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Polycystic ovarian syndrome (PCOS, polycystic ovary syndrome) is a relatively common hormonal disorder that causes a number of different symptoms in women of reproductive age. Common to all women with PCOS is an irregularity in the menstrual cycle and the presence of excess male hormones (androgens).
The condition was named because of the finding of enlarged ovaries containing multiple small cysts (polycystic ovaries). Although most women with PCOS have polycystic ovaries, some affected women do not.

Symptoms of PCOS

PCOS leads to disruptions in the menstrual cycle that typically begin around the onset of Puberty. Menstrual cycles may be normal at first and then become irregular, or the onset of menses may be delayed. The menstrual irregularities of PCOS are accompanied by a lack of Ovulation so affected women may experience Infertility. The desire for Pregnancy is a factor that prompts many women with PCOS to first seek medical attention.

An increase in the production of androgens (male hormones) by the ovaries in PCOS may lead to excess hair growth in areas suggesting a male pattern, known as hirsutism. Thick, pigmented hair growth occurs on the upper lip, chin, and on the lower abdomen. Excess androgens can also lead to acne and male pattern balding.

Because of the absence or reduction in ovulation, women with PCOS have reduced levels of the hormone progesterones(normally produced after ovulation in the second half of the menstrual cycle). This can result in growth stimulation of the endometrium (lining tissues of the uterus), leading to dysfunctional uterine bleeding breakthrough bleeding. Increased stimulation of the endometrium in the absence of progesterone production is a risk factor for the development of endometrial hyperplasia and uterine Cancer.

Women with PCOS have also been reported to have an increased risk of developing type 2 diabetes, and many studies have shown abnormal blood lipid levels and elevated levels of C-reactive protein (CRP), a predictor of coronary artery disease. The combination of type 2 diabetes, elevated cholesterol and LDL levels, and elevated CRP levels suggest an increased risk of coronary heart disease on women with PCOS, although this risk has not yet been scientifically established.

PCOS Treatments

There are a number of treatments that have been shown to be effective in the treatment of PCOS. Treatment is dependent upon the stage of the woman’s life and may be directed toward establishing regular menstrual cycles, controlling abnormal uterine bleeding, controlling excess hair growth, management of associated conditions such as insulin resistance, or promoting the chances of pregnancy when desired.

A number of medical conditions may be associated with PCOS, and treatment may be required that is directed at these co-existent conditions. Associated conditions that may require specific medical treatments include:

  • type 2 diabetes
  • insulin resistance

By VISHAL AHLAWAT

THANK YOU GOD FOR GIVING ME PARENTS AND THANK YOU FOR GIVING ME BIRTH. I AM A AUTHOR TODAY ONLY BECAUSE OF GOD, PARENTS AND PEOPLE WHO BLESSED ME AND SUPPORT ME. THANK YOU EVERYONE. STAY BLESSED STAY HAPPY. #BETI BACHAO BETI PADHAO #VISHAL AHLAWAT

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