Tuesday 11 November 2014

WHY SHOULD YOU CARE ABOUT POLY CYSTIC OVARY SYNDROME? FACTS BEYOND IRREGULAR PERIODS

Hello ,

Hope you read my other blogs ( please see below) on hirsutism and diagnosis of poly cystic ovary syndrome ( PCOS)

PCOS is not just a disorder of irregular menstrual bleeding.  As I mentioned earlier, there is excess insulin production in these patients and that can lead to complications in the future.

Risk of Diabetes:

Patients with PCOS do have a high risk of developing diabetes in the future. It is important to undergo screening for the same. After the age of 30 years, every woman with PCOS should do an oral glucose tolerance test. The risk is higher in overweight and obese patients and in those with positive family history of diabetes.

Risk of heart disease:

There is high prevalence of hypertension and high cholesterol in patients with PCOS and they run a chance for developing heart disease and strokes later in life. The risk is more in overweight patients and in those who use oral contraceptives and in smokers. Positive family history of heart disease and strokes is another risk factor.

Risk of Endometrial cancer:

The inner lining of uterus is called as endometrium which grows under the influence of estrogen hormone. After the ovulation, there is production of progesterone hormone in ovary.  If the the woman doesn't become pregnant, the production of progesterone ceases and the endometrium sheds along with blood vessels. This is called as Menstural bleeding. If the woman doesn't  bleed regularly, the endometrial lining build up and thickens. This may lead to endometrial cancer in the future. SO it is important to have menstrual periods in reproductive years at least once in 3 months.

What can you do ?

It is important to know about the above risks. Smoking should be avoided. Weight reduction is very important. Regular exercise also helps to reduce the above risks.
After the age of 30 years, screening should be done for high cholesterol and diabetes. You should discuss these facts with your doctor.

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