PCOS: No Cause for Worry (Part 2)
In last week’s article, I talked about what PCOS is and what causes it.
A big question that hangs over us is, “Does having PCOS mean that the woman cannot get pregnant?” Let me address it right away.
In many cases, women who have PCOS notice that their period cycles become regular as they grow older. This could be due to their bodies finding a natural hormonal rhythm with time. It could also be due to following a healthy lifestyle (balanced diet and regular exercise), which keeps their weight (and testosterone levels) in check. These women generally conceive through normal means and have healthy pregnancies.
Medically speaking, we would categorise women with PCOS (and above the age of 21) into four categories: Mild, Moderate, Severe, and Resistant. Women in the Mild category tend to get their period every 40 days or so. They usually do not experience difficulty in conceiving, and do not require intensive fertility treatment. Women in the Moderate and Severe categories tend to be on the heavier side, and would have to first adopt lifestyle changes to bring down their weight. They may also have to take some hormone supplements. Those in the Severe bracket may be advised to undergo some form of fertility therapy. For women in the Resistant category, IVF is regarded as the best route for pregnancy. Let me emphasise this again: Having PCOS will not stop you from becoming a mother. There are medically sound options to help you fulfil your parenting dream.
While we are on the subject of PCOS, let me share my observations about some common misconceptions.
One, a missed period, sudden weight gain or excessive facial hair does not automatically mean you have PCOS. You have to consult a gynaecologist and get their advice on the tests, diagnosis and treatment. It is also important that you don’t ignore any signs that might need attention.
Two, PCOS cannot be reversed, and there is no medical or surgical treatment to remove it. However, you can definitely minimise the discomfort that arises from the symptoms. The best way to do so would be to adopt a healthy lifestyle – a diet catered to your nutritional needs, regular exercise, less stress and more happiness. Medication or hormone supplements may help to treat some symptoms but they should be taken only on the advice (and prescription) of an doctor. Every hormone in our bodies has its share of side effects. That is why we doctors take extra care when prescribing hormonal treatments.
Finally, and most importantly, each person is different. So, do not jump to conclusions on reading about ‘something’ that happened to ‘someone’. You are unique – celebrate your beautiful body as it is!
