2. 2.WHAT IS PCOS?
• PCOS or PCOD, i.e, Polycystic ovarian
syndrome,or polycystic ovary disease , is also
called as Stein-Leventhal syndrome.It is a
medical term for a disorder leading to
hormonal imbalance where the woman’s
ovulation cycle is disturbed. It occurs in 5-10%
of women in their reproductive years.The
ovaries appear enlarged and appear covered
with tiny,fluid-filled cysts.it is the most
common cause of infertility in women.
3. 3.SYMPTOMS
• Polycystic ovary syndrome (PCOS) affects women and is a complex of symptoms
that are not necessarily all present in all cases. Some, but not all, affected women
have multiple cysts on the ovaries (polycystic ovaries).
• absence of menstruation/periods (amenorrhea) or delayed menstruation, failure
of the ovary to release eggs (anovulation), elevated levels of the male hormones
known as androgens (hyperandrogenism), excessive amounts of body hair
(hirsutism), a high rate of miscarriage, and infertility. Three criteria often used for a
diagnosis are menstrual irregularity, hyperandrogenism, and exclusion of other
disease. There is some evidence that PCOS is an inherited condition.
• The symptoms may start right after the first period(menarche). Any girl getting her
periods late or a gap of 45 days should be shown to be doctor to find out if she has
pcos.
• Obesity is also quite common, though some women can be thin too. Some women
put on weight and then pcos may start.
• Hirsutism(excess hair growth on the body and face)
• Acne with oily skin
• Male pattern baldness, thinning of hair
• Imbalanced hormone levels
4. 4.COMPLICATIONS OR SYMPTOM
FINDINGS ASSOCIATED WITH PCOS
• In many cases, the irregular periods are not paid attention to or
attempted to treat with home remedies and hence the diagnosis of
PCOS gets confirmed in much later stage when the woman gets
married and tries to conceive.
Some common findings/complications are
• Heart disease
• High Cholesterol:with high triglycerides
• Diabetes:50% of women who have PCOS have a problem with how
the body uses insulin called as insulin resistance, due to which
blood sugar levels go high, leading to diabetes.
• Infertility
• High blood pressure
• Uterine cancer/endometrial cancer
5. 5.PCOS Complications
Women with PCOS appear to have
higher rates of:
• Miscarriage
• Gestational diabetes
• Pregnancy-induced high blood
pressure (preeclampsia)
• Premature delivery
• Babies born to women with
PCOS have a higher risk of
spending time in a neonatal
intensive care unit or of dying
before, during, or shortly after
birth. Most of the time, these
problems occur in multiple-birth
babies (twins, triplets)
• Does PCOS put women at risk for other
health problems?
• More than 50 percent of women with
PCOS will have diabetes or pre-diabetes
(impaired glucose tolerance) before the
age of 40.
• The risk of heart attack is 4 to 7 times
higher in women with PCOS than women
of the same age without PCOS.
• Women with PCOS are at greater risk of
having high blood pressure.
• Women with PCOS have high levels of LDL
(bad) cholesterol and low levels of HDL
(good) cholesterol.
• Women with PCOS can develop sleep
apnea. This is when breathing stops for
short periods of time during sleep.
• Women with PCOS may also
develop anxiety and depression. It is
important to consider treatment fot these
conditions.It might affect self esteem of a
girl or a woman tremendously regarding
her looks and appearance.
6. 6.HOW AND WHY DOES PCOS OCCUR
• PCOS is related to the endocrine system. In a womans body,the ovaries are
two small organs located on either side of the uterus. They make
hormones, including estrogen, which trigger menstruation. Every month,
the ovaries release a tiny egg which goes down the fallopian tube for
potential fertilization process. This cycle of egg release is called ovulation.
• There is hormonal imbalance, due to which the normal ovarian cycle, that
releases egg every month gets disturbed,since there is not sufficient
hormones to release the egg.One hormone triggers another, the reason
for this not clearly understood. The egg is formed in a sac called as a
follicle. If this follicle fails to open, the ovaries form cysts .Normally the
ovaries make a certain amount of male sex hormones (androgens) but in
PCOS the level increases due to the formation of cysts. There are many
such cysts and hence its called polycystic ovary syndrome.
• These increased androgens, cause acne and male pattern baldness.
7. 7.What increases the risk of PCOS?
• The main risk factor for polycystic ovary syndrome (PCOS)
is a family history of PCOS. So if you have the syndrome,
your sisters and daughters have a 50% chance of
developing PCOS.
• Girls who show certain signs of puberty early — such as
girls who develop underarm or pubic hair before the age of
8 — may be at greater risk of having PCOS later on.
• A family history of diabetes may increase your risk for PCOS
because of the strong relationship between diabetes and
PCOS.
• The use of the seizure medicine valproate (such as
Depakote) has been linked to an increased risk of PCOS.
8. 8.PCOS Diagnosis,Investigations
• Blood tests. Your doctor may check the androgen
hormone and glucose (sugar) levels in your blood.
• Vaginal ultrasound (sonogram). Your doctor may
perform a test that uses sound waves to take
pictures of the pelvic area. It might be used to
examine your ovaries for cysts and check the
endometrium (lining of the womb). This lining
may become thicker if your periods are not
regular.
9. 10.PCOS DIET
• Question:Why does polycystic ovary syndrome cause
weight gain?
• Answer:PCOS makes it more difficult for the body to
use the hormone insulin, which normally helps convert
sugars and starches from foods into energy. This
condition -- called insulin resistance -- can cause insulin
and sugar -- glucose -- to build up in the bloodstream.
• High insulin levels increase the production of male
hormones called androgens. High androgen levels lead
to symptoms such as body hair growth, acne, irregular
periods -- and weight gain. Because the weight gain is
triggered by male hormones, it is typically in the
abdomen. That is where men tend to carry weight. So,
instead of having a pear shape, women with PCOS have
more of an apple shape.
• Abdominal fat is the most dangerous kind of fat. That’s
because it is associated with an increased risk of heart
disease and other health conditions.
• QUESTION:
• How does weight loss help?
• ANSWER:
• If you have PCOS, losing just 10% of yiour body weight
can bring down your periods to normal.(read,
ovulation).Weight loss can improve insulin sensitivity
Weight loss is the primary
objective of diet for pcos, as
many people suffering from
pcos are overweight.Losing
weight is a struggle for most
women with pcos.
More than six out of every 10
women who have PCOS are
also overweight.
10. 9.THIS IS IMPORTANT
Some possible symptoms could
be:
• pain /bloating abdomen
• difficulty urinating/frequency
urination
• dull backache
• pain during sexual
intercourse
• painful periods
• weight gain
• loss of appetite
• nausea/vomitting
Ovarian cysts could also be a
part of ovarian tumors which
could be cancerous or non
cancerous. Hence always get
them evaluated quickly.
Ovarian cancer often spreads
before its detected.
11. 11.PCOS DIET,NATURAL
TREATMENTS.SELFHELP
• Lots of fruits, vegetables, low fat
products. If you have dairy products
go for the low fat alternatives.
• Vegetables such as broccoli,
potatoes, and green beans
• Whole-grain products
• Fruits, including apples and bananas
• Eat a high-fiber, low-sugar diet. Avoid
processed and fatty foods to keep
your blood sugar levels in check. If
you’re having trouble eating healthy
on your own, talk to your doctor or a
dietitian.
• Eat four to six small meals
throughout the day, rather than three
large meals. This will help control
your blood sugar levels.
• Exercise to LOSE WEIGHT
• Work with your doctor to track your
cholesterol and blood pressure levels
• If you are smoking, you need to stop.
• Question:
How does smoking cause harm ?
Answer:
Women who smoke have higher levels of
androgens in their bodies compared to
those who don’t.
• Chromium supplements can help,
especially if you have higher sugar levels.
Recommended daily allowance is 25
mcg/day for women aged 19-50 and 20
mcg for women aged 50 and above.
12. 12.WORD OF CAUTION
Interactions. Since chromium may affect blood sugar levels, it is crucial that
anyone taking diabetes medications, like insulin, only use chromium under
the care of a medical doctor. Chromium may also interact with medicines like
antacids, acid reflux drugs, corticosteroids, beta-blockers, insulin, and NSAID
painkillers. These interactions may cause the chromium to be poorly
absorbed or amplify the effect of other medicines.
13. 13.PCOS:Homeopathy
Advantages of Homeopathy treatment for PCOS:
• Balances hormone levels
• Treats the psychosomatic axis,works on endocrine system,Pituitary
gland
• Improves insulin sensitivity
• Helps In weight loss better since Homeopathic Medicines are free
of sideeffects and work on psychosomatic axis
• Treats acne and hirsutism
• Treats infertility
• Treats depression, anxiety effectively
• A Homeopathic doctor looks into the evolution of PCOS in the
patient, with details of mental and physical characteristics in that
particular patient and gives the indicated Homeopathic medicine.
14. 14.Homeopathic Treatments,
Homeopathic Medicines for PCOS:
• There is no “formula”in Homeopathy
for PCOS, since treatment is
constitutional/indicated/individualise
d,however the common medicines
that can be thought of:
• The choice of a particular medicine is
made by an experienced Homeopath
after careful case study with detailed
physical and mental symptoms of the
patient.
• Each of these medicines has certain
prescribing indications.
• Apis
• Collinsonia
• Lycopodium
• Oophorinum
• Aurum mur natronatum
• Conium
• Graphites
• Kali brom
• Lachesis
• Lilium tig
• Medorrhinum
• Carbo anemalis
• Ustiligo
• Sepia
• Thuja