PCOS Treatment in Mumbai-India, UAE, Kuwait
PCOS is an endocrine and metabolic disorder.
Patients with PCOS, have anovulation, i.e. they may not produce a follicle cyclically.
is present in approximately one-half of patients with PCOS.causes an imbalance in the hormones.
The diagnosis of PCOS is based on clinical and biochemical criteria.
Pelvic ultrasound shows the features of a polycystic ovary. i.e.
Two-hour blood glucose greater than 140 mg/dL indicates insulin resistance and this is important from the treatment point of view.
Reduction in weight by diet and exercise is an essential first step.
ted in patients with PCOS because chronic anovulation is associated with an increased risk of developing endometrial hyperplasia and carcinoma.
Combined Oral contraceptive pills (COCP) therapy usually is the first-line treatment for women with menstrual irregularity. They regularize the cycles very effectively and also normalize androgen levels.
. It is safe and effective but does not correct the underlying problems. Therefore they all offer only temporary relief. The usual methods are depilation (e.g. shaving, hair removing creams), epilation (eg, plucking, waxing), and destruction of the dermal papilla (eg, electrolysis or laser therapy.
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Antiandrogens are sometimes prescribed in combination with COCP in severe hirsutism. Insulin-lowering agents such as metformin, thiazolidinediones, and D-chiro-inositol are used to correct insulin resistance. Sangeeta provides good counseling and motivation besides the medical approach to these patients meet their goals.
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