Diabetes, Obesity & PCOS – Did You Know It Is The New Epidemic?
PCOS is a common hormonal abnormality seen mostly in reproductive Age groups Affects about 30% females.
Diagnosis is by Rotterdam criteria: 2/3 should be present.
- Oligo/anovulation
- Polycystic ovarian morphology
- Hyperandrogenism
It also affects other metabolisms like insulin resistance causing diabetes, impaired glucose tolerance and this ultimately exacerbates obesity
- It has a genetic predisposition.
- PCOS can either be lean PCOS or obese PCOS.
- This classification is important to categorize the causal effect and treatment also differs
- Insulin-mediated glucose disposal reflects the action of insulin on muscle cells and this is decreased by 30-40% in women with PCOS.
- This is further worsened with obesity.
- The endogenous glucose production is also affected and this causes glucose intolerance.
- They also have menstrual irregularities and infertility due to lack of mature egg (anovulation ) production.
Treatment
- Change in lifestyle and diet
- Exercise
- Weight reduction
- Drugs to regularise menses and antidiabetic drugs
- Ovulation-inducing agents with or without IUI for subfertility
In case you have a concern or query you can always consult Dr.Ashish Kale & get answers to your questions!
If you’re having the trouble, Dr.Ashish Kale will help you figure out why, and work with you to find a treatment that can help. He is one of the best Gynaec Endoscopy Surgeon, IVF Specialist in Pune & currently practising at Ashakiran hospital which is one of the best Infertility Center in Pune.
