Dr Gemini Mahajan - PCOS: Diagnosis, impact, and treatment - video Dailymotion

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Dubai-based Dr Gemini Mahajan explains potential long-term health risks associated with PCOS and how to overcome it  Read the full story here:   See more videos at https://gulfnews.com/videos Read more Gulf News stories here: https://bit.ly/2HLJ2km

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00:00Polycystic ovarian syndrome is a complex endocrine condition affecting 5% to 10% of women of

00:13the childbearing age group.

00:15The incidence of PCOS is on a rise because of the current lifestyle and stress.

00:22Having polycystic ovaries on the ultrasound does not mean having PCOS.

00:27To diagnose PCOS, two out of the following three conditions are required.

00:33Number 1, missed periods, irregular or infrequent period cycle.

00:39Number 2, excess of facial or body hair growth and or blood test suggestive of higher testosterone

00:47levels more than normal.

00:493, an ultrasound scan suggestive of polycystic ovaries.

00:53PCOS can present with spectrum of clinical presentation which can affect menstrual periods,

01:01fertility, physical appearance.

01:04Common symptoms include irregular menstrual cycle, excess of facial hair growth or abnormal

01:12hair growth on the chest, stomach or the back, acne or oily skin, thinning of hair or male

01:21pattern baldness, obesity, weight gain, infertility, acanthosis nigricans, that is darkening of

01:30skin behind the nape of the neck, armpits and under the breast.

01:36PCOS is associated with obesity and increased insulin resistance and therefore they are

01:42at risk of developing diabetes, gestational diabetes, that is diabetes during pregnancy,

01:49hypertension and heart disease.

01:52Women with PCOS are also at risk of developing endometrial cancer, this is the cancer of

01:58the lining of the womb.

02:01They are more likely to be diagnosed with various mental health conditions like depression,

02:06anxiety and mood swings and they are also at risk of obstructive sleep apnea and excessive

02:14daytime sleepiness.

02:15There are four subtypes of PCOS, the first one is the insulin resistance PCOS, this is

02:22far more the most common type of PCOS, high insulin levels is caused due to high sugars,

02:30smoking, pollution and trans fat.

02:33High insulin level inhibits ovulation and triggers the ovaries to produce testosterone.

02:40The second type of the PCOS is caused by the pill, it is called the pill induced PCOS.

02:46Birth control pills prevent ovulation, in most of the women these effects revert back

02:54to normal once they stop taking the pills, however in some women for many months and

03:01years they do not start ovulating again.

03:06These women need to see a doctor during this period.

03:10The third type of the PCOS is the inflammatory PCOS, in PCOS due to inflammation, ovulation

03:18is prevented, androgen levels are very high and hormones are imbalanced.

03:24Inflammation can be due to stress, toxins in the environment and due to foods like gluten.

03:32The fourth type of PCOS is the hidden PCOS, in this, this is the most simple type of PCOS,

03:40once the cause of PCOS is addressed like thyroid disorder, zinc deficiency, iodine deficiency

03:47or artificial sweeteners, the effect goes away and women do start ovulating.

03:54Lifestyle changes, diet and exercise are the first line in the management of PCOS.

04:01Diet and exercise targeted for weight reduction reduces the insulin and androgen level, even

04:08a modest reduction in the weight, for example, losing 5% of the body weight can be beneficial.

04:15Complex carbohydrate foods like peas, lentils, kewana and high fiber diets, fruits and vegetables

04:23increases the blood sugar level more slowly and should be incorporated into the PCOS diet.

04:31Simple carbohydrates like breakfast cereals should be eliminated or completely avoided from the diet.

04:39Exercises like walking, yoga, pilates, tai chi, cardio and strength training are some of the best forms for the PCOS.

04:51Something as simple as walking 20 to 30 minutes after each meal may be beneficial.

04:59Intensity interval training or HIIT may be helpful in some as it helps in fat burning and weight loss.

05:06However, there's no ideal regimen for a PCOS patient and it should be individualized.

05:12It's always a good idea to talk to a personal trainer if you haven't exercised in a while or you're not in the best body shape.

05:29you

Dr Gemini Mahajan - PCOS: Diagnosis, impact, and treatment

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