What is PCOD? • PCOD (Poly Cystic Ovarian Disease) or PCOS (Poly Cystic Ovarian Syndrome) is a disease characterized by multiple (‘poly’) cysts (small sacs filled with fluid) in the ovaries.Patients with PCOD have abnormal levels of hormones that result in irregular menses, infertility and certain masculine changes in the body. • Various hormones of the body operate in harmony to regularize smooth functioning of all systems including the reproductive system. The disturbance of hormonal mechanism makes the ovaries produce excessive amount of the male reproductive hormones (androgens) and at the same time there is failure of egg formation. This excess of androgens with absence of ovulation may cause infertility.
Causes of PCOD • PCOS problems are caused by hormone changes/hormonal imbalance. One hormone change triggers another, which changes another: Raised levels of Testosterone Raised levels of Luteinising Hormone (LH) low levels of Sex Hormone-Binding Globulin (SHBG) Raised levels of Prolactin 1. 2. 3. 4.
PCOD Symptoms • Irregular menses (usually delayed) • Weight gain and difficulty in losing weight • Acne, oily skin, dandruff • Excessive hair growth on the face, chest, back • Thinning of hair • Infertility • Miscarriage • High blood pressure • Diabetes • High cholesterol
DIAGNOSIS OF PCOD • Typical medical history : Regular/ irregular menstrual cycles, heavy/scanty menstrual flow, the need to take hormonal tablets (progestins) to induce a period etc. Physical Signs: Often obese and may have hirsutism, (excessive facial and body hair) as a result of the high androgen levels. Diagnosis can be confirmed by vaginal Ultrasound (USG pelvis), Shows that both the ovaries are enlarged; the bright central stroma is increased; and there are multiple small cysts in the ovaries. These cysts are usually arranged in the form of a necklace along the periphery of the ovary. Blood levels of hormones : High LH (luteinizing hormone) level; and a Normal FSH level (follicle stimulating hormone) i.e. a reversal of the LH: FSH ratio, which is normally 1:1. - Elevated levels of androgens (a high dehydroepiandrosterone sulphate (DHEA-S) level); - Fasting cholesterol and triglyceride levels; - Glucose tolerance test. • • • • • •
Homeopathic Medicines available for PCOD • PULSATILLA • SEPIA • THUJA • Other homeopathic medicines useful in PCOD: CALCAREA CARB, APIS, LACHEISIS, LYCOPODIUM, PHOSPHORUS, CALCAREA CARB, MEDORRHINUM, CALCAREA PHOS, KALI CARB.