Decoding Polycystic Ovary Syndrome (PCOS) - Diagnosis, Factors, and Considerations : An Expert Guide

KALYAN : Polycystic Ovary Syndrome (PCOS) is a complex condition with no single test for diagnosis. Instead, healthcare professionals rely on a combination of factors and assessments to determine if a woman is affected by PCOS.

Understanding Common Facts:

  • PCOS is a widespread hormonal disorder affecting 8-20% of women, and many might not even know they have it.
  • PCOS is connected to other health issues like insulin resistance, type 2 diabetes, high cholesterol, high blood pressure, and heart disease.
  • More than half of women with PCOS can develop type 2 diabetes before they turn 40.
  • PCOS is a significant factor in fertility problems, with about 70% of issues related to difficulty getting pregnant connected to this condition.

Diagnostic Criteria: For a confirmed diagnosis of PCOS, at least two of the following criteria must be met:

  1. Irregular or absent menstrual periods
  2. Elevated levels of androgen hormones in blood test results
  3. Ultrasound scan revealing polycystic ovaries

Considering a woman's family and medical history is crucial, as those with a family history of certain conditions are more predisposed to PCOS. Conditions linked to PCOS include menstrual disorders, infertility, hirsutism, adrenal enzyme deficiency, and obesity with metabolic syndrome (such as diabetes). Discussions during consultations should encompass signs and symptoms noticed by the woman, aiding in early detection.

Physical Examination:

Several physical characteristics play a role in the diagnostic process:

  • Hirsutism: Excessive hair growth on the face, chest, back, or buttocks due to elevated androgen hormone levels.
  • Skin Changes: Oily skin and acne resulting from hormonal imbalances.
  • Weight Consideration: Obesity is prevalent in almost half of women with PCOS and is an essential factor in diagnosis.
  • Hyperpigmentation: Evidence of thickening and darkening of the skin in specific areas.

Blood Tests:

A blood sample helps measure hormone levels, offering insights into PCOS and potential complications like diabetes or high cholesterol.

Ultrasound:

Enlarged ovaries and the presence of ovarian mass are investigated through ultrasound scans. This imaging technique also aids in counting follicles, a distinctive PCOS characteristic.

Diagnosis and Specialist Referral:

Upon a confirmed diagnosis, women are typically referred to specialists experienced in managing PCOS. Continuous care and monitoring for early signs of associated complications, such as hypertension leading to heart disease, stroke, or diabetes, are crucial for effective management.

In navigating the complexities of PCOS, a comprehensive approach ensures a thorough understanding and tailored care for affected individuals. Early detection and ongoing support are paramount in improving the quality of life for those dealing with PCOS.

(Source of Information: Dr. Harshal Ashok Pawar, MD (AM), DNYS, DYA, Registered Acupuncturist - AAI NATURE CURE, Office No.3, First Floor, Mega Silver, Chikanghar, Kalyan (West) -421301, Maharashtra, India., Contact No. +91-8097148638, Website: https://aphinfo.com/aai-nature-cure/)







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