Polycystic Ovarian Disease (PCOD) is a hormonal disorder nowadays affecting a majority of women of reproductive age. It is a medical condition wherein women possess abnormal levels of sexual hormones- i.e. high levels of male androgens. “This leads to improper development of the ovarian follicles that do not grow beyond a point and form multiple benign cysts in the ovary which affects ovulation”, shares the best gynaecologist in Mumbai, Dr. Chaitali Mahajan Trivedi at Nanavati Superspeciality Hospital. These cysts are fluid-filled sacs containing several harmless follicles approximately 8mm in size which can be visualized in an ultrasound of the lower abdomen of women.
PCOD can be caused to women whose immediate female family member has suffered the same, those who follow an improper lifestyle and have peripheral insulin resistance, and those who are overweight or obese.
Women having PCOD have symptoms including irregular or delayed menstrual cycle because of immature eggs, weight gain, acne breakouts, hirsutism (excessive facial and body hair growth), pattern baldness, and difficulty in getting pregnant due to delayed, failed, or irregular ovulation.
How can PCOD be treated
It is important if one is experiencing PCOD symptoms they must consult a gynaecologist, to receive immediate treatment. Based on symptoms of PCOD the treatment is provided.
PCOD symptoms can be managed with proper treatment and lifestyle modifications. Dr. Chaitali Mahajan Trivedi, PCOD treatment doctor in Mumbai at Nanavati Superspeciality Hospital usually resorts to a multidisciplinary approach to treat PCOD. This includes:
- Lifestyle changes
One of the most practical strategies to manage and keep PCOD symptoms in check is proper weight management. Leading a healthy lifestyle which includes proper diet and daily exercises that also contributes to weight loss is a primary solution for PCOD. Even if the patients reduce their body weight by 5%, their treatment can be easier and more effective. Thus, women with PCOD must eat a balanced diet that has a lot many fruits and vegetables, whole grains, low-fat dairy, and natural, unprocessed food. The diet must have limited sugars and carbohydrates and more dietary fiber and proteins. Moreover, they must indulge in physical activities to reduce their Body Mass Index and control their body weight. Various exercises that are known to be best for PCOD include cardiovascular workouts, High- Intensity Interval Training (HIIT), Strength Training, Mind-Body Exercises, and Interval training. Other than this, women with PCOD must avoid smoking as regular smoking can increase the androgen levels further and result in higher complications from PCOD.
- Hormonal therapy
Even after proper diet and exercise, many women with PCOD fail to lose their weight or they may lose their weight but do not get ovulation. When such a case is there, the doctor may recommend medications that alter the levels of hormones and trigger ovulation. If the PCOD-affected female is not planning to conceive, she may undergo hormonal therapy to control the hormones secreted by ovaries-the progestin and estrogen. In hormonal therapy, the patient is provided with oral contraceptives or progestin therapy alone to restore normal androgen levels in the ovaries. With low androgens in the ovaries, the endometrial lining won’t be build-up for too long and there won’t be any menstrual cycle issues. The patients could alleviate acne and avoid male-type hair growth on their face or body.
- Infertility treatment
Some medications may be prescribed to improve ovulation such for managing estrogen level, gonadotrophins (injectable hormonal medication), and metformin (to improve insulin resistance). Another approach to facilitate pregnancy is to decrease the number of ovarian follicles and improve endocrinology by ultrasound-guided immature follicle aspiration.
- Medications to treat acne and prevent hair-related concerns
Oral antibiotics may help treat inflammatory acne. For excessive hair growth, an anti-androgen drug could work.
- Surgical management of PCOD
This is the last option available in severe cases of PCOD or PCOS to restore ovulation. The surgeries that are being used today include Laparoscopic methods like laser ovarian drilling, electrocautery, and multiple biopsies are performed by Dr. Chaitali Mahajan Trivedi at Nanavati Superspeciality Hospital.
For more information about PCOD treatment in Mumbai. Book an appointment now with Dr. Chaitali Mahajan Trivedi.
Comments
Post a Comment