Surgery Surgery can be an option to
improve fertility if other treatments dont work.
Ovarian drilling is a procedure that makes tiny
holes is the ovary with laser or thin heated
needles to restore normal ovulation. See your
doctor if- .You have missed periods and you are
not pregnant. .You have symptoms of PCOS like
hair growth on the face and body. .You have
been trying to get pregnant for more than 12
months, but have not been successful. .You have
symptoms of diabetes mellitus like excess thirst
or hunger, high BP and other possible
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