Polycystic Ovarian Disease (PCOD) is a multi-organ involved disease or a condition that is created due to hormonal imbalances in women. It is also known as hyper androgen related disease, which is not curable but can be controlled.
How does it occur?
In PCOD, patients, many follicles will be developed and none of them grows enough to mature into an egg. In this case, follicles no more remain as follicles, they become cysts. With each menstruation cycle, these cysts accumulate and further facilitate hormonal imbalances, which results in more cysts, thus establishing a vicious cycle. Out of group of cysts, some will subside and many still remain inside the ovaries to make them polycystic. The hormonal imbalances create irregular menstruation in women making them susceptible to infertility problems. The disorder is probably the most common hormonal abnormality in women of reproductive age and certainly is a leading cause of infertility.
PCOD patients were onced dismissed as fatal women with no self control. However, this is not the only reason. There are three broad reasons why PCOD patients seek medical care, says Dr. Nitin Patankar, an Obesity Consultant, based in Mulund:
1. Menstrual cycle disturbance and infertility.
2. Problems of appearance and self-esteem arising from obesity and excessive hair growth, and
3. Metabolic derangements, including abnormalities in blood fat levels,insulin/glucose (sugar), and elevated blood pressure (hypertension). Often Gynaecologists, the health care provider to whom may women turn for help, have concerned themselves with only the first of these concerns and have been relatively insensitive to the later two.
1. Excessive hair growth
3. Irregular menstruation cycle
5. Cystic enlarged ovaries
Women with history of PCOD are advised to take Birth Control Pills which causes menstruation to occur every month thus reducing the production of cysts. Laparoscopy procedure may also be performed as needed, where in holes are drilled onto walls of the ovaries making it thin for the egg to come out of the wall. This temporarily establishes recurrence of the cycle. Its also important to maintain a healthy lifestyle with good diet, proper exercise and stress management.
If you are one who have never had acne but is suddenly showing acne outbreak along with irregular period, mood swings, weight gain, etc then you might have polycystic ovarian syndrome.
It is suggested that women who develop PCOD show greater enzyme (5-alpha reductase) activity that leads to the conversion of testosterone into DHT (dihydrotestosterone). This sudden increase in DHT hormone can triger the sebaceous gland (oil producing) to enlarge and produce more oil causing acne.