- PCOD & Anovulation (lack of egg release) is very common.Manifest as amennorhea (lack of menses), dysfunctional uterine bleeding (abnormal menstruation), Hirsuitism (unwanted hairgrowth), Infertility.
- PCOD leads to increased risk of obesity, insulin resistance, Diabetes mellitus, Coronary vascular disease (sometimes increased blood pressure), endometrial hyperplasia & neoplasia.
HOW TO IDENTIFY PCOD:
- PCOD presents with obesity, excessive hair growth, menstrual irregularities, polycystic ovaries and infertility.
- Persistent lack of egg release for longer time leads to chronic anovulation status which leads to PCOD.
- The clinical features of PCOS reflect a functional derangement in egg development resulting in anovulation.
- PCOD is a polygenic disorder likely involved in the interaction of genetic variants and environmental factor.
Management of PCOD:
- Lifestyle modification - Weight reduction is the first best treatment for obese women. Even 5% weight loss will improve the ovulatory function and increases the conception rate and decreases the abortion rate.
- Diet restriction – It means decrease the calorie intake.
- Instead of doing a simple walk, it’s better to do vigorous exercises (profuse sweating) and it should be regular.
- Medical management – Metformin is used for the weight reduction but it is not primary.