PCOS is one of the most common endocrine disorders affecting women between the ages of 18 and 44. It is caused by an increase in androgen secretion by the ovarian cells resulting in irregular menstrual bleeding and complications in pregnancy. PCOS is usually associated with weight gain and insulin resistance. For women suffering from PCOS & obesity together with insulin resistance, most women become susceptible to metabolic syndrome. Thus, PCOS is a serious medical condition, which requires timely detection and treatment to improve their hormones & fertility.
The symptoms of PCOS can vary between individuals from menstrual irregularity, infertility, hair growth, huskiness of voice etc. Since there is no designated test to detect PCOS, it makes it even more important to consult the doctor as soon as you begin to experience these issues. By evaluating your results for androgen and other hormonal ratios in the bloodstream, a doctor will suggest treatment options suited to your condition. You will also be assessed by pelvic ultrasound. To reduce potential risks of infertility associated with obesity and PCOS, addressing your overall health becomes a part of the treatment process.
An accurate diagnosis, clinical intervention, and adherence to suggested remedies can help manage the symptoms of PCOS. Certain lifestyle changes like— limiting / omitting alcohol intake, maintaining a nutritious diet, physical activity etc. are helpful in escaping PCOS related health problems. A modest weight loss of 5 to 7 percent of body weight can help lower your insulin and androgen levels. However, in cases where obesity and/or insulin levels are high, a doctor might recommend you to a ‘fertility drug treatment’ to help start ovulation. Also, some women are prescribed an anti-diabetic drug “metformin” to address insulin resistance. Bariatric surgery in selected cases usually results in normalization of hormones within 3-4 months and resultant fertility improvement in almost all. This is facilitated by a significant reduction in insulin resistance.
Since PCOS is a complex condition and requires timely medical intervention, consulting a doctor at the earliest is desirable.