WHAT IS PCOD?
Also called PCOD are polycystic ovarian syndrome (PCOS) or
Stein Leventhal Syndrome
Patients suffering from polycystic ovarian disease(PCOD)
have multiple small cysts in their ovaries.
These cysts occur when the regular changes of a normal
menstrual cycle are disrupted.
The ovary is enlarged and produces excessive amounts of
androgen and estrogenic hormones.
PCOD
Causes of pcod?
Don’t really understand what causes PCOD,though we do know
that it has a significant hereditary component
Often transmitted from mothers to daughters
Characteristic polycystic ovary emerges when a state of
anovulation persists for a length of time
Patients with PCOD have persistently elevated levels of
androgen and estrogen which set up a vicious cycle.
Obesity can aggravate PCOD because fatty tissue are
hormonally active
They produce estrogen which disrupts ovulation.
Causes of PCOD?
Overactive adrenal gland can also produce excess androgens
and these may also contribute to PCOD
These women also have insulin resistance (high levels of insulin in
their blood because their cells do not respond normally to insulin
LH
LH release (but ovarian
without a surge) initiating event? androgen
frequency of GnRH estrogen
Pulse
symptoms of pcod?
Irregular menses
Excess androgen levels (male hormone)
Weight management difficulties including weight gain or
difficulty losing weight
Excess of body and facial hairgrowth known as hirsutism
Sleep apnea
High cholesterol level
High blood pressure
Skin tags
Infertility
More symptoms of pcod!
Fatigue
Male pattern balding
Insulin resistance
Type 2 diabetes
Pelvic pain
Depression and anxiety
Decreased libido
Diagnosis
Can be easily diagnosed in some patients
Typical medical history is that of irregular menstrual
cycle,which are unpridictable and can be very heavy
and the need to take hormonal tablets (progestins) to
induce a periods
Not all patients with PCOD will have all or any of these
symptoms
Diagnosis can be confirmed by
Vaginal utlrasound
Blood test
Elevated level of androgen
Occult pcod?
Thin irregular periods no hirsuitism & normal looking
ovaries on ultrasound but still have PCOD
This problems is detected only by when these patients
are superovulated,at which producing a large number
of follicles
Interestingly many of these patients present with
recurrent pregnancy loss |(recurrent miscarriage)
Often their doctors does not make the correct
diagnosis for them
Treatment of pcod’s?
Weightloss
Ovulation induction
Surgery
IVF