PCOD (Polycystic Ovarian Disease)
PCOD is an increasingly common gynecological disorder seen in young girls of reproductive age group. It is a condition in which the ovaries are studded with numerous small cysts. It is a health problem that can affect a woman’s menstrual cycle, ability to have children, hormones, heart, blood vessels, and appearance. Signs and symptoms of PCOD include irregular or no menstrual periods, heavy periods, excess body and facial hair, acne, pelvic pain, difficulty getting pregnant, and patches of thick, darker, velvety skin. Associated conditions include type 2 diabetes, obesity, obstructive sleep apnea, heart disease, mood disorders, and endometrial cancer. PCOD is due to a combination of genetic and environmental factors.
PCOD occurs primarily due to elevated levels of androgens in females. Imbalance between the amounts of testosterone, LH, FSH and estrogen can lead to an increase in the number of immature cystic follicles produced by the ovaries, none of which mature to form egg and hence lead to infertility. While there is a strong hereditary factor involved in PCOD, environmental factors such as stress, obesity and lack of exercise may also precipitate the condition in some young women.
We specialise in treating young women who suffer with this ailment. We provide effective treatment alternatives to reduce symptoms of the disease and also counsel the patient to deal with the psychological effects of this disease. While there is no permanent cure for PCOD, symptoms can be managed by a combination of weight loss, diet control and regular exercise. Hormone therapy to induce ovulation and rarely surgery (in women with large cystic ovaries unresponsive to medical treatment) are the mainstay of treatment. In some cases, women are unable to conceive despite treatment of the symptoms. In such cases, we recommend assisted reproductive techniques such as In utero insemination (IUI) and In vitro fertilization (IVF).