POLYCYSTIC OVARIAN SYNDROME BY DR. VARSHA V. LLKAL WITH DR. SUNITA PATEL PT

1. BY: Dr. Varsha V. Ilkal

2.  Most common endocrinopathy
 There is no release of egg in this condition
- Anovulation
 Formation of cysts inside the ovaries
 First described in 1935 by American
gynaecologists Irving I. Stein & Michael L.
Leventhal.

4.  Obesity – 50 percent of women with PCOS are
obese.
 Menstrual irregularities
 Hyperandrogenism – male like features
 too much hair on face, chin
 Thinning of hair
 Acne on face, chest, upper back
 Skin tags

5.  Increased insulin resistance
- 75 percent of PCOS women are insulin
resistant.
- Obese PCOS women have 30 percent higher
rate of insulin resistance than lean PCOS
women.

6.  Increased waist circumference
 Increased level of luteinizing hormone (LH)
 Associated with depression, psychological &
psychosexual morbidity.

8.  High blood cholesterol level
 Sleep Apnea
 High blood pressure
 Increased risk for pregnancy/ fertility
problems

9.  Impaired cardio-pulmonary & autonomic
function
 Increased inflammatory markers
- interleukin -6 (IL-6), C- Reactive protein
(CR-P)
 Gestational diabetes

10.  No specific treatment for this condition
 However, symptoms can be managed by:
 Dietary changes
 Lifestyle modification
 Physiotherapy/exercise/yoga

11.  Gonadotrophin releasing hormone antagonist
- suppresses GnRH secretion till the
treatment lasts.
 Food- consumption of jowar, bajra, green
leafy vegetables, apples, grapes, oranges,
berries, nuts recommended.

12.  Physiotherapy/ exercise therapy- important
role in managing symptoms & preventing risk
factors related to PCOS.
 Studies show that Aerobic exercises for 8
weeks 3 sessions/week of 45 mins duration
improves quality of life in PCOS women by
decreasing Body mass index (BMI), no. of
follicles & regulation of menstrual cycle.

13.  Structured exercise programme with
cognitive behavioural therapy (CBT) helps to
overcome stress, depression, BMI, waist hip
ratio (WHR) in adolescents.
 High intensity interval training (HIIT)
Squats, lunges, crunches, chest press,
biceps curls, jumping jacks

14.  Circuit training involving aerobic and
strengthening exercises of major muscle
groups.
Aerobic exercises can include treadmill,
cycling, jogging, walking, dancing
Strength training can be done using weights,
resistance bands, resistance tubes

16.  Circuit training for 6 weeks 3 sessions/week
is known to improve metabolic &
reproductive symptoms, also improves
cardiorespiratory fitness in women with
PCOS.
 Breathing exercises can be adopted for
relaxation which can help in hormonal
imbalance.

17.  Women with PCOS can suffer with back pain,
lower abdominal pain, sacroiliac joint pain
which can be managed using electrotherapy
modalities like TENS/IFT, cryotherapy, hot
packs.

18.  Bulent Urman, Ebru Sarac, L. Dogan, T.
Gurgan ‘The Journal of reproductive
medicine’ 42(8),501-502,1997
 G.Deepthi, P. Sankarakumaran, Albin Jerome,
Deivendran Kalirathinam, Naresh Baskar Rai
‘Research Journal of Pharmacy & Technology’
10(6), 1788-1790, 2017
 B. Padmavathi, College of Physiotherapy, Sri
Ramakrishna Institue of Paramedical
Sciences, Coimbatore, 2019

19.  MD Vaneesa Lubin, MD Bernard Charbonnel,
MD Philippe Bouchard, ‘Balliers’ Clinical
Obstetrics & Gynaecology’ vol. 12,issue 4,
December 1998, 607-618
 Sukanya Pawar, Aashirwad Mahajan
‘International Journal of Research in Social
Sciences’ 9(5), 437-453, 2019
 Rachel Nall, MSN, CRNA, Dec 2020

20.  A.M. Elbandraw et.al ‘European Review for
Medical & Pharmacological Sciences’ 2022,
26, 3506- 3513
 Dr. Anuja Choudhary ‘International Journal of
Innovative Science & Research Technology’
ISSN no. 2456-2165

21. THANK YOU