Hormonal balance test tube. Picture: iStock
Polycystic ovarian disease (PCOD), also known as polycystic ovarian syndrome, is a prevalent hormonal disorder that affects women of reproductive age.
It can significantly impact a woman’s health, with a range of symptoms. It is very misunderstood and is often misdiagnosed. We will look at the causes, symptoms, diagnosis, and treatment, and help you understand the red flags.
It is difficult to know the exact cause of PCOD but medical experts believe it is a multifaceted condition influenced by genetic and environmental factors.
One significant factor is insulin resistance, a condition where the body’s cells do not respond appropriately to insulin, a hormone that regulates blood sugar levels. Insulin resistance can lead to increased insulin production, which in turn triggers the ovaries to produce high amounts of androgens, male hormones.
These elevated androgen levels are often associated with the commonly known symptoms of PCOD. Additionally, other factors such as obesity, chronic stress, and a sedentary lifestyle have been linked to the onset and worsening of PCOD. The interplay of these factors makes PCOD a complex and challenging condition to understand fully.
ALSO READ: How to look after your mental health when the pressure is on
PCOD can show itself in many different ways, and the severity of symptoms can differ greatly among individuals. The most common symptoms include:
Irregular menstrual periods: Irregular or absent menstrual cycles are a primary symptom of PCOD. Women with PCOD may experience infrequent or prolonged periods, making it challenging to predict when ovulation occurs.
Hyperandrogenism: Excess production of androgens, such as testosterone, can lead to unwanted physical changes. This includes excessive hair growth on the face, chest, and back (hirsutism), as well as persistent acne.
Weight gain: Many women with PCOD struggle with weight gain, particularly around the abdominal area. This weight gain can further exacerbate insulin resistance, creating a vicious cycle.
Difficulty getting pregnant: PCOD is one of the leading causes of female infertility. Irregular ovulation or a lack of ovulation altogether can make conception challenging.
Psychological effects: The emotional toll of PCOD should not be underestimated. Depression and anxiety are often associated with this condition, stemming from the physical symptoms and the challenges of dealing with infertility.
Diagnosing PCOD can be complex and requires a careful evaluation of the patient’s medical history, physical examination, and laboratory tests.
Doctors often begin by discussing the patient’s menstrual history, symptoms, and any family history of PCOD or related conditions. Blood tests are crucial for assessing hormone levels, including testosterone and insulin.
Elevated levels of these hormones can provide valuable insights into the presence and severity of PCOD. An ultrasound examination may also be performed to visualize the ovaries and check for the presence of cysts. While the term “polycystic” suggests multiple cysts, not all individuals with PCOD will have visible cysts on their ovaries.
While there is no cure for PCOD, various treatment options are available to manage its symptoms and improve a woman’s overall quality of life. Treatment approaches may include:
Lifestyle changes: Adopting a healthy lifestyle is often the first line of defense against PCOD. This includes losing excess weight, maintaining a balanced diet, and engaging in regular exercise. These changes can help improve insulin resistance, regulate menstrual cycles, and reduce the severity of other symptoms.
Medications: Hormonal birth control, such as oral contraceptives, can be prescribed to regulate menstrual cycles and reduce androgen levels. These medications can effectively manage symptoms like irregular periods, hirsutism, and acne.
In addition to birth control, doctors may recommend metformin, a medication commonly used to treat type 2 diabetes, to address insulin resistance in PCOD patients.
Fertility treatments: Women who struggle with infertility due to PCOD may explore fertility treatments, such as ovulation induction or in vitro fertilization (IVF). These methods aim to stimulate ovulation and increase the chances of successful conception.
Psychological support: Managing the psychological impact of PCOD is essential. Support from mental health professionals, support groups, or counseling can help individuals cope with the emotional challenges associated with this condition.
Polycystic ovarian disease is a common hormonal disorder that affects countless women of reproductive age. While PCOD cannot be cured, there are various treatment options available to alleviate its symptoms and improve the overall quality of life for affected individuals. It is crucial for women who suspect they may have PCOD to seek professional medical advice. Early diagnosis and appropriate management can help mitigate the long-term health risks associated with this condition.
By understanding PCOD’s causes, symptoms, diagnosis, and treatment options, individuals and healthcare providers can work together to address this.
NOW READ: Three good reasons to go to bed early
Download our app and read this and other great stories on the move. Available for Android and iOS.