BEST TREATMENT SPECIALIST FOR PCOS POLYCYSTIC OVARIES

• Menstrual disorders: patient typically presents with history of delayed cycles ie., oligomenorrhea (few menstrual periods) or amenorrhea (no menstrual periods)
• High levels of masculinizing hormones: leading to acne and hirsutism (male pattern of hair growth), hypermenorrhea (heavy and prolonged menstrual periods).
• Insulin resistance

        The typical NECKLACE PATTERN OF CYSTS as seen on ultrasound.

• Cause is uncertain with a strong genetic predisposition
• Obesity plays a major role

• Since the 1990 NIH-sponsored conference on polycystic ovary syndrome (PCOS), it has become appreciated that the syndrome encompasses a broader spectrum of signs and symptoms of ovarian dysfunction than those defined by the original diagnostic criteria which had included oligoovulation ,signs of androgen excess (clinical or biochemical) and exclusion of other disorders that can result in menstrual irregularity and hyperandrogenism In 2003 a consensus workshop sponsored by ESHRE/ASRM in Rotterdam indicated PCOS to be present if any 2 out of 3 criteria are met, in the absence of other entities that might cause these findings

  • oligoovulation and/or anovulation
  • excess androgen activity
  • polycystic ovaries (by gynecologic ultrasound).

  The 2003 Rotterdam consensus workshop concluded that PCOS is a syndrome of ovarian dysfunction along with the cardinal features hyperandrogenism and polycystic ovary (PCO) morphology. PCOS remains a syndrome and, as such, no single diagnostic criterion (such as hyperandrogenism or PCO) is sufficient for clinical diagnosis. It may manifest as : menstrual irregularities, signs of androgen excess, and obesity.

LH-FSH ratio refers to the relative values of two gonadotropin hormones produced by the pituitary gland in women. Luteinizing hormone (LH) and follicle stimulating hormone (FSH) stimulate ovulation by working in different ways. In pre-menopausal women, the normal ratio is 1:1 as measured on day three of the menstrual cycle. It used to be believed that an elevated LH-FSH ratio of greater than 2:1 or 3:1 was indicative of PCOS, but recently, researchers have discovered that many women with PCOS have normal levels. As many as half of all women with PCOS may not have high ratios

• History of oligomenorrheic cycles,acne, obesity
• ultrasound
• laparoscopy

• Restore normal menses
• restore fertility
• treat acne
• treat insulin resistance

• LIFESTYLE MODIFICATION
• WEIGHT REDUCTION OF ATLEAST 15 PERCENT
• AVOID CARBOHYDRATES AND FATTY FOOD
• FOR A SPECIALISED INDIVIDUALISED TREATMENT FOR PCOS CUSTOMISED EXCLISIVELY FOR YOU, KINDLY CONSULT IN OPD
• First and foremost is WEIGHT REDUCTION
• They should be warned of developing endometrial carcinoma, type II diabetes mellitus and dyslipidemia