2. WHAT IS PCOD?
Also called PCOD are polycystic ovarian
syndrome (PCOS) or Stein Leventhal Syndrome
Patients suffering from polycystic ovarian
disease(PCOD) have multiple small cysts in
their ovaries.
These cysts occur when the regular changes of
a normal menstrual cycle are disrupted.
The ovary is enlarged and produces excessive
amounts of androgen and estrogenic hormones.
4. CAUSES OF PCOD?
Don’t really understand what causes PCOD,though
we do know that it has a significant hereditary
component
Often transmitted from mothers to daughters
Characteristic polycystic ovary emerges when a state
of anovulation persists for a length of time
Patients with PCOD have persistently elevated levels
of androgen and estrogen which set up a vicious
cycle.
Obesity can aggravate PCOD because fatty tissue are
hormonally active
They produce estrogen which disrupts ovulation.
5. CAUSES OF PCOD?
Overactive adrenal gland can also produce excess
androgens and these may also contribute to PCOD
These women also have insulin resistance (high levels
of insulin in their blood because their cells do not
respond normally to insulin
LH
LH release (but ovarian
without a surge) initiating event? androgen
frequency of GnRH estrogen
Pulse
6.
7. SYMPTOMS OF PCOD?
Irregular menses
Excess androgen levels (male hormone)
Weight management difficulties including
weight gain or difficulty losing weight
Excess of body and facial hairgrowth known as
hirsutism
Sleep apnea
High cholesterol level
High blood pressure
Skin tags
Infertility
8.
9.
10. MORE SYMPTOMS OF PCOD!
Fatigue
Male pattern balding
Insulin resistance
Type 2 diabetes
Pelvic pain
Depression and anxiety
Decreased libido
11. DIAGNOSIS
Can be easily diagnosed in some patients
Typical medical history is that of irregular
menstrual cycle,which are unpridictable and
can be very heavy and the need to take
hormonal tablets (progestins) to induce a
periods
Not all patients with PCOD will have all or any of
these symptoms
Diagnosis can be confirmed by
Vaginal utlrasound
Blood test
Elevated level of androgen
12. OCCULT PCOD?
Thin irregular periods no hirsuitism & normal
looking ovaries on ultrasound but still have
PCOD
This problems is detected only by when these
patients are superovulated,at which producing a
large number of follicles
Interestingly many of these patients present
with recurrent pregnancy loss |(recurrent
miscarriage)
Often their doctors does not make the correct
diagnosis for them