پی کوس خواتین کو متاثر کرنے والی ایک بیماری ہے جو کہ ایام کی بے قاعدگی، بھاری ایام، ماہواری اور بے اولادی کے مسائل پیدا کرتی ہے۔ اس سے متاثرہ خواتین کی بیضہ دانیوں میں پانی کی تھیلی نما اجسام پیدا ہو جاتے ہیں جو کہ بیضہ دانی کی معمول کی کارکردگی میں رکاوٹ اور پیچیدگیاں پیدا کرتے ہیں۔ پی کوس کی کوئی ایک یقینی وجہ نہیں ہے لیکن کچھ کیفیات اس کا باعث بن سکتی ہیں۔ ان میں موٹاپا، انسولین ریزیسٹینس، جسم میں انفلیمیشن کا زیادہ ہونا وغیرہ شامل ہیں۔
Gynecologist, Laparoscopic Surgeon
MBBS, FCPS ( Obstetrics & Gynecology)
Gynecologist, Fertility Consultant
MBBS, MRCOG (UK), FRCOG (UK), Fellowship in IVF, Fellowship in ART & Reproductive Medicine (Germany), Dip. Urogynae (Germany)
Polycystic Ovary Syndrome (PCOS) happens when abnormal levels of male hormones (androgens) cause tiny fluid-filled sacs to form in the ovaries. This can disrupt menstruation, ovulation, and make it harder to get pregnant.
Even if pregnancy occurs, women with PCOS have a higher risk of complications like gestational diabetes, high blood pressure, miscarriage, or premature birth. PCOS can also affect the liver and heart.
Though PCOS cannot be cured, it can be managed with medication, a balanced diet, and maintaining a healthy weight to improve symptoms and overall health.
PCOS symptoms often begin during puberty, around the time of the first period, and may include:
The exact cause of PCOS is still unknown. However, several factors may contribute, including:
Risk factors for PCOS are:
There’s no way to prevent PCOS. However, you can manage issues such as insulin levels, blood pressure, and hormones to avoid complications and maintain your health.
PCOS is divided into three classes:
This type of PCOS happens when the ovaries produce too much testosterone, causing inflammation and other changes in the body.
This happens when the pancreas makes too much insulin, and the body stops responding to it properly. High insulin levels cause the body to produce more male hormones (androgens), which can make the problem worse.
This occurs when the adrenal glands produce more of the androgen called DHEA-S, while testosterone and androstenedione levels drop. Stress can also be the cause.
The evaluations required to diagnose Polycystic Ovary Syndrome (PCOS) include:
Additional tests may include glucose tolerance tests to check for insulin resistance and lipid profiles to assess cholesterol levels, as PCOS can affect metabolism.
Unfortunately, PCOS cannot be cured, but the symptoms can be managed with these steps:
PCOS can lead to complications such as:
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Ultrasound pe ovaries normal lagne ke baad bhi PCOS ki wajah se hormonal imbalance reh sakti hai jo follicles ko mature hone nahi deti. Ultrasound sirf aik hissa hai - hormone levels aur ovulation tracking utni hi zaroori hai.
Period ke doosre din serum progesterone, testosterone, prolactin, insulin, FSH, LH aur thyroid panel karwayen. Ye hormonal pattern dikhate hain jo ovulation ko rok raha hai.
Agar cycles regular to ovulation tracking se identify hone wali fertile window ke aas paas relation rakhein. Agar irregular to cycle ke day 8 se day 19 tak aik raat chor kar relation rakhein. Rozana 5 mg folic acid aur normal BMI chances behtar karte hain.
PCOS periods balanced diet, regular exercise aur weight management se behtar hote hain. Thora sa weight loss bhi cycles regular karta hai, aur low-carb ya Mediterranean-style diet aksar madad karti hai.
Aam options mein birth control pills, metformin aur anti-androgen medications shamil hain. Sahi choice is pe depend karti hai ke aap ko insulin resistance, acne ya extra hair growth bhi hai ya nahi.
Ji haan. Chronic stress cortisol barha kar PCOS symptoms bigarti hai, jo insulin aur reproductive hormones disturb karta hai. Meditation, deep breathing ya yoga cycle regulate karne mein madad dete hain.
PCOS bunyadi tor par insulin resistance se chalti hai - aap ki body insulin theek se respond nahi karti, jis se doosre hormones bhi disturb ho jate hain. Periods irregular is liye hote hain ke bohot se eggs mature hone ki koshish karte hain lekin kam release hote hain.
Wazan kam karna sab se ahem treatment hai - thora sa wazan kam karne se bhi ovulation aur regular cycles wapas aate hain. Tablet Metformin 500 mg din mein 2 baar insulin sensitivity behtar karti hai aur long-term hormone regulation mein madad deti hai.
Haan - untreated PCOS 40s aur 50s mein uterine cancer ka risk barhati hai, kyun ke constant unopposed estrogen rehta hai. Regular periods (birth control pills se ya Clomiphene se) yeh risk kam karte hain.
Haan - Diane 35 mein estrogen aam tor par spotting ya breakthrough bleeding paida karta hai, khaas tor par shuruati cycles mein. Temporary hota hai; pills schedule ke mutabiq lete rahein aur agar lambay arsay tak rahay to doctor ko bataein.
Breast pain aur tenderness Diane 35 ke well-known side effects hain estrogen content ki wajah se. Ziada tar cases waqt ke sath theek ho jate hain, lekin agar severe ya persistent ho to doctor ko bataein.
Diane 35 acne ya hirsutism poori tarah clear hone ke 3-4 cycles baad band kar deni chahiye. Long-term use mein venous blood clots aur rare liver tumours ka risk hota hai, isliye yeh routine birth control pill nahi hai.
PCOS mein hormonal imbalance mein male hormones (androgens) ziyada hote hain, jis se skin ziyada oil banati hai aur hair follicles band ho jate hain. PCOS acne chehray, seenay, upper back aur kandhon pe hoti hai aur periods se pehle barh jati hai.
Ji haan - Diane 35 androgens kam karti hai aur hormonal acne clear karne mein madad karti hai, lekin band karne par acne wapis aa sakti hai. Asli farq dikhne mein 2-3 mahine lagte hain, har chand hafton mein cream na badlein.
Whiteheads, blackheads, papules (chhote red bumps), pustules (peeb wale), nodules (gehray dard naak gaante), aur cystic lesions (skin ke neeche bare peeb wale gaante). Cystic aur nodular acne specialist ki care chahiye.
PCOS ek hormonal imbalance hai jo periods irregular, ghair maamooli baal, aur wazan barhne ka sabab. Pet ke neechay sakht dard aur discharge khaas tor par peshab mein dard ke saath pelvic infection ki nishani ho sakti hai.
Sehatmand khurak - kam namak, cheeni, tail, masala; rozana chalna aur regular exercise normal BMI ke liye; sakht local hygiene; aur din mein bohat sara paani. Constipation se parhez karein.
Agar discharge zyada aur paani jaisi to doctor internal swabs kiye baghair bahir aane wali secretion ka muayna kar sakti hain. Pelvic floor exercises, bladder diary, aur infection address karna pehlay qadam hain.