{"id":464,"date":"2025-10-14T10:59:21","date_gmt":"2025-10-14T10:59:21","guid":{"rendered":"https:\/\/sarkarhospital.in\/?page_id=464"},"modified":"2025-10-14T12:36:57","modified_gmt":"2025-10-14T12:36:57","slug":"pcos","status":"publish","type":"page","link":"https:\/\/sarkarhospital.in\/?page_id=464","title":{"rendered":"PCOS"},"content":{"rendered":"\t\t
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PCOS<\/h2>\t\t\t\t<\/div>\n\t\t\t\t
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PCOS means polycystic ovarian syndrome, where many small cysts filled with fluid are seen in the ovaries. PCOS is an ovarian disorder having effects on all body systems.<\/p>

PCOS is common and affects 10 to 20% of all reproductive-age females.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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Common symptoms<\/h3>\t\t\t\t<\/div>\n\t\t\t\t
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Polycystic Ovary Syndrome (PCOS) is a hormonal disorder that can affect women of reproductive age. Key symptoms include:<\/p>

  • Irregular Menstruation:<\/strong> Periods may be very infrequent, irregular, or completely absent.<\/p><\/li>

  • Infertility:<\/strong> Difficulty in conceiving due to disrupted ovulation.<\/p><\/li>

  • Excess Male Hormones (Androgen Excess):<\/strong> Leading to increased facial and body hair (hirsutism), acne, and male-pattern baldness.<\/p><\/li>

  • Obesity and Metabolic Issues:<\/strong> Tendency to gain weight, disturbed lipid profile, and impaired glucose tolerance.<\/p><\/li>

  • Increased Risk of Miscarriage:<\/strong> Hormonal imbalances can affect pregnancy outcomes.<\/p><\/li><\/ul>

    In PCOS, the ovarian environment is often not conducive for egg maturation and ovulation<\/strong>. Multiple small follicles may be present, but they do not grow or release eggs<\/strong>. On ultrasound, these follicles often appear in a \u201cnecklace\u201d pattern near the ovarian periphery, giving the term polycystic ovaries<\/strong>. When these ovarian changes are accompanied by effects on other body systems, it is referred to as Polycystic Ovarian Syndrome (PCOS).<\/strong><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t

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    Causes of PCOS<\/h4>\t\t\t\t<\/div>\n\t\t\t\t
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    Hormonal Imbalance<\/strong><\/h4>

    • Androgen Excess:<\/strong> High male hormone levels lead to hirsutism, acne, and hair thinning<\/strong>.<\/p><\/li>

    • Insulin Resistance:<\/strong> Elevated insulin can increase androgen production, worsening PCOS symptoms.<\/p><\/li>

    • Low-Grade Inflammation:<\/strong> Chronic inflammation may contribute to elevated androgen levels.<\/p><\/li><\/ul>

      Genetic Factors<\/strong><\/h4>

      • PCOS may run in families. A family history<\/strong> of PCOS or related metabolic disorders increases the risk.<\/p><\/li><\/ul>

        Environmental Factors<\/strong><\/h4>

        • Lifestyle influences:<\/strong> Poor diet, low physical activity, and exposure to environmental toxins can trigger or worsen PCOS symptoms.<\/p><\/li><\/ul>

          Obesity<\/strong><\/h4>

          • While obesity is not a direct cause<\/strong>, it exacerbates insulin resistance and hormonal imbalances<\/strong>, intensifying PCOS symptoms.<\/p><\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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            Diagnosis<\/h3>\t\t\t\t<\/div>\n\t\t\t\t
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            For women of reproductive age, PCOS (Polycystic Ovary Syndrome)<\/strong> is diagnosed when at least two of the following three features<\/strong> are present:<\/p>

            1. Irregular Menstrual Periods<\/strong> \u2013 cycles that are infrequent, very long, or absent.<\/p><\/li>

            2. Signs of Male Hormone Excess<\/strong> \u2013 such as increased facial\/body hair, acne, or hair thinning.<\/p><\/li>

            3. Polycystic Ovaries on Ultrasound<\/strong> \u2013 multiple small follicles seen in the ovaries during sonography<\/p><\/li><\/ol>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

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              Treatment<\/h5>\t\t\t\t<\/div>\n\t\t\t\t
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              Lifestyle Modifications<\/strong><\/h4>

              • Achieving an ideal body weight<\/strong> is the first-line treatment.<\/p><\/li>

              • The recommended BMI is <22.5<\/strong>.<\/p><\/li>

              • Even a 5\u201310% reduction in body weight<\/strong> can significantly improve ovulation and fertility.<\/p><\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

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                Fertility treatments<\/h4>\t\t\t\t<\/div>\n\t\t\t\t
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                1. Oral Medications<\/strong><\/p>

                • Medications can stimulate ovulation in 70\u201380% of women with PCOS<\/strong>.<\/p><\/li>

                • About 50\u201360% may conceive<\/strong> with oral medicines alone; the rest may require advanced treatments.<\/p><\/li><\/ul>

                  2. Injectable Hormones for Egg Growth<\/strong><\/p>

                  • Hormones like FSH and LH<\/strong>, naturally secreted by the pituitary gland, can be given via injections to stimulate egg development.<\/p><\/li>

                  • These are particularly useful if oral medicines fail to induce ovulation.<\/p><\/li>

                  • Multiple eggs may develop, increasing the risk of OHSS (Ovarian Hyperstimulation Syndrome)<\/strong> and multiple pregnancies.<\/p><\/li>

                  • Must be used under the supervision of an experienced fertility specialist.<\/p><\/li><\/ul>

                    3. IUI (Intrauterine Insemination)<\/strong><\/p>

                    • Washed semen from the partner is injected directly into the uterus during ovulation.<\/p><\/li>

                    • Average success per cycle: 12\u201316%<\/strong>.<\/p><\/li>

                    • Usually up to 4 cycles<\/strong> are recommended.<\/p><\/li><\/ul>

                      4. IVF-ICSI (In Vitro Fertilization \u2013 Intracytoplasmic Sperm Injection)<\/strong><\/p>

                      • Eggs are fertilized outside the body in the lab, and resulting embryos are transferred into the uterus.<\/p><\/li>

                      • Advantages in PCOS:<\/strong><\/p>

                        • Control over the number of embryos<\/strong> transferred, reducing the risk of multiple pregnancies.<\/p><\/li>

                        • Extra good-quality embryos can be frozen for future use<\/strong>, with frozen embryos having results equal to fresh ones.<\/p><\/li>

                        • Methods to prevent OHSS<\/strong>, including \u201cfreeze-all\u201d strategies, create a safe environment for implantation.<\/p><\/li><\/ul><\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"

                          PCOS PCOS means polycystic ovarian syndrome, where many small cysts filled with fluid are seen in the ovaries. PCOS is […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"site-sidebar-layout":"no-sidebar","site-content-layout":"","ast-site-content-layout":"full-width-container","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"disabled","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"_joinchat":[],"footnotes":""},"class_list":["post-464","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/sarkarhospital.in\/index.php?rest_route=\/wp\/v2\/pages\/464","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/sarkarhospital.in\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/sarkarhospital.in\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/sarkarhospital.in\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/sarkarhospital.in\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=464"}],"version-history":[{"count":4,"href":"https:\/\/sarkarhospital.in\/index.php?rest_route=\/wp\/v2\/pages\/464\/revisions"}],"predecessor-version":[{"id":471,"href":"https:\/\/sarkarhospital.in\/index.php?rest_route=\/wp\/v2\/pages\/464\/revisions\/471"}],"wp:attachment":[{"href":"https:\/\/sarkarhospital.in\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=464"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}