PCOS (Polycysctic ovarian syndrome) CLINIC IN CHANDIGARH

PCOS is a hormonal condition with the following features:

• Lack of ovulation
• Increased /excess male hormones
• Polycystic ovaries on ultrasound

PCOS is a very common hormonal problem in the females .The patient generally presents to the doctor with abnormal periods (delayed/ decreases flow), excess facial hair/ body hair/ scalp hair loss, acne& obesity/ inability to lose weight. Inability to conceive is also a very common presentation of PCOS.

Diagnosis

History given by a patient is generally typical and helps the Gynaecologist to make a clinical diagnosis.the test that mauy be ordered by her will be: TSH, PRL,FSH,LH , sugar levels (GTT/RBS/HbA1C)
Ultrasound lower abdomen &pelvis / Trans vaginal sonography(internal ultrasound)

Treatment

Treatment depends on age of the patient, symptoms, need for contraception or whether patient is planning to conceive.
Lifestyle management is the main crux of management of PCOS. Choose a healthy diet with less of fatty, oily and processed foods. A 30 min regular exercise at least 5 days a week is to be taken up. Together these two interventions are the cornerstone of PCOS treatment and many a times one may not require any medication.
In case the symptoms are not taken care of by the above, the doctor then tailors the medical treatment as per the patient’s symptoms/ needs.
For those who are sexually active / in need of a contraception or are having androgenic features like excess hair& acne can be offered OCP (oral contraceptive pills).
Adolescent girls are best managed by lifestyle changes and insulin sensitising agents like myoinositols & metformin ) rarely OCP may be required in severe cases. We try to avoid giving them hormones unless it is deemed nececessary
For those planning to conceive :apart from lifestyle changes , insulin sensitising agents (metformin/ myoinositol) are added initially. If ovualation (egg is not forming) is a problem, it can be induced with medicines like clomiphene, letrozole or gonadotrophin injections as per the discretion of the doctor. Dr Ruchi Rai Ahuja is the Best Infertility Specialist in Chandigarh
Excess hair can be managed by OCP/ medicines like aldactone/ epilating creams/ laser therapy. Laser works better if OCP s are given 9-12 months to it.
Acne responds to insulin sensitizing agents and OCP much earlier than facial hair.
Ahuja Clinic is the Best PCOS Clinic in Chandigarh. Dr Ruchi Rai Ahuja is highy experienced gynaecologist in managing all problems related to PCOS. She is the Best Gynecologist in Chandigarh.

FAQ on PCOS: POLYCYSTIC OVARIAN SYNDROME

What is the meaning of PCOS?

PCOS means polycystic ovarian syndrome.

What is the main cause of PCOS?

Exact reason why PCOS occurs is not known. Multiple factors have been implicated in the development of PCOS. Insulin resistance leading to increased insulin levels plays a major role. Excess of male hormones lead to disordered LH: FSH ratio. Vitamin D deficiency / oxidative stress & long standing low grade inflammation are other factors which have been blamed for causing PCOD.

How do I know I have PCOS?/Symptoms of PCOS?

Diagnosis of PCOS is made if you have two of the three features listed below :

1 Menstrual irregularity (delayed cycle/no periods/ decreased flow)

2 Features indicating excess of male hormones (acne/ hair on face & body/ hair loss/seborrhoea)

3 Ultrasound showing features of PCOD

Along with these most women have weight related issues i.e. difficulty in losing weight / obesity.

Is PCOS a serious problem?

It can have serious long term repercussions if left uncared for. So one must be under care of a Gynecologist.

Can PCOS go away?

There is no cure for PCOS we only treat symptoms.  Symptoms may or may not occur and all this depends on your lifestyle. If you are careful there may be no need to take medicines and long term problems associated with PCOS may be prevented/ delayed.

Tests  for PCOS?

First step is a clinical examination from a good gynaecologist. She will look into your history and take note of your presenting complaints and examine you clinically. She will then order blood test like TSH/PRL/CBC/Sugar /insulin levels/ male hormones (testosterone/17OHP/DHEA etc ).if you are looking for a Gynaecologist in Chandigarh , then you must consult Dr Ruchi Rai Ahuja

Pregnancy complications in PCOS?

The following complications may occur in PCOS patients during pregnancy: miscarriage, development of high BP, diabetes, baby may be low birth weight, preterm delivery and higher chances of having C-section may be there due to associated complications during pregnancy one should consult the Best Delivery Doctor .

What are the first signs of PCOS?

The first sign may be inability to lose weight/ obesity/ irregular periods or hair on face/acne/ hairfall.

Treatment for PCOS?

PCOS treatment in chanidgarh

Lifestyle correction is the cornerstone of the treatment of PCOS. This means a healthy diet and a regular exercise routine. Diet includes a healthy balanced diet including whole grains, fruits and vegetables . Avoid sugary / fatty, oily n fast foods. In general it should be calorie restricted, low carbohydrate & fat and high protein diet.

Exercise should be a moderate one for at least 150 minutes per week (30 min /5days a week).

After lifestyle we prescribe the medicines as per the patient’s age (adolescent/ adult)& requirement (pregnancy/ contraception)etc to name a few conditions. Consult the Best PCOS Specialist in Chandigarh for the same.