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Treatment of PCOS

Treatment of PCOS
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Welling Clinic offers highly specialised treatment protocol to cure PCOS permanently. The treatment protocol has been developed after an exhaustive in-house research. Our clinics consults for more than 4000 patients of PCOS globally, every year. You too can be benefitted by our expertise.

What is PCOS?

Polycystic ovary syndrome is a condition in which a woman has an imbalance of female sex hormones. PCOS is the most common endocrine disorder among women between the ages of 18 and 44.

This may lead to changes in the menstrual cycle, cysts in the ovaries, trouble getting pregnant and other health problems.

PCOS is due to a combination of genetic and environmental factors. Risk factors include obesity, not enough physical exercise, and a family history of someone with the condition.

Diagnosis is based on two of the following three findings:

  • no ovulation,
  • high androgen levels, and
  • ovarian cysts.

Cysts may be detectable by ultrasound. Other conditions that produce similar symptoms include adrenal hyperplasia, hypothyroidism, and hyperprolactinemia.

Synonym : Polycystic ovaries; Polycystic ovary disease; Stein-Leventhal syndrome; Poly-follicular ovarian disease.

Causes of PCOS

PCOS is a heterogeneous disorder of uncertain cause.

The cause of polycystic ovary syndrome (PCOS) is not fully understood, but genetics may be a factor.

PCOS problems are caused by hormone changes. One hormone change triggers another, which changes another.

Following hormones are affected:

  • Estrogen and progesterone, the female hormones that help a woman’s ovaries release eggs
  • Androgen, a male hormone that is found in small amounts in women

Normally, one or more eggs are released during a woman’s cycle. This is known as ovulation. In most cases, this release of eggs occurs about 2 weeks after the start of a menstrual period.

In PCOS, mature eggs are not released. Instead, they stay in the ovaries with a small amount of fluid around them. There can be many of these. However, not all women with the condition will have ovaries with this appearance.

These problems with the release of eggs can contribute to infertility. The other symptoms of this disorder are due to the hormone imbalances.

Most of the time, PCOS is diagnosed in women in their 20s or 30s. However, it may also affect teenage girls. The symptoms often begin when a girl’s periods start. Women with this disorder often have a mother or sister who has similar symptoms.

Symptoms of PCOS

PCOS is a heterogeneous disorder of uncertain cause.

The cause of polycystic ovary syndrome (PCOS) is not fully understood, but genetics may be a factor.

PCOS problems are caused by hormone changes. One hormone change triggers another, which changes another.

Following hormones are affected:

  • Estrogen and progesterone, the female hormones that help a woman’s ovaries release eggs
  • Androgen, a male hormone that is found in small amounts in women

Normally, one or more eggs are released during a woman’s cycle. This is known as ovulation. In most cases, this release of eggs occurs about 2 weeks after the start of a menstrual period.

In PCOS, mature eggs are not released. Instead, they stay in the ovaries with a small amount of fluid around them. There can be many of these. However, not all women with the condition will have ovaries with this appearance.

These problems with the release of eggs can contribute to infertility. The other symptoms of this disorder are due to the hormone imbalances.

Most of the time, PCOS is diagnosed in women in their 20s or 30s. However, it may also affect teenage girls. The symptoms often begin when a girl’s periods start. Women with this disorder often have a mother or sister who has similar symptoms.

Complications of PCOS

Reproductive problems

Hormone imbalances can cause several types of pregnancy problems and related problems, including:

  • Infertility. This happens when the ovaries aren’t releasing an egg every month.
  • Repeat miscarriages.
  • Gestational diabetes during pregnancy.
  • Increased blood pressure during pregnancy or delivery, having a larger than normal or smaller than normal baby, or having apremature baby.
  • Precancer of the uterine lining (endometrial hyperplasia). This can happen when you don’t have regular menstrual cycles, which normally build up and “clear off” the uterine lining every month.
  • Uterine (endometrial) cancer. Risk during the reproductive years is 3 times greater in women who have PCOS than in women who ovulate monthly.2

Problems with blood sugar

Insulin is a hormone that helps your body’s cells get the sugar they need for energy. Sometimes these cells don’t fully respond to insulin. This is called insulin resistance. It can lead to diabetes.

Heart problems and stroke

High insulin levels from PCOS can lead to heart and blood vessel problems. These include:

  • Hardening of the arteries (atherosclerosis).
  • Coronary artery disease and heart attack.
  • High blood pressure.
  • High cholesterol.
  • Stroke.

Diagnosis of PCOS

There’s no specific test to definitively diagnose polycystic ovary syndrome. The diagnosis is one of exclusion, which means your doctor considers all of your signs and symptoms and then rules out other possible disorders.

During this process, doctor will discuss your medical history, including your menstrual periods, weight changes and other symptoms. Your doctor may also perform certain tests and exams:

  • Physical exam. During your physical exam, your doctor will note several key pieces of information, including your height, weight and blood pressure.
  • Pelvic exam. During a pelvic exam, your doctor visually and manually inspects your reproductive organs for signs of masses, growths or other abnormalities.
  • Blood tests. Your blood may be drawn to measure the levels of several hormones to exclude possible causes of menstrual abnormalities or androgen excess that mimic PCOS.

Additional blood testing may include fasting cholesterol and triglyceride levels and a glucose tolerance test, in which glucose levels are measured while fasting and after drinking a glucose-containing beverage.

  • Ultrasound. An ultrasound exam can show the appearance of your ovaries and the thickness of the lining of your uterus.

Prognosis of PCOS

With treatment, women with PCOS are very often able to get pregnant. There is an increased risk of miscarriage, high blood pressure, and gestational diabetes during pregnancy.

Possible Complications of PCOS

Women with PCOS are more likely to develop:

  • Endometrial cancer
  • Infertility
  • Breast cancer (slightly increased risk)

Treatment for PCOS

Polycystic ovary syndrome treatment generally focuses on management of individual main concerns, such as infertility, hirsutism, acne or obesity.

Medications for PCOS

Regulate your menstrual cycle. To regulate menstrual cycle, your doctor may recommend combination birth control pills — pills that contain both estrogen and progestin. As an alternative to birth control pills, you might use a skin patch or vaginal ring that contains a combination of estrogen and progestin. During the time that you take this medication to relieve your symptoms, you won’t be able to conceive.

If you’re not a good candidate for combination birth control pills, an alternative approach is to take progesterone for 10 to 14 days every one to two months. This type of progesterone therapy regulates your periods and offers protection against endometrial cancer, but it doesn’t improve androgen levels and it won’t prevent pregnancy.

Doctor also may prescribe metformin (Glucophage, Fortamet, others), an oral medication for type 2 diabetes that improves insulin resistance and lowers insulin levels. This drug may help with ovulation and lead to regular menstrual cycles.

Help you ovulate. If you’re trying to become pregnant, you may need a medication to help you ovulate. Clomiphene (Clomid, Serophene) is an oral anti-estrogen medication that you take in the first part of your menstrual cycle. If clomiphene alone isn’t effective, adding metformin to help induce ovulation.

Reduce excessive hair growth. Birth control pills to decrease androgen production, or another medication called spironolactone (Aldactone) that blocks the effects of androgens on the skin. Eflornithine (Vaniqa) is another medication possibility; the cream slows facial hair growth in women.

Lifestyle and Home remedies

  • Keep your weight in check.Obesity makes insulin resistance worse. Weight loss can reduce both insulin and androgen levels and may restore ovulation.
  • Consider dietary changes.Low-fat, high-carbohydrate diets may increase insulin levels, so a low-carbohydrate diet if you have PCOS.Don’t severely restrict carbohydrates; instead, choose complex carbohydrates, which are high in fiber. The more fiber in a food, the more slowly it’s digested and the more slowly your blood sugar levels rise. High-fiber carbohydrates include whole-grain breads and cereals, whole-wheat pasta, bulgur wheat, barley, brown rice, and beans. Limit less healthy, simple carbohydrates such as soda, excess fruit juice, cake, candy, ice cream, pies, cookies and doughnuts.
  • Be active.Exercise helps lower blood sugar levels. If you have PCOS, increasing your daily activity and participating in a regular exercise program may treat or even prevent insulin resistance and help you keep your weight under control.

Homeopathic treatment for PCOS

Homeopathic approach towards management of PCOS is constitutional taking into account the patient’s physical symptoms along with their mental and genetic makeup that individualizes the person.

Homeopathic medicines help to balance the hyperactivity of the glands, regulate hormonal balance, dissolve the cysts in the ovaries and help them to resume normal functioning. Hence, Homeopathic medicines can restore hormonal balance, normal ovulation, menstrual cycles, and also eliminate the need for hormone therapies and surgery. This can significantly increase the chances of conception. The different expressions of this disease can be managed effectively, safely and gently with Homeopathic remedies.

Early intervention with Homeopathy can assist in preventing further progress and hence deterioration caused by PCOS.

Homeopathy for PCOS or PCOD should be continued for a significant duration of time as the appearance and normalization of the menstrual cycle as well as decrease or absence of cyst formation are the only means by which improvement can be monitored.

We generally recommend treatment duration of 6-12 months to start with. Continuation of the treatment depends on the changes and improvement witnessed and may continue for another 6-12 months or so depending on the response of the Individual.

The eventual goal is to help regularize the cycles and minimize or prevent the formation of cysts, of which we are very confident relying on the numerous cases here at our centers.

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