Introduction

• PCOD is prevalent in 4% to 12% of women in their reproductive years of life.
• PCOD is designated as the most common reproductive endocrinopathy of women.

• Symptoms of PCOD

  • Irregular Menstruation
  • Infertility
  • Hirsutism
  • Obesity
  • Loss of scalp hairs

• Who should be screened for PCOD

  IF

  • You are Obese
  • You have menstrual Irregularities
  • You have Infertility
  • You have features of hirsutism
  • You have Acne
  • You have Acanthosis (Skin hyperpigmentation)
  • You have loss of Scalp hairs
  • You are hypertensive
  • You have family history of PCOD
  • Your first degree male relative (Father/Brother) has high DHEAS
  • You have Diabetes Mellitus or Insulin Resistance
  • You have high Cholesterol
  • You have Sexual Dysfunction

• Laboratory Findings in PCOD

  • High Testosterone, DHT
  • High/ Normal DHEAS
  • High 17-OH Progesterone
  • High Serum Insulin
  • High LH
  • Low FSH
  • High/Normal Estradiol
  • Low Progesterone
  • High/Normal Prolactin
  • Polycystic Ovaries on Ultrasound study

• Complications in PCOD

  • Infertility
  • Menstrual Irregularities
  • Endometrial Hyperplasia
  • Endometrail Cancer
  • Ovarian Cancer
  • Diabetes Mellitus
  • Obesity
  • Sexual Dysfunction
  • Hypertension
  • Dyslipidemia
  • Cardiovascular diseases
  • Aesthetic Complications
  • Depression

• Management of PCOD

  • Identification of underlying endocrine (hormones) alterations.
  • Correction of endocrine (hormones) alterations.
  • Weight management.
  • Life style management.
  • Aesthetic management (along with endocrine correction) for hirsutism.
  • Prevention of complications.
  • Management of Complications.
  • Judicious use of hormones.