What is PCOS ?

With PCOS, many small sacs of fluid develop along the outer edge of the ovary. These are called cysts. The small fluid-filled cysts contain immature eggs. These are called follicles. The follicles fail to regularly release eggs.

Hormones involved in PCOS are-

• Androgen- Androgens, sometimes known as"male hormones,"are produced by all females, but women with PCOS frequently have greater amounts of these hormones. Although the adrenal glands can also be present, the ovaries create the majority of the excess androgens. Several PCOS symptoms, such as acne, unwanted hair,thinning hair, and irregular periods, are brought on by excessive androgens.

This can lead to elevated blood glucose levels and cause the body to make more insulin. The body may produce more androgens if it has too much insulin.

• Progesterone- In PCOS, a lack of progesterone contributes to irregular periods.

• Insulin- This hormone enables the body to absorb glucose (blood sugar) into the cells for energy. In PCOS, the body isn't as receptive to insulin as it should be.

Symptoms

Polycystic ovary syndrome (PCOS) is a hormonal disorder and may begin shortly after puberty, but can also develop during the later teen years and early adulthood.

PCOS symptoms may be attributed to other causes and may remain unnoticed. PCOS may go undiagnosed for some time.Often, PCOS can be diagnosed if two of the following three symptoms are present:

• Irregular periods- People with PCOS frequently experience irregular or skipped periods because of no ovulation. Menstrual irregularities are a prominent sign of PCOS. For example, having fewer periods in a year.

• Polycystic ovaries- Although some people may develop cysts on their ovaries,many people don't, the ovaries might be enlarged and contain follicles that surround the eggs. As a result, the ovaries might fail to function regularly.

• Excessive androgen- Physical signs of elevated levels of male hormone might include excessive body and facial hair (hirsutism), as well as occasionally severe acne and male-pattern baldness.

The exact cause of PCOS is unkwown .Their is koflong - term consequences including type 2 diabetes and heart disease may be reduced with early diagnosis , treatment , and weight loss .

Other symptoms include:

People with PCOS face issues related to weight gain and obesity that is difficult to manage

People living with PCOS face increased fatigue and low energy.Related issues such as poor sleep may contribute to the feeling of fatigue

Unwanted hair growth (also known as hirsutism) Areas affected by excess hair growth may include the face, arms, back, chest, thumbs, toes, and abdomen.Hirsutism related to PCOS is due to hormonal changes in androgens

PCOS is one of the leading cause of female infertility. However, not every woman with PCOS is the same. Although some people may need the assistance of fertility treatments, others are able to conceive naturally.

Thick, dark, velvety patches of skin under the arms or breasts, or on the back of the neck remains common in PCOS.

Acne issues may result from androgen-related hormonal changes. In places like the face, chest, and upper back, male hormones can make the skin oilier than usual and lead to breakouts.

Hair loss related to PCOS may increase in middle age.

People with PCOS deal with frequent mood swings,depression, and anxiety.

Hormonal changes in people living with PCOS prompt headches.

Along with significant bleeding during periods, pelvic discomfort is likely. Also when a woman isn't bleeding.

Hormonal changes can negatively affect the emotions in people living with PCOS causing depression and anxiety.

There are many factors that can affect sleep, but PCOS has been linked to a sleep disorder called sleep apnea. With sleep apnea, a person will stop breathing for short periods of time during sleep. This means that even when you do sleep, you do not feel well-rested after you wake up. You could also have trouble falling asleep.

PCOS can interfere with a woman's menstrual cycle and make it more challenging to conceive.The initial PCOS therapies that doctors advise are lifestyle modifications, and they often have positive results. Weight loss can reduce PCOS symptoms and increase the chance of pregnancy.

Causes

The exact cause of PCOS is unknown. Early diagnosis and treatment along with weight loss may lower the risk of long-term complications such as type 2 diabetes and heart disease.

Genetics and environmental factors are believed to be involved in the development of PCOS. It is a leading cause of female infertility and is responsible for a number of symptoms that can affect the body physically and emotionally.

Is there a cure for PCOS

While there isn't a cure for PCOS yet, there are various ways to alleviate or get rid of the symptoms and improve your health. Different medications may be recommended by your doctor to treat problems including irregular periods, acne, excess hair, and high blood sugar. In order to help women in becoming pregnant, fertility treatments are also offered. Women can improve their ovulation frequency and reduce other PCOS symptoms by losing as little as 5% of extra weight. Nutrition and exercise are the best ways to achieve this.

People with PCOS may believe it is challenging to lose excess weight and keep it off, but it is crucial to keep trying. These measures assist in lowering the likelihood of having severe health issues that may have a significant negative influence on women with PCOS.

PCOS and Ovarian Cysts ?

Women who have PCOS may eventually develop "cysts" because their eggs don't release regularly. The follicles continue growing and forming several "cysts." In an ultrasound scan,they may be compared to a "string of pearls."

Women with PCOS do not necessarily need to have ovarian cysts, despite the name. Women without PCOS may develop cysts for other reasons. The most common type of ovarian cyst is called a functional cyst.

These cysts are described as "functional" because they often develop during the menstrual cycle. There are 2 types:

• Follicular cysts: These often disappear on their own within a month to three months.These develop when an egg isn't released as planned and the follicle continues to develop.

• Corpus Luteum Cysts: These also usually go away on their own. They form after the follicle ruptures and releases the egg (ovulation). The follicle reseals and fluid starts to build up within it. They can enlarge and cause pain, bleed, or twist the ovary.

Symtoms of PCOS Ovarian Cysts

The majority of ovarian cysts are tiny with no symptoms. Until people get a pelvic exam, some might not even be aware that they have one. If there are symptoms, they might include:

• Bloating

• Swelling

• There is lower abdominal discomfort on the side with the cyst

Diagnosis of PCOS

PCOS can be diagnosed through-

• Medical history- The doctor will examine on the basis of menstrual periods, weight changes, and other symptoms.

• Physical exam- The doctor would measure the blood pressure, body mass index (BMI), and weight. Additionally the areas of increased hair growth.

• Pelvic exam- The doctor may want to perform an examination to see whether if the ovaries are enlarged or swollen by the increased number of small cysts.

• Vaginal ultrasound (sonogram)- The medical professional could carry out a test to confirm cysts.

Treatment for PCOS ?

• Treatment for PCOS usually starts with lifestyle changes like weight loss, diet, and exercise.

• Losing just 5 to 10 percent of your body weight can help regulate your menstrual cycle and improve PCOS symptoms.

• Weight loss can also: improve cholesterol levels, lower insulin and reduce heart diseaseand diabetes risks

• Exercise is even more beneficial when combined with a healthy diet.

• For some people acupuncture can help with improving PCOS.

• Birth control pills and other medications can help regulate the menstrual cycle and treat PCOS symptoms like hair growth and acne. restore a normal hormone balance, regulate ovulation, relieve symptoms like excess hair growth.

• Hair removal medications- A few treatments like laser hair removal and electrolysis can help get rid of unwanted hair or stop it from growing.

• Surgery- Surgery can be an option to improve fertility if other treatments don’t work.Ovarian drilling is a procedure that makes tiny holes in the ovary with a laser or thin heated needle to restore normal ovulation.

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