Polycystic Ovary Syndrome (PCOS) is a complex condition that affects many women worldwide. The initial symptoms of PCOS vary, making it challenging to diagnose early. However, identifying the signs early is crucial, as delayed diagnosis can lead to complications and make treatment more difficult.
How to Diagnose PCOS Early
History of irregular or having no menstruation for a longer time weight gain abnormal hair growth.
Pelvic Scan: On the scan, the ovaries are enlarged, and more than 12 follicles are seen. Increase in the volume of ovaries.
Blood Tests: serum testosterone, FSH and LH levels, prolactin levels, and TSH levels.
Treatment Options for Polycystic Ovary Syndrome (PCOS)
PCOS treatment depends upon the concerning things that you want to manage. It’s infertility, obesity, menstrual irregularities, and abnormal hair growth.
Lifestyle Modification:
- Avoid bakery items, fast food, and preserved food.
- Avoid Soft drinks
- Avoid white flour(maida, cornflour)
- Avoid Fryer foods
- Avoid Sugar
- Sleep 7-8 hours
Exercise:
- Walk and do exercises
- Do intermittent fasting
- Make plans and follow up on weight loss recipes
Imp Note:
Make sure that things are strictly prohibited, you are not even allowed to take one bite of it. If u only do exercises and lifestyle modifications then 90-95 % of problems settle without medications.
Medications:
PCOS is a game of hormones so hormonal pills are advised mostly along with metformin to decrease insulin resistance in obese patients.
Concerned About Pregnancy
- History of the last mensural period (LMP)
- Withdrawal bleed if needed
- Give ovulation induction
- Tab letrozole, clomiphene citrate
- On 11-12 days pelvic scan is done for follicular tracking
- Advise LH surge stick to evaluate ovulation day
- Advise Tab progesterone pills along
- Pregnancy is not concerned
Irregular Menstruation
- Give OCPs
- Tab Diane 35, Tab FAM-21
- Tab Metformin
Hirsutism:
Advise wax, laser, threading
Topical Eflornithine (Epila cream)
Tab Aldactone (with this must advise contraception because it’s teratogenic)
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