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Polycystic Ovary Syndrome or PCOS is a common disorder affecting many women today and due to the amount of information available online, many women often assume themselves to be suffering from PCOS, leading to unnecessary anxiety about its consequences.
Understanding the Fertility Window
In an interview with HT Lifestyle, Dr Anuja Thomas, Consultant – Obstetrician & Gynecologist at Motherhood Hospital in Kharghar, Mumbai, said, “Women’s reproductive choices are changing. Increased access to education and career opportunities often results in women delaying motherhood until their 30s or later. Also, the age of menarche (onset of menstruation) has decreased, resulting in more menstrual cycles in a woman’s lifetime. Premature menarche can deplete a woman’s reserve of healthy eggs, while the cumulative effects of menstruation can contribute to conditions such as endometriosis.”
According to him, the modern sedentary lifestyle and poor dietary habits can disturb the hormonal balance, leading to irregular menstruation and ovulation problems, which affect the reproductive health of both women and men. PCOS is one of the many lifestyle diseases that affect female hormones, and it is important to understand that it is not the only factor complicating pregnancy.
The role of insulin resistance
Dr. Anuja Thomas explains, “Insulin resistance is an important aspect of PCOS that needs to be addressed. Insulin helps control blood sugar levels, and the condition often results from lifestyle factors rather than ovarian dysfunction alone. Insulin resistance contributes to the polycystic nature of the ovaries, leading to menstrual and ovarian problems.”
“This relationship underscores the need to adopt a healthy lifestyle from a young age. Poor blood sugar regulation can lead to weight gain, make it difficult to lose weight and increase the risk of long-term health complications such as diabetes and heart disease,” he added.
Steps to Manage PCOS
1. Prioritize overall health – A healthy lifestyle is important for everyone, especially those with PCOS. Focus on a balanced diet, regular exercise, and weight management to improve insulin sensitivity and boost fertility. While weight loss may not happen immediately, adopting healthy habits can provide long-term benefits.
2. Consult a gynecologist – Tracking menstrual cycles and using ovulation prediction kits can help plan pregnancy. Addressing underlying health problems such as thyroid disorder or obesity can also increase your chances of conceiving.
3. Keep an eye on pregnancy complications – Women with PCOS have a higher risk of gestational diabetes. Regular prenatal care, including blood tests and ultrasounds, is essential for prevention and early detection.
4. Consult a fertility specialist – A fertility specialist can provide you with proper guidance and recommend treatment options, including ovulation-stimulating medications or IVF (in vitro fertilization).
5. Seek emotional support – Managing PCOS and pregnancy problems can be emotionally challenging. Building a support network through friends, family, or support groups can provide comfort and understanding.
Is egg freezing and IVF a simple solution?
Dr. Anuja Thomas responds, “It is important to understand that egg freezing and IVF are not universal solutions for everyone facing fertility challenges due to PCOS. Factors such as increasing age, as well as excess weight and high blood sugar can create a challenging environment for foetal development. These conditions can increase the risk of miscarriage, preterm delivery and abnormal birth weight. The aim is not to scare women and families, but to empower them to make informed decisions. Optimising uterine health is essential for the best possible outcomes during pregnancy and beyond.”
By staying informed and proactive, individuals with PCOS can increase their chances of a healthy pregnancy and enjoy a positive family-building experience by adopting a preventive health care plan.
Disclaimer: This article is for informational purposes only and is not a substitute for professional medical advice. Always seek the advice of your doctor for any questions about any medical condition.
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