5 secrets of managing obese vs lean PCOS
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- Опубліковано 1 жов 2024
- Dr. Anshu Jindal in Conversation With Dr. Shweta Mittal Gupta
(MD, DNB, MNAMS) Senior Consultant at the Center of IVF & Human Reproduction in Sir Ganga Ram Hospital, New Delhi
Managing obese vs lean PCOS.
Polycystic ovarian syndrome (PCOS) affects 10-15% of all women in reproductive age group 60% of all women with anovulatory infertility have PCOS.
Secret-1: Both lean and obese PCOS women have varied clinical and biochemical manifestations of the disease. A common pathophysiology seen in both is insulin resistance.
Secret-2 Obese PCOS have more incidence of menstrual disturbances and hyperandrogenemia. But surprisingly both have similar incidence of android obesity i.e. more visceral fat on the abdomen. They have similar incidence of hypertension as well. Obese PCOS patients have a higher incidence of altered glucose tolerance test, type II diabetes, endometrial hyperplasia & endometrial cancer later in life. Lean PCOS patients are usually spared of this.
Secret-3 Obese patients should be motivated to reduce weight.
Lean women should be motivated to maintain their body weight and be active.
Secret-4 Both of them would require Ovulation induction with clomiphene citrate, letrozole or low dose gonadotropins.
Secret-5 Insulin sensitizers would help both the obese as well as lean PCOS. In lean PCOS it would help regularizing her periods, in obese it would help in reducing weight and resumption of periods. Life style modification ovulation induction & insulin sensitizers would help both the subgroups.
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Plz plann a meal for lean pcos patient.
Can i use cinnamon in lean pcod?
I must appreciate you ductor Shweta for sharing all this knowledge
Great
please make a diet plan for lean pcos
What about myoinositol
How i conceive
Am so grateful to you DR RORPOPOR HERBAL on UA-cam, for curing my PCOS sickness within 14days, with your natural supplement ...........❣️❣️❣️
Pcod lean hai
It's not that easy and simple
I have pcos and my BMI is 18.5 with regular periods but no LH surge, sometimes I get ovarian cysts because the follicule continue to grow and don't erupt. Should I gain more weight?
Do you feel pain before having your periods
@@palakthosani6953 no , is it possible to have this based on ultrasou d showing cycts one ovary only?
Lean pcod😔
Same here....i tried lifestyle changes and exercises...still don’t get periods
@@kirtiaggarwal615 sss😩😔 y for us only😩
I still dont know how to fix this...i am still trying everything.. have you managed to control?
@@kirtiaggarwal615 what are the symptoms of this did you visit your doctor And do you feel pain before having your periods .pls reply
@@palakthosani6953 doc just suggests hormone pills and i am already practicing lifestyle changes since months...no much pain...problem is no medicine no period...even for months