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Preconceptional Counselling & PCOS (Polycystic Ovarian Syndrome)
What is an advance directive?
When you first start thinking about having a baby, visiting your doctor at least 3 to 6 months before planning a pregnancy is known as prenatal counseling.
When a couple visits for preconceptional counseling, a detailed history and examination is done. The goal is to identify factors that could negatively affect you or your baby during pregnancy. A treatment plan can then be developed.
A major obstacle is that most pregnancies are unplanned and most women take it for granted. Therefore, it should ideally be recommended to all women of childbearing age regardless of the intention to become pregnant.
It’s a great time to ask your doctor all the questions you have about pregnancy. Any doubt about a family accident should be investigated. We should discuss the causes/complications associated with preterm birth, recurrent pregnancy loss, intrauterine death and pregnancy loss as many of these are preventable. Many unfortunate events can be prevented by treating them before conception. If the mother is over 35 years of age, there is a chance that the child may have Down syndrome, which can be diagnosed with a high-quality test. In addition, ultrasound history of birth, mental retardation, bleeding disorders, congenital blindness in the family and consanguineous marriages provide genetic advice.
Some of the important things you can do for your health before marriage are:
Take 400 to 800 micrograms of folic acid daily. It reduces your risk of brain and spinal cord injuries.
Stop smoking and drinking alcohol. Avoid contact with toxic substances. Avoid cat or rodent droppings.
If you have a medical condition, such as malnutrition, asthma, diabetes, oral health, obesity, epilepsy, thyroid disease, high blood pressure, epilepsy, tuberculosis or kidney disease, make sure it’s under control.
PCOS (Polycystic Ovarian Syndrome) and YOU
The most common conditions seen in our clinic are overweight girls with uncontrollable acne, irregular cycles and growing facial hair. In the ultrasound polycystic ovary is found, creating a lot of anxiety in his mind. But it is the most common endocrine disease that affects 25 to 30% of girls. About 75% of anovulatory women have polycystic ovaries.
About the disease
PCOS, called Stein-Leventhal Syndrome, is an ovarian insufficiency syndrome with the appearance of increased male hormones and ovaries that show polycystic morphology in the absence of other explanatory endocrinopathy.
The etiology is complicated by recent studies that suggest the role of insulin resistance. Obesity increases the signs and symptoms of PCOS by worsening the symptoms of insulin resistance. Symptoms can vary such as irregular or insufficient periods, excessive hair growth on the face, around the breasts, and/or around the lower abdomen, obesity, thinning hair on the head, intractable acne, infertility, miscarriages, and types. 2 diabetes or pre-diabetes.
A good history, clinical examination, followed by pelvic ultrasound, and hormonal profile complete the diagnosis of PCOS. Ultrasound shows the ovaries, with several small cysts often oriented peripherally, like “String of pearls”. A hormone profile reveals normal DHEA, LH, AMH, and FSH levels. High LH levels with normal FSH levels are common in PCOD
Weight loss through diet and exercise is the most effective treatment. It reduces insulin resistance which restores normal cycle and ovulation. Anti-diabetic drugs such as metformin, glitazone, new drugs such as D-chiro-inositol, Myo-inositol, Vitamin D3, and acupressure are other supportive treatments.
Restoring Fertility – Not all women have difficulty conceiving. For those who do, ovulation is induced by drugs such as clomiphene or HMG/FSH injections. Some may require laparoscopic ovarian drilling (Laser or cautery is used to drill 4-10 holes through the thick ovarian capsule). Those who do not accept it and change the diet and lifestyle, IVF (In-vitro fertilization) is the choice. The results of treatment for PCOS are good
Treatment of hirsutism or acne
Restoration of normal menstruation, to prevent endometrial hyperplasia and endometrial cancer using progesterone or birth control pills. If there is menstruation, at least every three months, there is no need for treatment.
Early detection and treatment can reduce the long-term risk of type 2 diabetes and heart disease.
Is there a cure?
There is no direct treatment. Medical treatment reduces the symptoms and effects of PCOS. Most women respond well to lifestyle changes alone
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#Preconceptional #Counselling #amp #PCOS #Polycystic #Ovarian #Syndrome