Reproductive(Fertility) Health

PCOS: A Common Hormonal Disorder In Women

Written by
Dr. Purushottam Sah
and medically reviewed by iCliniq medical review team.

Published on May 24, 2015 and last reviewed on Dec 29, 2018   -  2 min read

Abstract

Abstract

In Poly Cystic Ovarian Syndrome/Disease, the ovaries develop many small follicles and lead to hormonal imbalance in women.

PCOS: A Common Hormonal Disorder In Women

What is PCOS?

PCOS is Poly Cystic Ovary Syndrome. Here the ovaries develop many small follicles, also called cysts of 4-10mm. Poly means ‘many’ and ‘cysts’ are small closed sacs filled with fluid. It often occurs in general female population but is more prevalent in infertility populations. Its cause is not known although it is likely to be due to some genetic disorder.

It causes insulin resistance, a condition where sugar lowering hormone insulin, fails in its action. This results in hormonal imbalance, causing failure of follicles to mature and ovulate.

The immature follicles in PCOS produce more androgen (male hormone) than estrogen (female hormone). Oral contraceptive pills prevent development of immature follicles, but do not dissolve the existing follicles/cysts. The existing cysts dry up naturally over time.

In contrast Clomiphene develops mature follicles which are of 17 to 18mm or more in size. These produce more estrogen as well as ovulate. Clomiphene also does not dissolve the existing follicles/cysts.

Symptoms of PCOS

The immature follicles, also called cysts produce more androgen/testosterone causing the following symptoms:

  • Infrequent or absent periods (amennorhea) due to hormonal imbalance.
  • Infertility due to failure of ovulation.
  • Acne and excess body hair (hirsutism), due to excess androgen.
  • Weight gain and obesity, due to diminished insulin action.

How to Treat PCOS

PCOS is not completely reversible, but there are a number of treatments that can reduce the symptoms.

The treatment varies depending on the particular problem in a woman.

Irregular periods: If the main problem is irregular periods, then the usual treatment is the oral contraceptive pill.

Infertility: Ovulation can be induced by Clomiphene.

Excessive hair growth: Suppression of male hormone production with tablets such as the oral contraceptive pill or with an anti-male hormone drug Cyproterone acetate used for at least 9 months.

Obesity: A change in lifestyle with low fat diet and exercise can reduce weight. Metformin,a drug used for diabetes can also reduce weight and improve hormonal imbalance.

Consult an obstetrician and gynaecologist online for queries regarding PCOS --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist

Last reviewed at:
29 Dec 2018  -  2 min read

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Related Questions & Answers


My pregnant test is negative but I miss my period. Am I pregnant?

Query: Hi doctor, I have PCOD, and I am planning to conceive. I am under Macfolate and Metformin tablets for the past seven months. I have regular periods for the past six months. This month, on the 11th day, I missed my period. After two days, when I checked for pregnancy, I got a negative result. Again ...  Read Full >>


Dr. Sameer Kumar
Family Physician, Obstetrician And Gynaecologist, Infertility Specialist

Answer: Hi, Welcome to icliniq.com. You may repeat the test in a week to rule out pregnancy, or you can do a serum beta hCG test. If the hCG levels are less than 3 mIU/ml, then you are not pregnant. The reasons are anovulatory cycles seen in PCOD, or you should get a semen analysis done once for your part...  Read Full

I have PCOD from the last 10 years. Please suggest a permanent cure.

Query: Hello doctor,I am 25, married and sexually active. I suffered from PCOD for a while, took all sorts of allopathic and homeopathic medicines and when I got scanned two months ago, PCOD was not found. I thought this is the end of my problem but, still, my periods are irregular. Last time, I was la...  Read Full >>


Dr. Sujata Mittal
Obstetrician And Gynaecologist

Answer: Hello, Welcome to icliniq.com. Please note that PCOD is not diagnosed by ultrasound.Kindly get thyroid profile, serum androsterone test, serum prolactin, serum testosterone, free androgen index, serum insulin, and fasting blood sugar test done.Start doing six sets of Surya Namaskar every day.Follow ...  Read Full

For how long should I take Kalachikai powder to overcome PCOD problem?

Query: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?  Read Full >>


Dr. Ashish Kumar
Ayurveda Specialist

Answer: Hello, Welcome to icliniq.com. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts ar...  Read Full

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