PCOS or poly cystic ovarian syndrome is a very common hormonal problem. It is usually seen during reproduction or delivery in women aged 20–40 years. The disease is found in 1 in 5 women in India. Today in this video we will discuss the symptoms, causes, diagnosis and treatment options of this disease. First, we can first look at the symptoms of PCOS, I want to clarify that both PCOS and PCOD, polycystic ovarian syndrome and polycystic ovarian disease are names of the same disease. Since it has many symptoms, it is called syndrome. Such as irregular periods, ie if it comes late or falls short, if any woman has less than 8 periods per year, it can be considered a symptom of PCOD. In some women, there is a possibility of heavy periods because if it happens after a long time, the thick uterine lining will be heavy, other than that it will be overweight and it is difficult to reduce and usually obesity around the waist. is found. The next symptom is excessive hair growth, which will be hair loss on your face, chest, back or thighs, besides the scalp or temple area. In some people, there is a chance of having oily skin, this will cause pimples or acne on their face or body. Another important symptom is difficulty getting pregnant. In PCOS due to hormonal disturbances, irregular egg formation will occur, due to which these periods will come late and there will be difficulty in conceiving. Now let’s talk about the causes of PCOS. The first is a hormonal imbalance, which makes our ovaries both male and female hormones, but in this disease testosterone levels will increase, in addition to prolactin and luteinizing hormone levels, and sex hormone-binding globulin will decrease. Normal ovulation function will change. The second is a genetic factor that anyone in your family, such as your mother or sister, has PCOS, then you may be at a higher risk of getting the disease. The third is insulin resistance. In our body, there is a hormone called insulin, which digests glucose. PCOS will produce low-quality insulin because it requires you to secrete more insulin to digest the same sugar as it will increase your insulin levels and this leads to weight gain and how to diagnose PCOS? If you are feeling some symptoms of PCOS then you should consult a doctor. Your doctor will ask about your history and symptoms such as your cycle, skin changes, hair loss, weight gain and family history. Then we will tell you about some blood tests. Doing it on an empty stomach or on the second day of your periods and the name of the test is FSH, follicle-stimulating hormone, LH, luteinizing hormone, lipid profile, glucose tolerance test to measure your inside resistance, thyroid and prolactin. And if you are having acne or hair loss then free testosterone will also be tested. We will also do ultrasound scanning to check your ovaries and if you have small ulcers in your ovaries, polycystic ovaries that will help us with the diagnosis. What are the treatment options for PCOS? There are two types of treatment, the first is lifestyle changes and the medicines that we are trying to give you more lifestyle changes so that your medicine can be reduced. The first of these is to lose weight if you are overweight, your insulin quality will decrease, hormone levels will improve, egg formation will happen automatically and if you are planning a pregnancy it will also benefit. The second diet is to follow a healthy diet. What not to eat in PCOS? In general, I would advise my patients to avoid cold drinks, jaggery, honey and even sweet fruits such as sapodilla, mangoes etc. and moreover from white flour-based products like biscuits, pizza, burgers, etc. Refrain from. You should consume starchy foods like potatoes, rice etc. in a limited way. And you should limit your intake of tea and coffee, what to eat in PCOS? In PCOS you can eat protein rich foods like chickpeas, beans, black eyed peas, eggs, non-veg, etc. Apart from this you can eat green leafy vegetables and nuts like walnuts, chia seeds, flaxseeds and oil. . Take rice bran and canola oil If you want to know more about diet in PCOS then ask us in the comments section. The third one is exercise. Exercising in PCOD will improve the quality of your insulin and can also reduce insulin resistance. You can do any type of exercise, and we recommend that you do it for at least 5 days a week. Do 30-45 minutes. You can do yoga, Zumba, cross-fit, hit whatever you like but do it regularly and the fourth is perfect sleep ie sleep at least 8 hours, eat on time, reduce stress which is PCOS treatment I am also very important. What are the drugs in PCOS? Treatment options in PCOS depend on the symptoms that you have. If you have menstrual disturbances then we will give you oral contraceptives also known as birth control pills. You have to take it for 3 weeks and when you complete it you will get periods. Next week you will have to take it for 3-6 months in this way, after which your periods will start naturally. If you want to know more about birth control pills, please click on the link above. If you have a weight issue, we will give you metformin or myoinositol which helps to reduce your weight and improves the quality of insulin, if you have acne or hair related problems then we will give you spironolactone, flutamide or finasteride Like anti-testosterone drugs. Long-term use improves your hair problem. If you are planning a pregnancy, your doctor will give you clomiphene or letrozole, this will help in egg formation and it starts from a period of 2 or 3 days. This will reduce estrogen levels and increase FSH which will improve egg formation and help you get pregnant easily.