Articles on pill

Side Effects and Risks of Going on the Pill!

Dr. Disha Sridhar, Gynecologist/Obstetrician
The Pill seems to be the easiest method of preventing an unwanted pregnancy, but it is also one of the riskiest ones.  Despite warnings by an increasing number of health officials about the strong side effects of the drug, it is still regarded as the “best and safest” method of contraception.It is estimated that 150 million women worldwide take birth control pills. Why?If women knew the true dangers of birth control pills, would the numbers be so high? Not a chance.Sadly, in spite of knowing the devastating risks of birth control and lack of long-term safety especially for teenagers, pills are still being used for the treatment of hormone imbalances and acne.  Massive amounts of damage are being caused by handing out these pills like candy and too many heads are turned to ignore the obvious truth.  Unfortunately, we are talking about the lives of women and future generations.  If you read the following side effects, would you be concerned if your teenager was recommended to take birth control for controlling acne, per the doctor’s orders? Yet millions do it and unknowingly take a huge risk with their health and livelihood.  Many of these changes occur because of your body’s response to synthetic estrogen:Larger breastsWeight gain or lossReduced or increased acneSlight nauseaEmotional sensitivity right before your periodMood swings throughout your cycleIrregular bleeding or spottingBreast tendernessAnd even scarier than the “mild” side effects are the serious health risks that accompany birth control pills. These include:Increased risk of cervical and breast cancersIncreased risk of heart attack and strokeMigrainesHigher blood pressureGallbladder diseaseInfertilityBenign liver tumorsDecreased bone densityYeast overgrowth and infectionIncreased risk of blood clottingCancer, heart disease, stroke, infertility.  Surely these side effects make birth control pills a less than desirable option for contraception, and even less desirable for acne. Some facts about contraception pills that people don't talk about enough-Women who continually use contraceptive pills are more likely to develop circulatory problems, liver tumors, headaches, depression, and cancer than those who don’t use them. The risk increases with age. Women taking the Pill who are between 30 and 40 have a three times higher risk of dying from a heart attack than women of the same age group who are non-users. Women who are over 40 and still using the contraceptive pill have a 6 times higher risk of developing high blood pressure, a 4 times higher risk of having a stroke, and a 5 times higher risk of developing thrombosis and embolism, a condition where a blood clot may form and then lodge in an artery close to the heart. The risk of suffering thrombosis is greatest among short-term users.One of the most disastrous side effects of birth control pills on the body is the destruction of the beneficial bacteria in your intestines, making you more susceptible to yeast overgrowth, lower immunity, and infection. This little-known fact is never discussed and unfortunately, women are battling yeast overgrowth and yeast infections (candida) that are particularly dangerous to your overall health.How do birth control pills work?Let’s understand how birth control pills work in your body.  Typically, your body ovulates once a month, ripening a new egg that will then journey down a fallopian tube.  Eventually, it reaches the uterus, where it would implant if fertilized.If not fertilized by a sperm, then the lining of the uterus that had built up in preparation for the fertilized egg is unnecessary.  Both egg and uterine lining leave your body, cleansing your system and preparing for a new month.When you take birth control pills, you impose synthetic hormones on your natural cycle.Many birth control pills contain high levels of estrogen that effectively convince your pituitary gland that you are pregnant (this explains some of the side effects of the drugs) and that you don’t need to ovulate.  Because your body thinks you are pregnant, the uterine lining thickens. Once you start the placebo pills , however, your estrogen level drops suddenly, and your body menstruates “normally”.This abnormal cycle is what millions of women experience every month, and yet few doctors discuss the consequences of taking these prescriptions year after year.If you are taking birth control pills for a reason other than contraception, please reconsider.  Whether you are trying to clear up your skin or ease disruptive and painful PMS, keep in mind that birth control pills are merely addressing the symptoms and are not solving the problem.  Your body is actually trying to tell you something!Acne may indicate that your colon, lymph, and liver need cleansing. It may be that your hormones are out of balance, that you are not managing stress and/or, that your thyroid and adrenals are fatigued.  Acne is also a common symptom of a yeast infection or candidiasis.As you can see the underlying cause of something as seemingly simple as acne can be more complex than you might realize.  Although birth control pills may improve your symptoms for a short time, the imbalances in your body and its overall health continues to decline and the risks of oral contraceptives only compound the problem.   There is no condemnation here if you are taking, have taken or thought about taking birth control pills. Our heart is to educate people about the dangers of choosing synthetic solutions to our health over the natural creations of God.  Instead of learning about our own bodies, we have trusted a man-made, synthetic option to regulate our hormones.  Sadly, most of it is completely wrong and contrary to our bodies design.   We need to learn about our hormones, our natural menstrual cycles, ovulation cycles, and fertility.  As we do this we will find that becoming healthy in mind, body and spirit often means getting back to basics and finding ourselves closer to nature.We at Truhealing believe addressing the root cause of your acne and or menstrual issue without masking the symptoms with synthetic hormones. Wishing you health and happinessDr. Disha

Magic Pill That Kills Food Cravings

Ms. Swati Kapoor, Dietitian/Nutritionist
Why do most people find it difficult to lose weight? They can’t control their food cravings. Whether it is a sweet tooth or late night snacking, it is always that one craving that keeps throwing them off their weight loss goals. If there was a magic pill that could help you manage your cravings what would that be? According to recent study, exercising can actually help you manage your cravings better. Lets see how.Why do we crave certain foods? It’s because they make us feel better. According to the study, exercising can have the same effect on our body. Thus it has the triple benefit of burning calories, toxin removal and no consumption of any additional calories. Exercising also releases “happy” hormones that not only makes us feel good but even prevent emotional eating.There is another theory to managing cravings with exercise effectively. According to the second theory exercising releases appetite suppressing hormones in the body that naturally kill your appetite.What is the best exercise for this. We recommend jumping instead of cycling as the most effective tool for this. Jumping motion moves the centre of mass up and down  and it changes the levels of hormones like ghrelin more than any other type of exercise. Ghrelin is a hormone that is released when we’re hungry. When you jump consistently your cravings get automatically controlled by the hormones releases in the body.Besides, exercises creates more fatigue that can impact your desire to eat junk food. Next time you feel like a chocolate try jumping on the spot for five minutes and watch the craving disappear in no time plus you get to burn a few calories instantly.The research confirms that the magic pill to managing your cravings is exercise.To make this magic work for you it is recommended to do 30 minutes of moderate intensity of physical activity at least five days a week.  The most effective workouts for this purpose are running and interval training. If you don’t have time to go to the gym you can do some basic exercises for a minimum of 15 minutes and get similar results. Lastly avoid eating junk food and skipping meals.

Is Your Thyroid Pill/OC Pill Really Helping You?

Dr. Disha Sridhar, Gynecologist/Obstetrician
Hormones are an important and often confusing topic. They can literally make or break how we feel. Hormones relate to stress, anxiety, joy, happiness, energy, metabolism, digestion, sleep, sexual function, fertility and almost every other human function. These days we have taken extreme steps to balance our hormones by taking synthetic hormone supplements.We have gone the route of synthetic chemicals, synthroid or elthroxine(synthetic thyroid hormone), birth control pills, Hormone Replacement Therapy ( synthetic estrogen, progesterone and testosterone) and now to the confusing world of “bio-identical” and “natural” hormones.The problem with using synthetic hormones externally is that it will suppress the natural function of the gland. It’s like telling the body that it does not need to produce the hormone anymore and the gland shuts down and atrophies. USE IT OR LOSE IT. That’s why people taking a synthetic thyroid supplement have to keep on increasing dosage as their thyroid gland gets weaker and weaker.Hormone replacement therapy offers a quick temporary relief, but at a cost. Merely masking symptoms that are associated with decreased hormone production has potential side effects. Just keeping the symptoms at bay by introducing extra hormones without removing the reasons why hormone production is unbalanced, can have happy wheels demo long-term consequences.One often ignored area is the emotional aspect of hormones. Hormones are the physical messengers of our thoughts and feelings. For every thought we think, we make a neurotransmitter (hormone) in the brain that informs every cell of our body what we were thinking. Emotional states, withheld anger, frustration, fear, not feeling worthy enough, are thoughts that have a physical aspect (e-motion, or energy in motion). The endocrine hormones fluctuate according to how we feel about our self and our world. They are less physically controlled than most people assume or believe.Our bodies are wonderful and Mother Nature has given us many amazing gifts to heal our hormones. Nourishing the body with real food is important but we often forget about peace, deep breathing, exercise, loving others, kind words, saying no to negativity, nature walks, prayer, going to bed on time, unplugging the electronics, lighting candles, vacations on the beach, sunshine and playtime. All these things are very powerful in healing our hormones but are sadly forgotten in our busy lives.Life is all about choices we make. May this year we choose nature, May this year we choose rejuvenation and healing!To a healthier and hormonally balanced you!

Contraception: The Missed Pill

Dr. Devjani Das (Ganguly), Gynecologist/Obstetrician
In today's busy day and age, ladies want to be in control of their lives. In order to achieve an optimum work-life balance, priorities such as having children, need to be meticulously planned for the right time and when one feels ready to take on the responsibility. Hence contraception plays a very prominent role in the lives of young couples.Many young ladies prefer the combined oral contraceptive pill, i.e. the one that has both oestrogen and progesterone hormones, as their choice of contraception. There are episodes when pills are missed owing to a busy lifestyle or as a result of various other reasons. So what is a "missed pill"?A missed pill is defined as one that is 24 hours late.A pill is "late" if you have forgotten to take it at the usual time.If one combined pill is missed (between 24 and 48 hours of the last pill taken), then the missed pill should be taken as soon as remembered. The rest of the pack should be continued as usual. This means that you may be taking two pills in one day, first the missed pill, and then the usual pill at the usual time of the day that you would have taken.In the event of one missed pill, there is still contraceptive cover, and no emergency contraception is needed, provided there haven't been any other episodes of missed pill in the current pack, or in the last week of the previous pack.If two or more consecutive combined pills have been missed (more than 48 hours late), the last pill missed should be taken immediately, even if it means taking two pills in one day. Any earlier missed pills should be left in the pack. The rest of the pack should be taken as usual and an additional method of contraception (e.g. condom) should be used for the next 7 days. The timing of starting the next pack after missing two or more pills, depends on how many pills are left in the current pack. If seven or more pills are left in the pack after the last missed pill, the pack can be finished in the usual way, with a seven day gap as normal, prior to commencement of the next pack.However, if less than seven pills are left in the current pack after the last missed pill, the pack should be finished, and the next pack should be started the next day, without the seven day gap.There may not be effective contraceptive cover in the case of two or more missed pills in the first week of the current pack of combined pills. If there has been unprotected intercourse within the previous 7 days of the missed pills, in the first week of the pack, emergency contraception is needed, and you will need to see your gynaecologist regarding this.The combined pills are an effective method of contraception, provided they are used correctly and episodes of missed pills are kept to a minimum.

Risks of Using Sleeping Pills Without Prescription

Udayan Bhaumik, Psychiatrist
On the surface, prescription sleep aids can seem like the perfect cure for insomnia: Take a pill, and a few minutes later you slip into a restful sleep. Though they do have legitimate uses, sleeping pills also come with significant risks and side effects, which many people don’t realize.You Can Quickly Build Up a ToleranceWhen you take prescription sleeping pills over a long period of time, your body grows accustomed to the drug, and you need higher and higher doses to get the same sleep-inducing effect. But, if you take a high enough dose, this could lead to depressed breathing while you sleep, which can cause death. To minimize your risk for this side effect, don’t take sleeping pills for longer than a week or two. Erratic Behavior Side Effects: We’ve all been known to do strange things in our sleep, but prescription sleeping pills, particularly benzodiazepines such as triazolam, have been known to cause side effects like sleepwalking and amnesia. “You’ll wake up, and you won’t know where you are,” Leavey says. This has also been seen in people who have taken the newer sleep aids like Ambien. If you (or your significant other) notice evidence of strange behavior while you’re taking sleeping pills, report these problems with sleeping pills to your doctor promptly.You May Have Trouble Weaning Off Sleeping PillsOnce you begin taking sleeping pills, it can be hard to stop, particularly if you’ve been taking them for a long time. Some people experience “rebound insomnia” — when sleeping problems actually worsen once you stop taking the drug. If you want to go off your sleeping pills, talk to your doctor about setting up a schedule to gradually reduce your dosage, rather than just quitting cold turkey.

10 Things About Emergency Contraceptives Women Must Know

Dr. Jyotsna Gupta, Gynecologist/Obstetrician
Emergency contraceptive pill is a pill used by a woman after having an unprotected intercourse to prevent her from getting pregnant. It is sometimes called "the morning after pill," "the day after pill," or "morning after contraception or postcoital pill. the term ”morning after pill” is misleading; ECPs may be initiated sooner than the morning after—immediately after unprotected intercourse—or later—for at least 72 hours after unprotected intercourse. ECPs are considered 96-98% effective in preventing pregnancy.The word “Emergency” is important to note. If you are sexually active or planning to be, don't use emergency contraception as your only protection against pregnancy.Many youths in India are using ECPs like I pill & Unwanted 72 without caring about their after effects on the health of the girl.Most youngsters have unprotected sex depending on these emergency contraceptive pills. However, i-pill or any other emergency pill is not a contraceptive pill you can depend on daily. With the fabulous marketing that these pills do, it has succeeded in making it one of India’s most favored ‘emergency contraceptive pills’. In a country like India where people only expect you to have sex after getting married, these advertisements are highly misleading.But before you think of it as a miracle pill, you should know about the dangerous side effects of these emergency contraceptive pills. Given below are 10 facts about the emergency pill that every sexually active woman must know about and ask their partner for a much safer option like condom.The emergency contraceptive pill is not an abortion pill. It stops pregnancy but cannot terminate it. Therefore it is ineffective if a woman is already pregnant.The pill is to be taken soon after unprotected sex. It should be taken preferably within 24 hours and before 72 hours or else the pill may turn useless. Emergency contraceptive pill is about 96-98% effective only if taken in time.It does not offer protection against HIV/AIDS or other sexually transmitted diseases.If you are on long-term medication for any ailment, consult a doctor before taking the emergency contraceptive pill.Nausea, breast tenderness, delayed menstruation, lower abdominal ache, headache, vomiting and irregular menstruation are some of the temporary side-effects of the emergency contraceptive pill. However, these effects subside within a day or two depending on the metabolism of the woman.The emergency contraceptive pill is to be used only as an emergency contraceptive method. It should not be used as a regular contraceptive method and is quite unhealthy if taken more than twice a month.According to researchers, emergency pill can reduce sexual interest; lead to skin allergies and also prepone periods in some women. Other women complain of severe headache which is a result of hormonal imbalance.A woman who has an allergy to Levonorgestrel (contraceptive pills) must consult a doctor before taking the contraceptive pill.The emergency pill is only safe for women between the ages of 25 and 45. It is not the best contraceptive method for teenagers. With the rate of teenage pregnancy growing in India, there is need to educate the youth about the harmful side effects of the i-pill on a developing reproductive system.The emergency contraceptives are hormonal pills and its long time usage can lead to severe menstrual problems or even ovarian damage.

Get Rid of PMS for Good!

Dr. Disha Sridhar, Gynecologist/Obstetrician
"And When She Was Good She Was Very, Very, Good, and When She Was Bad She Was Horrid."You see it all the time: That crazy, cranky, above else hungry female character depicted in movies and TV shows for decades on end. It's an overused stereotype that unfortunately represents how a large section of our society sees women during 'that time of the month', even today.  Why I find the depiction problematic is because it makes us believe that all of this is normal. We as women, also grow up believing that PMS is an inherent part of being a female and we are bound to suffer every month after month. Well, I am here to tell you, Its not true! PMS is a symptom of underlying hormone imbalance, which can be fixed and is totally preventable.What the is PMS?Even though it stands for 'pre'­menstrual syndrome, PMS doesn’t necessarily occur right before your period. The symptoms can present themselves any time between ovulation & menstruation, which is the second part of your monthly cycle- also known as your luteal phase. During this period a woman may experience everything and anything from bloating, ravenous hunger, acne or anxiety.But let me tell you, PMS is not normal. Its a sign of underlying hormone imbalance which can be corrected. The cause of this imbalance is usually-too much estrogen, coupled with low progesterone, and micronutrient deficiencies. All these coupled together can make your brain & body to go on an un­fun rollercoaster ride. Anything from imbalanced nutrition to unresolved relationships can disrupt the hormonal balance in your body. Despite the fact that many women now approach their doctors wanting to understand PMS and get help, there is still a belief among conventional practitioners that these symptoms are strictly hormonal or even worse psychological, and have nothing to do with a woman’s life, and that they can be “fixed.” They might simply prescribe oral contraceptives or antidepressants for women with PMS to control symptoms along with their cycles and emotions. However, it's important to understand the underlying problems by asking more questions about the woman's nutrition,personal & professional life. Symptoms of PMSPMS involves a wide variety of symptoms. Here are the most common:Abdominal bloatingAbdominal crampingAccident proneness, coordination difficultiesAcne, hivesAggression, rageAnxiety, irritability, suicidal thoughtsAsthmaBack painBreast swelling and painBruisingConfusionDepression, withdrawal from others, emotional labilityEdemaExacerbation of preexisting conditions (lupus, arthritis, ulcers, herpes, etc.)Fatigue, lethargyFainting (vasovagal syncope)Food binges, salt cravings, sweet cravingsHeadache, migraineHeart palpitationsInsomniaJoint swelling and painNauseaUrinary difficultiesThe key to making the diagnosis, however, the most important aspect is not the exact symptoms themselves, but the cyclic nature in which they occur.What do I do about it?Don't put your faith in pills and potions. They are no match for what is going on in your endocrine system . Further proof that there is no magic solution: Many women on birth control pills also struggle with PMS, even though they have the supposed cure all of synthetic hormones. I recommend a balanced approach to healing PMS, instead of just treating the symptoms. Many women are given symptomatic treatments for their PMS that, in the long run, do not work. To treat a woman’s headaches with painkillers, and her mood changes with antidepressants or antianxiety drugs is to ignore the underlying imbalance that leads to PMS in the first place. In addition, these treatments often have deleterious side effects of their own. There is no magic bullet for treating PMS, it needs a systemic and holistic approach.Take a balanced diet: Include leafy greens, sweet potatoes, coconuts and avocados in your diet.Eliminate caffeine. Even if you only drink one cup of coffee per day, eliminating caffeine can make a huge difference for some women.Get enough essential fatty acids in your diet. Nuts, seeds, Flax seed , evening primrose oil can help.Reduce stress. Women who practice meditation or other methods of deep relaxation are able to alleviate many of their PMS symptoms.Exercise. Get at least 20 minutes of aerobic exercise three times per week. Brisk walking is all that is necessary.Listen to Your Body. The truth is, if you ignore your cyclic nature, disconnect from your body's wisdom and try to function as a linear being with the same drives, focus, and attitudes day after day, PMS will often be the result, no matter what you take to try to control it. If you don’t pay attention to the issues that come up premenstrually during the years when your periods are regular, it is likely that your symptoms will escalate during perimenopause. That’s why it is important to understand that every premenstrual issue is potentially related to a larger, deeper need that is not being met or that has been ignored for a long time. Having treated hundreds of women with PMS, I know that such a rethinking is needed. When we don’t acknowledge our needs, our bodies have to scream louder to get our attention.Wishing you a PMS FREE PERIOD!Dr.

Polycysticovarian Disease (Pcod) Part 1

Dr. Hema Jajoo, Gynecologist/Obstetrician
Polycystic ovary syndrome (PCOS) is a hormonal disorder with over production of male harmone (Androgen) and insulin resistance (Insulin resistance is a condition in which the body produces insulin but does not use it effectively which again lead to horm onal imbalance) that causes verities of symptoms like irregular menstrual periods, overweight ,obesity, hirsuitism (excessive hair growth all over body), acne etc. Incidence-  The condition occurs in about 5 to 10 percent of female population of developed countries .Much higher incidence is reportedin india 3.7 to 22.5% and In Indian adolescents it is 9.13 to 36%..Cause of PCOD- The cause of polycystic ovary syndrome (PCOS)is not fully understood, but genetics may be a factor. PCOS can be passed down from either your mother's or father's side. PCOS problems are caused by hormonal changes. One hormone change triggers another,which changes another.How PCOS patients presents-Menstrual irregularities- is the commonest problem PCOD patients present with. This can be in the form of scanty menses, prolonged menstrual cycles, prolonged and heavy menses or absent menses.Weight gain and obesity- Because of hormonal imbalances most women gradually gain weight. There are few women or adolescents who do not gain weight. They are known as Lean PCOS.Male-pattern hair growth ( hirsutism is the excessive growth of thick,dark terminal hair in women where hair growth is normally absent) may be seen on the upper lip, chin, neck, side burn area, chest, upper or lower abdomen, upper arm, and inner thigh.Pimples- (Acne) is a skin condition that causes oily skin and blockages in hair follicles.Mostly occurs on face, but sometimes may be seen on back and upper chestInfertility - Many women with PCOS do not ovulate regularly, and it may take these women longer to become pregnant. An infertility evaluation is often recommended after 6 to 12 months of trying to become pregnant.Metabolic syndrome- Many patients with polycystic ovary syndrome (PCOS) also have features of the metabolic syndrome,including insulin resistance, Diabetes, obesity, and dyslipidemia (abnorma lLipid profile), suggesting an increased risk for cardiovascular disease( CVD ).Risk Factors for PCOSEarly or late Menarche- age of first menses.Obesity.Family History of PCOS ,irregular periods or Diabetes.Sedentary and improper life style.Long term sequel of PCOD-They are at high risk of developing Diabetes.High blood pressure, high cholesterol and heart diseases.Obesity.High risk of developing uterine cancer (endometrial cancer) due to unopposed action of Oestrogen harmone.Thyroid Disorders( Hypothyroidism)Sleep apnea — Sleep apnea is a condition that causes brief spells where breathing stops (apnea )during sleep. Patients with this problem often experience fatigue and daytime sleepiness.Depression and Anxiety.PCOS DIAGNOSISWhen patient goes to a doctor with any of the above mentioned symptoms then doctor takes full history, ask for other symptoms and examines thoroughly and then may advice certain tests to confirm the diagnosis.There is no single test for diagnosing polycystic ovary syndrome (PCOS). You may be diagnosed with PCOS based upon your symptoms, blood tests, and a physical examination. Expert groups have determined that a woman must have two out ofthree ( Rotterdam criteria ) of the following to be diagnosed with PCOS:Irregular menstrual periods caused by anovulation or irregular ovulation.Evidence of elevated male harmone (Testesterone) levels. The evidence can be based upon signs (excess hair growth, acne, or male-pattern balding) .Polycystic ovaries on pelvic ultrasound.- it shows enlarged ovary with multiple cysts. This is seen in almost 30% of cases.In women with moderate to severe hirsutism (excess hair growth), blood tests for testosterone and Indehydroepiandrosterone sulfate (DHEA-S) may be recommended.TSH and Prolactin harmones should also bed one as Hypothyroidism and or Hyperprolactinimia  may be associated with PCOS.If PCOS is confirmed, blood glucose and cholesterol testing are usually performed. Anoral glucose tolerance test is the best way to diagnose prediabetes and/or diabetes.Adolescent PCOS In adolescents, presence of oligomenorrhea (scanty menses) or amenorrhea (absent menses) beyond two years of menarche should be considered an early clinical sign of PCOS, followed by (Rotterdam criteria ) of adults for diagnosis of PCOS as mentioned above.Minimal diagnosis of PCOS in adolescents should include 5 tests- Serum total testosterone (cut off 60 ng/dL) Oral glucose tolerance test (OGTT) zero, two hours after 75 gm glucose load.Serum 17– hydroxy progesterone (assessed at 8 am)Serum TSH Serum and prolactin levels MANAGEMENT OF PATIENTS WITH PCOSBoth pharmacological and non-pharmacological management strategies are crucial in the overall management of PCOS. Usually treatment depends upon the symptoms for which patient comes. As PCOS can not be cured permanently, long term treatment plans should be given to manage her bothering symptoms and also to prevent long term sequeli. Treatment- usually depend upon the symptoms for which patient has come. But life style modification forms the main stay of treatment. Regular exercise,a healthy diet ,weight control, and not smoking are all important parts of treatment for polycystic ovary syndrome (PCOS)Physical activity- In adults and adolescents with PCOS, daily strict physical activity sessions for at least 30min/day or 150min/ week are recommended.Weight loss — Weight loss is one of the most effective approaches for managing insulinabnormalities, irregular menstrual periods, and other symptoms of PCOS. Forexample, many overweight women with PCOS who lose 5 to 10 percent of their bodyweight notice that their periods become more regular. Weight loss can often beachieved with a program of diet and exercise.Diet -it is recommended to follow calorie restricted diet (low carbohydrate and fat,high protein diet)There are a number of options available to treat obesity. These options are identical to those recommended for women without PCOS and include diet and exercise, weight loss medications (although their use is limited), and weight loss surgery. Weight loss surgery may be an option for severely obese women with PCOS. Women can lose significant of weight after surgery, which can restore normal menstrual cycles, reduce high androgen levels and hirsutism, and reduce the risk of type 2 diabetes. Oral contraceptives — Oral contraceptives (OCs; with combined estrogen and progestin) are the most commonly used treatment for regulating menstrual periods in women with polycystic ovary syndrome (PCOS). OCs protect the woman from endometrial (uterine) hyperplasia or cancer by inducing a monthly menstrual period. OCs are also effective for treating hirsutism and acne. Women with PCOS occasionally ovulate, and oral contraceptives are useful in providing protection from pregnancy. Although an OC allows for bleeding once per month, this does not mean that the PCOS is“cured,  irregular cycles generally return when the OC is stopped. Oral contraceptives decrease the body's production of male harmone ( androgens). Anti-androgen drugs (such as spironolactone) decrease the effect of androgens. These treatments can be used in combination to reduce and slow hair growth. Oral contraceptives and anti-androgens can alsoreduce acne. Metformin — Metformin is used to decrease insulin resistance in these patients. It improves the effectiveness of insulin produced by the body. It was developed as a treatmentfor type 2 diabetes but may be recommended for women with PCOS with obesity and insulin resistance.If a woman does not have regular menstrual cycles, the first-line treatment is a hormonal method of birth control, such as birth control pills. If the woman can not take birth control pills, one alternative is to take metformin; a progestinis usually recommended periodically to have withdrawal bleeding in addition to metformin, for six months or until menstrual cycles are regular.Metformin may help with weight loss. Although metformin is not a weight-loss drug, some studies have shown that women with PCOS who are on a low-calorie diet lose more weight when metformin is added. If metformin is used, it is essential that diet and exercise are also part of the recommended regimen because the weight that is lost in the early phase of metformin treatment may be regained over time.Treatment of infertility — If tests determine that lack of ovulation is the cause of infertility, several treatment options are available.These treatments work best in women who are not obese.The primary treatment for women who are unable to become pregnant and who have PCOS is weight loss. Even a modest amount of weight loss may allow the woman to begin ovulating normally. In addition, weight loss can improve the effectiveness of other infertility treatments. Ovulation inducing drugs (like clomiphene etc)  are also used in conjunction with Matformin. Your doctor will discuss with you about it.Prevention-  (PCOS) cannot be prevented. But early diagnosis and treatment helps prevent long-term complications, such as infertility, metabolic syndrome, obesity, diabetes, and heart disease.