PCOS / PCOD Treatment in Mumbai
Polycystic Ovarian Syndrome (PCOS) is a common hormonal disorder affecting women of childbearing age, typically between 15 and 44 years old. Though it's not a new condition, with its symptoms first documented by the Italian physician Antonio Vallisneri in 1721, PCOS remains prevalent, affecting up to 15% of women in this age group. Unfortunately, 70% of cases often go undiagnosed. However, increased awareness in the digital age is leading more individuals to seek treatment and achieve a healthier life.
What is PCOS?
PCOS involves a range of symptoms impacting ovarian function and ovulation. It is characterized by:
- Polycystic Ovaries: Enlarged ovaries containing multiple small cysts (fluid-filled sacs) visible on an ultrasound, typically up to 0.3 inches (8mm) in size.
- Elevated Androgen Levels: Higher-than-normal levels of male hormones (androgens) produced by the ovaries, adrenal glands, and fat cells, leading to excess facial or body hair, acne, and scalp hair loss.
- Irregular Menstrual Cycles: Irregular, infrequent, or prolonged menstrual periods and unpredictable ovulation.
The cysts in PCOS are underdeveloped follicles that fail to mature enough to stimulate ovulation. This lack of ovulation disrupts hormone levels, including progesterone, estrogen, LH, and FSH, leading to irregular menstrual cycles. A PCOS diagnosis is typically made if a patient exhibits at least two of these symptoms. For those affected, consulting a specialist like Dr. Chaitali Mahajan Trivedi, a renowned gynecologist practicing at Nanavati Superspeciality Hospital in Mumbai, can provide effective treatment.
Why Does PCOS Affect Women?
PCOS affects the ovaries, which are responsible for producing and releasing eggs. Normally, the ovaries produce estrogen and progesterone to regulate the menstrual cycle and a small amount of male hormones. During ovulation, the ovaries release a mature egg for fertilization. The pituitary gland regulates this process through Follicle-Stimulating Hormone (FSH) and Luteinizing Hormone (LH). FSH stimulates the ovaries to develop follicles, while LH triggers the release of a mature egg.
PCOS disrupts this balance, leading to hormonal imbalances and affecting ovarian function. This condition is unique to women due to its impact on reproductive organs.
What Causes PCOS?
The exact cause of PCOS is not well understood. It is believed that elevated androgen levels interfere with the normal release of eggs and hormone production. Factors such as genetics, low-grade inflammation, and insulin resistance are associated with high androgen levels. Women who are obese, overweight, or have a family history of PCOS are at a higher risk.
- Insulin Resistance: Insulin is a hormone produced by the pancreas that regulates blood sugar levels. In PCOS, insulin resistance, often associated with obesity, impairs the body's ability to use insulin effectively. This leads to increased insulin production, which in turn stimulates the ovaries to produce more male hormones.
- Chronic Low-Grade Inflammation: Overweight individuals with PCOS often have inflammation detectable through blood tests measuring white blood cells and C-reactive proteins. This inflammation is linked to elevated androgen levels.
With advancements in medical understanding and treatment options, managing PCOS and leading a healthier life is increasingly achievable.