PCOS or PCOD is a commonly occurring hormonal imbalance disorder in women and girls of the reproductive age group.
These girls/women may present with acne, increased hair growth, irregular periods, pigmentation on the body and difficulty in conceiving. Almost half may be obese.
It occurs due to hormonal imbalance with a tripping in balance towards androgens, (the male hormones which are also made to a small extent by the ovaries. This leads to acne and extra hair growth. It also affects the normal process of egg formation in the ovaries which leads to delayed periods with low flow, and problems in conceiving and getting pregnant.
Insulin resistance may occur which leads to inappropriate control of blood sugar.
Treatment mainly includes lifestyle changes, with exercise & diet regulation and weight loss (in obese PCOS). In additional the treatment has to be tailored to individual patients’ need, with a combination of oral contraceptive pills , and insulin resistance lowering drugs.
For conception problems the treatment is induction of ovulation with clomiphene citrate and hormonal injections as required