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Polycystic Ovary Syndrome

Polycystic ovary syndrome is a common endocrine disorder ( a hormonal disorder) of unknown cause that affects women of reproductive age. PCOS affects  1 in 10 women.The condition is characterized by reproductive issues such as amenorrhea or other menstrual irregularities, multiple cysts on the ovaries and infertility.

 

SYMPTOMS

  • Acne
  • HIRSUTISM (Excessive or abnormal distribution of hair growth)
  • Male-pattern baldness
  • Obesity

 

BIOCHEMICAL AND ENDOCRINE ABNORMALITIES                              

  • Hyperandrogenism (Elevated level of androgens)
  • Hyperinsulinemia
  • Impaired glucose tolerance
  • Hyperlipidemia

Hyperandrogenism is responsible for many of the symptoms of PCOS, such as reproductive and menstrual abnormalities, hirsutism, and acne. Elevated androgen levels, in turn, appear to be due in part of hyperinsulinemia, which triggers the increase in androgen production. Thus intervention that improves insulin resistance and hyperinsulinemia may reverse some of the symptoms of PCOS

 COMPLICATION

  • Infertility
  • Miscarriage or Premature Birth
  • Type 2 DM or Gestational Diabetes Mellitus
  • Sleep Apnea
  • Endometrial Cancer

 TREATMENT OF PCOS

 Treatment includes diet and exercise to promote weight loss. In women who are obese, weight loss may improve insulin resistance, decrease androgen levels and hirsutism, and restore ovulation in some cases. Metformin is frequently prescribed to improve insulin resistance, and treatment with this drug may lead to ovulation.

 NUTRITION THERAPY

  • Nutrition intervention may be beneficial for women with PCOS include dietary modification which will help in weight loss and improve insulin sensitivity.
  • Eat Small and frequent meals
  • Restricting refined carbohydrates such as toast, biscuits, cakes and consuming complex carbohydrates such as oats.
  • Consuming high-fibre foods such as fruits and vegetables, beans and lentils.
  • Supplementation of chromium picolinate (200-1000 mcg/day), as chromium picolinate improves insulin secretion, improve glucose tolerance and insulin sensitivity.
  • Exercise such as yoga, brisk walking, cycling at least 5times/week for 45-60mins will help in weight loss.

 

This is Copyright Content by Gadge's Diabetes Care Edited and written by Madiha Khan

 

 

 

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