Poly Cystic Ovarian Syndrome (PCOS) is a complex endocrine syndrome that affects 5-10% of women of childbearing age.
Polycystic ovary is the one that contains 12 or more follicles, or a single ovary having a volume of more than 10ml in ultrasound. Diagnosis is achieved by carefully going through patient history, physical exam and biochemical tests.
The cause of PCOS is not very well known but the symptoms include:
- Hirsutism or excessive hair growth
- Infertility
- Menstrual irregularities
- Insulin resistance
There is no single treatment to cure this complex syndrome. The physician needs to customize treatment goals and target specific manifestations. Treatment is dependent on the woman’s desire for pregnancy. Lifestyle modification is a central part of the treatment regimen for PCOS.
Generally, insulin sensitizing agents (such as Metformin) that have a positive effect on insulin resistance, hirsutism, infertility and obesity are used.
Goals for the treatment are dependent on patient’s preference for the outcomes and generally include:
- Treatment for infertility
- Regularizing the menses for endometrial protection
- Controlling insulin resistance and associated complications
- Treatment for hyperandrogenic features like excessive hair and acne
How to manage weight with PCOS?
PCOS (Polycystic Ovary Syndrome) is a hormonal disorder that can make it difficult for women to manage their weight. However, with the right approach and lifestyle changes, it is possible to maintain a healthy weight even with PCOS. Here are some tips for managing weight with PCOS:
- Make dietary changes: A healthy and balanced diet is essential for managing weight with PCOS. Avoid processed and sugary foods and opt for a diet rich in whole grains, fruits, vegetables, and lean proteins. Limit your intake of saturated and trans fats, and consume healthy fats such as omega-3 fatty acids found in fish, nuts, and seeds.
- Exercise regularly: Regular exercise can help you maintain a healthy weight, boost metabolism, and regulate insulin levels. Aim for at least 30 minutes of moderate-intensity exercise, such as brisk walking, cycling, or swimming, on most days of the week.
- Manage stress: Stress can worsen PCOS symptoms and contribute to weight gain. Manage stress through relaxation techniques such as yoga, meditation, or deep breathing exercises.
- Get enough sleep: Lack of sleep can also contribute to weight gain and exacerbate PCOS symptoms. Aim for 7-9 hours of sleep per night to support weight management.
- Consider medication: In some cases, medication may be necessary to manage PCOS symptoms and facilitate weight loss. Consult with your healthcare provider to discuss potential treatment options.
It is important to remember that weight management with PCOS can be challenging, and it may take time to see results. Consistency and patience are key, and working with a healthcare provider and registered dietitian can help you develop a personalized plan for managing weight with PCOS.
