Understanding PCOS

Polycystic ovarian syndrome aka “nightmare syndrome”is one of the most common disorder of the endocrine system affecting women of reproductive age.According to various studies about 10-15% women have PCOS and 50% of us remain unaware and are at high risk of developing type2 diabetes before age 40.Thanks to Italian physician Sir Antonio Vallisneri who first describe its symptoms in 1721.

See the whole intention of this writing is to bring awareness in between us and to break this “taboo-talk” which is considered as a tricky subject plus banned from discussion in a so called “civility- society”even among women’s and you know what’s the consequence that the young girls often given wrong advices …no…actually “Home- remedies” because we don’t want to understand the scientific cause behind it.

So, my dear ladies please understand it in a scientific way.

So what actually is PCOS?

It is a common health problem now a days caused by an imbalance of reproductive hormones.

More specifically, it affect women’s ovaries, the reproductive organs that produce estrogen and progesterone-which regulates our menstrual cycle and we know that these ovaries which am so focusing form the egg which is a ritual part of a healthy menstrual cycle.But with PCOS, the egg may not develop as it should or may not be released as it should be.

Surprisingly ovaries also produce a small amount of androgen which is a male hormone.There are two main hormones which also play a significant role -Luteinizing hormone(LH) and Follicle stimulating hormone (FSH),the latter one stimulates the ovary to produce a follicle- a sac that contains egg and the former one triggers the ovary to release a mature egg.

Now boss in PCOS there are many small fluid sacs which grow inside the ovaries; which are actually follicles: each containing an immature egg. The egg never develops enough to trigger ovulation and this lack of ovulation alters the level of estrogen, progesterone, FSH, LH. So, from here the whole story begins, the level of estrogen and progesterone are lower than usual while androgen level is higher than usual and this extra smart male hormone disrupts the menstrual cycle resulting in fewer periods than usual in PCOS.

What’s the reason?

The exact reason of PCOS is unknown.Even doctors also don’t know the main root cause but they believe the high level of male hormone is the culprit.Here are some factors that might play a role and are as follows :

Heredity:Researches suggests PCOS runs in families.Its not only one single gene but many genes which are responsible.

• Insulin Resistance:Our body cells become resistant to the action of insulin, which is a hormone produced in the pancreas that allow the cells to utilise sugar-our primary energy supply.Due to which our blood sugar levels can rise and body might produce more insulin and furthermore increases androgen production. I guess every woman could relate to the story which I have described above.

• Excess androgen:The high level of androgen results in acne, hirsutism(unwanted male pattern hair growth).

Low grade inflammation:Simply understand that it is used to describe fighters –“white blood cells”production of substances to fight infections.Women with PCOS have high rate of inflammation and excess amount of it is linked up with high level of androgens.

Here are the symptoms:

• Menstrual: abnormal, absence of menstruation , heavy, irregular, short and light or spotting sometimes.
Skin: acne or oily skin and cause breakouts in areas like the face, chest and upper back.
Weight: obesity, overweight, weight gain
• Excessive hair growth: usually on the face, chest, back.

Also common- infertility, dark patches of skin in folds and creases, depression and unwanted hair.

Diagnosis :

There isn’t a single test which can diagnose it. But yeah, doctors will definitely start by asking about your symptoms and medical history and by doing some physical examination possibly, a pelvic exam that can look for any problems with our ovaries or other reproductive tract.

Blood test check also helps to measure the level of hormones, blood sugar, cholesterol etc.
An ultrasound can reveal abnormal follicles and measure the lining of our uterus.

What about Treatments?

Fact but a bitter one that there is no complete cure for PCOS but definitely one can manage its symptoms.

Birth control pills and other medications helps to regulate the menstrual cycle and PCOS symptoms like: hair growth, acne.

By weight management and getting into some physical activities, one can reduce the risk of long term complications like:diabetes, heart diseases etc.

So, what this scientific knowledge is all about?

See its very important to understand what our body is telling, as we never prioritise our health and often get undiagnosed with many health problems which lead to several serious ailments.

We have a box full of things to discuss but we don’t talk about them because we just think “what society says” and our whole life keeps revolving around this single thought which is basically taught from our childhood days and while we grow up these remain untangled.

To manage our PCOS we just have to follow few simple approaches like:eat mindfully, physical activity, perform little yoga with meditation for stress management which am gonna discuss in other PCOS topic rather soon.

Some of you might be thinking “ no matter, how often I workout and eat well but still am not reaching the target, why the hell people make assumptions” or may not be willing to show any interest. Right.

But calm down my folks, please don’t mix up the things, rather beat it with full zest in a positive by bringing in few changes in you and then Voila! U can perceive its everlasting results.

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