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

1. Change in lifestyle and diet
2. Exercise
3. Weight reduction
4. Drugs to regularise menses and antidiabetic drugs
5. 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.