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What is PCOD/PCOS
Causes and Symptoms
Diagnosis
Risks and Complications
Treatment Options
Before and After
Recovery Rate
Facts and Statistics
Why choose Pristyn Care

What is PCOD/PCOS?

PCOD or Polycystic Ovarian Disorder, as the name suggests, is a disorder of the ovaries characterised by three things-

  • Imbalanced hormones
  • Enlarged ovaries
  • Multiple small fluid-filled cysts (closed bubble-like sacs) on the ovaries.

It is a metabolic disorder most commonly found in women of reproductive ages, that is, from the onset of puberty to the offset of menopause.

How does it form?

Typically, a woman’s ovaries are the storehouse of all the female hormones, as well as the reservoir of all her eggs. In a normal menstrual cycle, the ovaries release around 6-12 small cyst-like structures, called follicles. Though each of these has an egg, only one of them gets matured, luteinizes, and funnels towards the uterus to help conception while the others dissolve naturally over some period of time.

However, the problem begins when the woman’s hormones get imbalanced. Here, the pituitary gland (the gland responsible for the release of hormones)starts releasing more male hormones (androgens) instead of female hormones(oestrogen). This causes an excess of luteinising hormones which disturb regular ovulation. As a result, multiple eggs start maturing in the follicles while none break opens to release. This forms multiple tiny cysts on the ovarian surface leading to a list of problems including – irregular cycles, constant fatigue, terrible mood swings, weight gain, nausea, and very often- difficulty in the natural conception.

PCOS (Polycystic Ovarian Syndrome) is the severed version of Polycystic Ovarian Disorder, and hence, precisely the reason why it is called a -Syndrome. PCOS in the simplest sense is the metabolic syndrome or an endocrine disorder that happens when the PCOD has spread to the whole body. Here, the cysts are multiple and hormones severely imbalanced. In PCOS, a woman’s ovaries produce way more male (androgen) hormones than a female’s (estrogen). This severely hampers ovulation and affects fertility adversely. It also causes extreme and frequent mood swings, anger and male pattern hair growth and baldness. However, unlike PCOD, PCOS is rare and irreversible.

PCOS-PCOD Causes and Symptoms

PCOS-PCOD CausesPCOS-PCOD Symptoms
Genetic factorsIrregular periods
Excessive male hormones (androgens)Oily skin and excessive acne
Unhealthy dietary practicesSudden weight gain
Less and irregular sleep cycleExcessive body hair growth
Excessive body weight/ obesityBaldness around the central hairline
Abdominal infection/ inflammationGrowth of facial hair
Excess of insulinConstant fatigue and tiredness
Urban predispositionFrequent and extreme mood swings

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PCOS-PCOD Diagnosis

Tests Prescribed for PCOS-PCOD

Some of the tests your doctor may prescribe you are:

  • Imaging Tests such as Ultrasound to get a clear visual of the enlarged ovaries and the multiple cysts on its walls
  • Blood tests to check hormone levels, fasting cholesterol, glucose tolerance and triglyceride levels.
  • Clinical Tests such as olechomo, aneroia
  • Chemical Markers such as LH, FSH, Prolactin levels.

Self Diagnosis – PCOS-PCOD

Self-diagnosis would include closely monitoring your symptoms and being conscious of the body patterns.

Count the gap between your two cycles and note if it lengthens more than 30-35 days. See if the flow of your periods has become scanty/ heavier over the months. Also, note if you see any abnormal weight changes/  growth of excessive acne/ facial hair. All these symptoms could indicate an ovarian disorder.

Diagnosis by Doctor – PCOS-PCOD

Your doctor can diagnose PCOD/PCOS in you through your explained symptoms clubbed together, with a few positives on clinical, hormonal or imaging tests.

Risks & Complications associated with PCOS-PCOD

Laparoscopic ovarian drilling surgery is recommended in only extremely rare cases. And when performed, is performed by only a trained and specialized OBGYN surgeon to reduce the risk of complications.

Some of the rare complications of laparoscopic ovarian drilling include:

  1. Infection at the surgery site
  2. A slight bleeding from the incision
  3. Accidental injury to the ovaries, surrounding organs or blood vessels
  4. Internal bleeding and scarring
  5. Slight breathing problems, constipation and pain as a side effect of anesthesia and CO2 gas used during the procedure
  6. Failure of complete solution
  7. Infertility and surgical menopause

PCOS-PCOD Treatment Options

Non-Surgical

Non-surgical options largely include:

  1. Dietary modifications: The first suggestion in PCOD and PCOS is always dietary modifications. Stop junk food. Stop packaged food items. Stop excessive intake of carbohydrates and white bread. Eat healthily, eat fresh, eat local. Especially, eat a lot of fresh green vegetables and home cooked food.
  2. Exercises and weight loss: Continuously work towards your health and get your BMI in control. Stay active and lose weight. Keeping your weight in check can drastically normalize your health and mood. Some of the yoga asana you could practice are:
    Sitting badrasan, sleeping badrasan, bhujangasana, sarpasana, anulom vilom and kapalbhati. Some asanas that can help you relax during periods are: vishpanda bhav, anitya bhavana and shavasana.
  3. Medicines: Medicinal treatment differs in different cases. It primarily depends on if/ if not you want kids. Women seeking childbirth may be prescribed: Antiandrogens and fertility drugs. Whereas, women not desiring childbirth may be prescribed :
    Hormone Birth control pills/ SOS medicine (meprate 10 mg) and at times, – antiandrogens.

Surgical Options

Surgically, we have the option for ‘laparoscopic ovarian drilling’. Here, your doctor uses a laser to puncture the places where your ovary is producing male hormones. However, because of its probable risk of permanent damage to the ovaries, it is suggested only to women who have tried everything else but none worked.

It is a small operation performed under general anaesthesia. As the body slowly goes numb and you lose consciousness, your surgeon makes a tiny incision (keyhole sized) around your ovaries to insert a laparoscope. A laparoscope is basically a tiny hollow tube with a camera and light on its end. With this lens to understand the exact areas where the ovary is producing androgens, your surgeon uses electrocautery or a laser to puncture and destroy those specific parts and restore ovulation. Once the problem areas are lasered, the site is stitched back with dissolvable sutures and the surgery is completed.

Before and After - PCOS/PCOD Treatment

Surgery Preparation

  • Think thoroughly and seek a second opinion. Surgeries are neither a common, nor a permanent solution to PCOD/PCOS. Both disorders are rooted in hormonal imbalances and until the root cause is solved, everything else is not permanent but only a symptomatic solution. Secondly, it has inherent risks of permanent ovarian damage, infertility, and surgical menopause. This is why it is suggested to women only at their last stages of reproductive years and that too, as the last resort. So, double-check your options before you move to surgery.
  • Quit smoking/ drinking or use of any recreational drug at least 14 days before the surgery.
  • Discuss all your health conditions, including anxiety, BP or blood sugar levels with your doctor thoroughly. Basically, surgery cannot be performed on a patient with fluctuating BP/ sugar levels. Therefore, your doctor would first put you on medicines to normalise your heart rate and bring down your sugar. Only then surgery would be planned.
  • Your doctor may also ask you to halt certain medicines like blood thinners/ insulin etc a week before surgery to avoid their mid-surgery complications and excessive bleeding.
  • Since laparoscopic ovarian drilling is performed under general anaesthesia, do not eat/ drink (even water) at least 6-8 hours before the surgery. Anaesthesia surgeries must be performed only on an empty stomach.

Before and After PCOS-PCOD Treatment

  • Before Treatment: Before the surgery, you would be experiencing severely irregular periods and consistent failure at a healthy conception. You would also simultaneously experience excessive and painful acne, break out on shoulders and chest, unwanted facial hair/ and stubborn fat centred around your abdomen. If the condition is severe, you might also register an extremely low sex drive and libido.
  • After the Treatment: The surgery has an approx 50% chance for a smooth transition to regularised ovulation and hence smooth menses.  This is why, the surgery may increase the chances of successful conception and provide a very obvious relief to pain, acne and breakouts, and constant fatigue

PCOS-PCOD Treatment Recovery Rate

Healing and recovery time for laser ovarian drilling is very swift. In most cases, you can leave the hospital the same day and resume regular work within 5-7 days.

However, some post-care tips that can help you are:

  • Do not overexert your body or bend over for at least the next 5-7 days. Let it heal and recover naturally.
  • Increase the intake of calcium, magnesium and iron. These should help recover you better and smoother.
  • Complete the full course of your post prescriptive medicines consciously and carefully. They would help lower your risk for infections and quicken your recovery faster.
  • Drink a lot of water. Surgeries are exhausting. All the previous pain, the surgery itself and constant tension can make you severely dehydrated. Thus, drink lots of water, juices and eat fluid rich foods. They will help you recover better and heal smoother.
  • Anaesthetic surgeries induce temporary constipation. Therefore, your doctor would suggest mild laxatives along with your prescription. Take them, and also include fibre rich diet. Eat fruits like apples and pears or whole foods like grains, pulses and dry fruits. These would help ease your bowel passage and keep your genitals free of strain.

Facts and Statistics around PCOD/PCOS

Some other facts include-

  1. In India, 1 out of every 10 women suffers from PCOS.
  2. Globally, around 6-10% of women suffer from PCOS.
  3. Women with PCOS, as large as up to 40% develop diabetes by the time they are 40.
  4. A regular menstrual cycle is not a definite indication of perfect gynaecological health. Doctors report that many a time, women with PCOS record a regular menstrual cycle.
  5. Interestingly, not all women with PCOS record an ovarian cyst either.
  6. One of the first signs of PCOS is acne and breakouts on the shoulders and chest.
  7. Many women with PCOS record eating disorders such as- binge eating and anorexia.
  8. Staying physically active and walking 30 minutes a day regularly can manage PCOD in more than 77% of women.
  9. As a woman with PCOS ages, her menstrual cycle is likely to get regular.
  10. PCOS is the most common reason for ovulatory infertility.
  11. Women with PCOS are at significantly higher risk of miscarriages, stillbirths, and preterm deliveries.
  12. Sleep disturbance (sleep anomia)is a very common phenomenon in women with PCOS.
  13. Because of extreme and frequent mood swings, women with PCOS are at almost twice the risk of suffering from anxiety and depression compared to women who do not have PCOS.
  14. Women with PCOS have also been reported to be at a higher risk of getting Covid-19.

Why choose Pristyn Care for PCOD/PCOS Treatment?

If you are looking for a comprehensive solution to your PCOD/PCOS, Pristyn Care is a perfect choice. A few of the reasons that make us one of the best in health care are:

  1. Experienced and specialised OBGYN: Pristyn Care works with some of the best and most reputed female OBGYNs in India. All our doctors are not only trained in the functioning of the female reproductive system but also infertility. This is why, when you consult Pristyn Care for your PCOD/PCOS treatment, rest assured, you are choosing a comprehensive care model. Be it the question of irregular periods, acne, fatigue or fertility, our doctors are specialised and experienced to treat both.
  2. Complete privacy and confidentiality: We believe in unparalleled patient privacy and confidentiality. Therefore, all your information asked during the treatment remains only between you and your doctor. We do not divulge any information to an external party at all. Your treatment is sealed with a 100% confidentiality seal at all times.
  3. Covid safe vicinities: All our associated hospitals and gyne clinics follow the highest standards of safety protocols. So rest assured, when you choose Pristyn Care, you are choosing a safe and hygienic experience.
  4. Comprehensive approach: PCOD/PCOS are tricky, and almost unsolvable endocrine disorders. Medicines for the same, are typically targeted towards symptomatic relief and not as a solution to the root cause. However, we believe, the lifestyle disorder must only be solved by lifestyle solutions. Therefore, instead of just adding medicines to your prescription chart, we are focused on providing you with solutions to better your diet and lifestyle pattern.
  5. Online and offline consultations: We understand how booking an appointment and seeing a doctor regularly can be a hassle for a working woman. Therefore, we provide both online and offline consultations. So that, you can consult an experienced doctor as and when needed from the convenience of your office/ home.
  6. Fertility Solutions: In case you are seeking childbirth, and natural methods are making it difficult for you to conceive while struggling with PCOS, we also have our IVF labs targeted at helping infertile couples with assisted pregnancy. We can help you find fertility banks/ freeze your eggs or assist you in both- IUI and IVF.
Dr. Rahul Sharma (TEJFraQUZY)
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FAQs around PCOD/PCOS

Can women diagnosed with PCOD ovulate?

Women with PCOD can still ovulate and can conceive successfully.

Are PCOD and PCOD the same? What are the symptoms of PCOD?

No, PCOs and PCOD are not the same. PCOD is Polycystic hormonal disease which occurs due to hormonal imbalance in which ovaries contain immature eggs. Symptoms of PCOD are:

  • Irregular periods
  • Thinning of hair
  • Weight gain

Do women with PCOS have excessive hair growth?

Sadly, this is true. PCOS gives rise to abnormal hair growth, also known as hirsutism, which can lead to hair growth on some parts such as the upper lip, chin, face, and chest.

What foods to avoid if you have PCOS?

A woman with PCOS must avoid these foods:

  • Carbohydrates such as pastries, white bread
  • Carbonated or aerated drinks
  • Sugary drinks
  • Processed or frozen foods
  • Excess red meat such as pork or hamburgers