Dr. Promise Sefogah, an obstetrician-gynecologist with Shape Healthcare and Medical Centre, has mentioned that one critical aspect of managing polycystic ovarian syndrome (PCOS) is weight management.
On Health with Patricia, Dr. Sefogah noted, “If we detect that a woman has PCOS and she is weighing over 80 kg, we advise that she loses 5 to 10 percent of that weight. As the weight comes down, the hormones improve, and the menstrual cycle may become regular on its own. Some may require hormonal pills to bring the menses back alongside the weight loss.”
What is PCOS?
PCOS is a condition in which the ovaries produce an abnormal amount of androgens, male sex hormones that are usually present in women in small amounts. The exact cause of PCOS is unknown, but several factors, including genetics, insulin resistance, and inflammation, may play a role.
Severity and Potential Complications
The severity of PCOS can vary widely among individuals. Some women may have mild symptoms, while others may experience significant health challenges. Here are some of the potential complications and impacts:
- Infertility: Difficulty in conceiving is a major concern for many women with PCOS.
- Metabolic Syndrome: This includes a group of conditions like high blood pressure, high blood sugar, excess body fat around the waist, and abnormal cholesterol levels, which increase the risk of heart disease, stroke, and type 2 diabetes.
- Type 2 Diabetes: Women with PCOS are at a higher risk of developing type 2 diabetes, particularly if they are overweight or obese.
- Endometrial Cancer: Prolonged absence of menstruation can lead to the thickening of the uterine lining, increasing the risk of endometrial cancer.
- Mental Health Issues: PCOS is associated with an increased risk of depression, anxiety, and eating disorders.
- Sleep Apnea: Obesity related to PCOS can lead to sleep apnea, a condition characterized by repeated interruptions in breathing during sleep.
Management and Treatment
While there is no cure for PCOS, the symptoms can be managed through a combination of lifestyle changes and medical treatments.
Weight management through a healthy diet and regular exercise is crucial. Medications, such as hormonal contraceptives or insulin-sensitizing drugs, may also be prescribed to help manage symptoms and reduce the risk of complications.
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