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CIMAR FERTILITY CENTRE
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CIMAR | Infertility/Fertility IVF Hospital at Kochi/Kerala/India
CIMAR | Infertility/Fertility IVF Hospital at Kochi/Kerala/India

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Unusual gain or loss in body weight is another visible aspect of PCOS. This is due to - insulin resistance (when cells of the body do not respond properly to the hormone insulin) – which leads to type 2 diabetes, gestational diabetes and prediabetes. The scenario is associated with obesity as high insulin levels raise the production of male hormones, androgens which cause weight gain around the abdomen (like men). Researchers say this is why instead of a pear shape, women with PCOS have more of an apple shape.
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This is by far the most common form of PCOS (referred to as Type 1) as high level of
​insulin ​and leptin hamper ovulation and stimulate ovaries to make testosterone. Those with Insulin-Resistant PCOS may have a greater potential for developing ​full fledged ​
diabetes and higher testosterone levels. It would lead to an increased weight gain while ​the ​
excess testosterone could induce hair loss or facial hair growth. Normally, any improvement for Type 1 PCOS is gradual, over 6-9 months.
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PCOS can cause hyperandrogenism (when the body produces too many androgens or male hormones) and if hair follicles are androgen-sensitive, it may lead to thinning and loss of hair on the scalp. Conversely, it could also lead to an increase in the growth of body and facial hair. Studies show that PCOS is the most common endocrine-related cause of female pattern hair loss (FPHL).
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PCOS generally induces a woman’s body to produce high levels of androgens, male hormones, which can interfere with the development and regular release of eggs (anovulation). It would also cause a woman to miss her menstrual period or to have irregular periods. Such a scenario makes it very difficult for a woman to conceive naturally. Some women also face a higher risk of miscarriage even though this does not mean that all women with PCOS are infertile; some may experience reduced fertility or "sub fertility" (they may take longer to conceive).
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A commonly seen symptom of PCOS is mood swings​. The ​mental health of a woman with PCOS is shaky and the condition can cause severe mood swings at any point. She ​may fall into a depressed mood ​without any particular triggering factor​. ​Emotional outbursts and breakdowns are recurrent incidents at this phase. The hormonal imbalance along with frustration and stress due to disturbed sleeping​ pattern​ ​is responsible for this unpredictable state of mind.​ ​PCOS comes with elevated levels of anxiety that doesn’t develop due to a particular rational reason. This anxiety is caused by the chemical changes in the body.
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PCOS generally induces a woman’s body to produce high levels of androgens, male hormones, which can interfere with the development and regular release of eggs (anovulation). It would also cause a woman to miss her menstrual period or to have irregular periods. Such a scenario makes it very difficult for a woman to conceive naturally. Some women also face a higher risk of miscarriage even though this does not mean that all women with PCOS are infertile; some may experience reduced fertility or "sub fertility" (they may take longer to conceive).
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Not only the symptoms of PCOS but even the need to describe them to a doctor can frustrate you. However, unless you help yourself, no doctor can find you a solution. So, describe your symptoms in detail, what measures have helped, what changes have been made in treatment and what you should focus on, etc. As effects of PCOS are diverse with multiple symptoms, you will need to meet the doctor specific to that symptom. Ask your primary doctor/gynecologist for help and he will either treat you or refer you to the right person. The different symptoms of PCOD can be treated by medical endocrinologist, reproductive endocrinologist, dermatologist, psychologist and/or psychiatrist and dietician. Skin related problem need to be treated by a dermatologist and infertility related issues needs to be tested by reproductive endocrinologist etc
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Sometimes, doctors may go for surgical management of PCOS essentially for restoring ovulation. In fact, many laparoscopic methods such as electrocautery, laser drilling, multiple biopsy, etc are being used today. Laparoscopic ovarian drilling is considered in women with clomiphene-resistant PCOS or surgical management via ovarian drilling may be beneficial in cases wherein the patient is resistant to certain drugs, according to Society of Obstetricians and Gyanecologists of Canada (SOGC). Potential complications or long-term effects of ovarian drilling can reduce the ovarian function. So it’s important that the patients are correctly selected prior to the procedure.
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Leading a healthy lifestyle -which results in weight loss - is the primary solution for PCOS. However, even then many fail to lose weight or do not get ovulation (even after weight loss); at this juncture, doctors may try medication to trigger ovulation. If a PCOS affected person is not planning pregnancy, she may use hormone therapy to control ovary hormones; to correct the menstrual cycle problems, birth control hormones are used to keep the endometrial lining from building up for too long. Hormone therapy is also used for male type hair growth and acne. So if your effort to lose weight and medicine do not help restart ovulation, you may request your doctor to look at other treatments.
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