Polycystic ovary syndrome (PCOS) is a hormonal disorder seen in women of reproductive age. The ovaries might develop numerous cysts, follicles & fail to regularly release eggs.
The exact cause of PCOS is unknown, genetics, heredity or excessive insulin may be a causative factor for PCOS. Women with PCOS often produce the excessive level of androgen, the male hormones.
The first signs of PCOS could be excessive hair growth usually on the face, weight gain, thinning and loss of scalp hair and oily skin or acne.
Women with PCOS experience infrequent or prolonged menstrual periods. They may also experience weight gain, acne or excessive hair growth on the face or body. Many a times the first presenting symptom of PCOS might be infertility.
PCOS doesn’t have a permanent cure, however it can be controlled. Lifestyle changes like low caloric diet, regular moderate exercise, good sleep routine, avoiding alcohol and smoking can help. Medications and nutritional supplements are available to enhance a good hormonal balance.
PCOS can be controlled rather than prevented by eating right, maintaining regular physical activity or yoga and avoiding alcohol and smoking.
Yes. Having PCOS does not mean you can’t get pregnant. PCOS is one of the most common, but treatable, causes of infertility in women.
- By medicines: Within 7 weeks: An MTP kit is used which contains one tablet for oral consumption and four tablets for vaginal insertion. A medical abortion uses a combination of two hormonal drugs – an anti-progesterone and prostaglandin, which can be used through various routes namely by mouth or vaginally.
- By surgical means: Within 12 weeks: The pregnancy is terminated using a method called suction curettage, which involves the insertion of a small tube in the vagina which is connected to a suction machine. The pregnancy is sucked out in this method
- Between 12 weeks and 20 weeks: The method deployed at this time is called dilation and evacuation (D&E). A cervix dilator or prostaglandins is inserted in the cervix in order to open it up gently. Once it is dilated the induction and spontaneous abortion takes place.
Abortion follows some immediate bleeding. You can expect cramps and pain for a couple of days. Your doctor will prescribe medicines to get you some relief. Do not ignore a fever or any foul-smelling discharge from the vagina; these may be indications of an infection
You can expect your periods within 3 to 6 weeks after the abortion.
The Doctor’s visit schedule is as follows:
- Once every 3 weeks till 28 weeks
- Twice a month from 28 weeks till 36 weeks
- Weekly from 36 weeks till birth
If you are older than 35 or your pregnancy is high risk, you’ll probably see your doctor more often.
Prenatal care is the health care you get while you are pregnant. If you know you’re pregnant call your doctor to schedule a visit.
- Your doctor will schedule you for many check-ups over the course of your pregnancy. Don’t miss any –they are all important
- Following your doctor’s advice
Prenatal care helps keep you and your baby healthy. Babies of mothers who do not get prenatal care are three times more likely to have a low birth weight and face more complaints throughout pregnancy and delivery. Doctors can diagnose health problems early if they see mothers regularly. Early treatment can cure many problems and prevent others.
Unless you have been identified with any complications, it is perfectly safe to travel during pregnancy.
Weight gain in pregnancy varies from person to person. It also depends on your weight before you become pregnant. Most pregnant women gain between 10kg and 12.5kg (22lb to 26lb), putting on most of the weight after week 20.
The causes of morning sickness are not always clear. There is some thought that hormone changes, increase in progesterone and estrogen cause morning sickness. Usually about 70 to 80 percent of women suffer from morning sickness during early pregnancy; some even begin noticing nausea as early as four to eight weeks.
You should check with your doctor before taking any medication while pregnant. This includes over-the-counter medications such as aspirin and homoeopathic medicines.
Some foods carry a greater risk of harbouring bacteria and should be avoided during pregnancy. These include unpasteurized milk, blue and mould ripened cheeses, raw fish, uncooked shellfish, anything-containing raw eggs (including homemade ice cream and mousse), and any cooked food chilled for reheating.
You extra 300 calories and additional 15-20 gms of protein daily in the second and third trimester during pregnancy. The recommended portions vary from person to person and are based on personal requirements along with medical conditions. Every meal should consist of 50% fruits and vegetables (little or no oil), 25% whole grains, and 25% lean protein. Restrict your oil intake to 4 tsp per day. Consume a dairy product in each of the 3 major meals and choose healthy snacks in between. It is extremely important to stay well hydrated. You should drink 8 to 10 glasses of water per day.
You should eat small balanced meals every 3-4 hours, with a light snack in-between. Remember not to skip meals or fast during pregnancy.
If you begin an exercise program in the first or second trimester, you should do your best to continue it through the rest of your pregnancy, being sure to modify your activities and intensities as your body changes. Barring any complications in your pregnancy, continuing exercise through third trimester will reduce the chance of your baby gaining excessive weight in the last few months. Continuing exercise through the third trimester may also reduce your chances of excessive weight gain.