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PCOD (Polycystic Ovarian Disease)

Polycystic Ovarian Syndrome Slideshow for presentation. Courtesy- Barsha Sahoo

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Polycystic Ovarian
Syndrome
She may be a victim of PCOS!!!!
Next time when you see a fat young girl,
don’t criticize! Because she might be in
need of medical help!!!
Is sheIs she gaining weight rapidly?gaining weight rapidly?
Is she troubled by facial hair, acne
and irregular menstrual
periods?
If she is married, why can’t she
become pregnant?
I will be covering the following…
Definition
Incidence
Causes
Pathophysiology
Symptoms
Long term risks
Treatment
Conclusion
Definition
PCOS was described first in 1935 by Stein &
Leventhal as 
“PCOS is a syndrome manifested by
amenorrhoea, hirsutism and obesity
associated with enlarged polycystic
ovaries.”
It is a heterogenous disorder characterized
by excess androgen production by the
ovaries that interferes with the reproductive,
endocrine & metabolic functions.
Let’s understand this way…
When to say it is PCOS?
If two of the three following criteria are
present:
polycystic ovaries (either 12 or more
peripheral follicles 2-9mm in diameter or
increased ovarian volume > 10 cmcube).
oligo- or anovulation.
signs of hyperandrogenism (excess male
sex hormone).

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PCOD (Polycystic Ovarian Disease)

  • 2. She may be a victim of PCOS!!!! Next time when you see a fat young girl, don’t criticize! Because she might be in need of medical help!!! Is sheIs she gaining weight rapidly?gaining weight rapidly? Is she troubled by facial hair, acne and irregular menstrual periods? If she is married, why can’t she become pregnant?
  • 3. I will be covering the following… Definition Incidence Causes Pathophysiology Symptoms Long term risks Treatment Conclusion
  • 4. Definition PCOS was described first in 1935 by Stein & Leventhal as  “PCOS is a syndrome manifested by amenorrhoea, hirsutism and obesity associated with enlarged polycystic ovaries.” It is a heterogenous disorder characterized by excess androgen production by the ovaries that interferes with the reproductive, endocrine & metabolic functions.
  • 6. When to say it is PCOS? If two of the three following criteria are present: polycystic ovaries (either 12 or more peripheral follicles 2-9mm in diameter or increased ovarian volume > 10 cmcube). oligo- or anovulation. signs of hyperandrogenism (excess male sex hormone).
  • 8. Incidence: why to worry? Most common endocrine disorder affecting 5-10% women of reproductive age (15-45 years). Incidence is increasing fast with change in life style & stress. Most frequent (20%) cause of infertility in women!!! strongly associated with Insulin Resistance that creates risk for Diabetes, Cardiovascular disorders & Hypertension.
  • 9. Causes Not clearly known yet. May be change in lifestyle, diet and stress. Genetic factors: CYP21 gene mutation Runs in families!! Obesity causing Insulin resistance & hyperinsulinemia.
  • 13. Symptoms Symptoms of Ovulatory dysfunction Amenorrhoea / Oligomenorrhoea 87% Irregular uterine bleeding 26% Infertility20% Symptoms of Androgen excess Hirsutism Acne Alopecia or Baldness Symptoms of Insulin resistance Acanthosis nigricans Obesity
  • 15. Acanthosis nigricans Thick pigmented skin over nape of neck, inner thigh & axilla due to insulin resistance
  • 16. Long term risks Diabetes Heart diseases Hypertension Dyslipidemia Endometrial cancer Breast cancer Recurrent pregnancy loss Ovarian failure after surgery
  • 18. No reason to panic It’s no more a difficult task to diagnose and treat PCOS. Get an ultrasound done as soon as possible. Take simple and healthy diet. Exercise. Lifestyle changes.
  • 20. Conclusion These 20 slides were just an attempt to show the importance of this health hazard in a woman and the serious consequences it may bring about when ignored or not treated. PCOS comes amongst the list of diseases that need to be hunted, not only treated! With AWARENESS we can easily fight this disease, which I think has already started now via this slideshow. So I hope in the days to come, everyone among us will circulate this information and hunt this disease down at the earliest. Because no matter who we are, we need a woman to maintain the CONTINUITY OF LIFE… may be as a mother, a sister or a wife. So, with a little modification of the famous message now-days let’s say…
  • 21. September is PCOS awareness month God couldn’t be everywhereGod couldn’t be everywhere So He created women!So He created women!
  • 22. Thank You Kingsoft Office Make Presentation much more fun Thank you For Your Attention!