scholarly journals A Case Study on Ayurvedic Management in PCOS

2021 ◽  
pp. 79-81
Author(s):  
Shahina Mole.S ◽  
Ammu.K.Sasi
Keyword(s):  
Reproductive System ◽  
Polycystic Ovarian Syndrome ◽  
Signs And Symptoms ◽  
Ovarian Cysts ◽  
Complex Mechanism ◽  
Female Reproductive System ◽  
Menstrual Disorders ◽  
Rapid Weight Gain ◽  
Ovarian Syndrome

Female reproductive system consists of hypothalamo-pituitary-ovarian axis and intact uterine-adnexa which maintains a complex mechanism. In human body all the systems are interrelated to function properly; any imbalance in one system may cause multisystem pathogenesis. Polycystic ovarian syndrome (PCOS) is a common endocrinopathy, which is multifactorial and polygenic condition, manifested as oligoovulation or anovulation, signs of hyperandrogenism and multiple small ovarian cysts. Signs and symptoms vary within individual’s overtime. This adversely affect the reproductive system by menstrual disorders, infertility, obesity, depression, sleep apnea, insulin resistance and in due course may result in diabetes mellitus, endometrial cancer, cardiovascular disease etc. According to Ayurveda PCOS is a disorder which involves the three Doshas, Dhathus like Rasa, Raktha and Medas. The Srothas involved in this condition are Rasa, Rakta and Arthava vaha which eventually manifests features such as Anarthava (amenorrhea), Vandhyathwa, Pushpagni, Abeeja rtuchakra (anovular bleeding). Here is a case report of 19 year old girl who presented with irregular menstruation, rapid weight gain and hair loss. On USG she was detected to have bilateral PCO pattern. Based on the clinical features, treatment principles adopted were Aamapachana, Vata anulomana, Kaphapittahara and Arthava janana. After 2 months of internal medications, symptoms reduced markedly and menstruation was normal. Adherence to Ayurvedic principles is found to be helpful in PCOS for a healthy and fruitful life.

scholarly journals The translation and validation of the Arabic Version of the Polycystic Ovary Syndrome Health-Related Quality of Life Questionnaire (AR-PCOSQ)

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Sultan Alghadeer ◽  
Alhanouf Algarawi ◽  
Faten Abu-Rkybah ◽  
Mashael M. Alshebly ◽  
Yazed Alruthia
Keyword(s):  
Quality Of Life ◽  
Polycystic Ovarian Syndrome ◽  
Signs And Symptoms ◽  
Life Questionnaire ◽  
Arabic Version ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related ◽  
Ovarian Syndrome

Abstract Background Polycystic ovarian syndrome (PCOS) is a hormonal disorder that is prevalent in females of reproductive age with signs and symptoms that significantly reduce self-esteem and have a negative impact on their quality of life. The management of PCOS signs and symptoms should result in an improvement in the health-related quality of life (HRQoL) of patients. Polycystic ovarian syndrome questionnaire (PCOSQ) is a disease-specific scale. The PCOSQ has been translated into different languages and assessed in different populations. The validity and reliability of PCOSQ varied depending on the ethnicity and culture of the respondents. The objective of the study was to establish a valid and reliable version of the PCOSQ (AR-PCOSQ) in Arabic. Methods A cross-sectional study using the translated and validated AR-PCOSQ questionnaire was conducted by interviewing 117 women with PCOS. Results The mean age (years) and BMI (kg/m2) of subjects were 29.90 ± 6.33 and 27.21 ± 5.54, respectively. Most of the patients had ≥ 1-year long history of PCOS (73.5%) and a post-school degree (64.96%). The content validity index (CVI) for the AR-PCOSQ from 10 gynecologists was 0.9, indicating satisfactory validity content. The internal consistency for reliability confirmation measured by Cronbach’s alpha coefficient was applied. Alpha coefficients for all items together was 0.863, indicating good reliability. The intraclass correlation coefficients for each item for 30 participants were also acceptable, ranging from 0.911 to 0.986 with p value < 0.001. As far as the factor analysis is concerned, the overall Kaiser–Meyer–Olkin sampling adequacy measure was 0.772. The Bartlett sphericity test was significant (p ≤ 0.001), Indicating that there were interrelated variables. Conclusion Our results demonstrated the initial reliability and validity of the Arabic version of the PCOSQ as a measure of specific HRQoL in Saudi women with PCOS. This will fill an important gap in measuring the HRQoL for patients with PCOS in research and community settings in Saudi Arabia. The AR-PCOSQ can be used to help prioritize health-related concerns from the patient’s perspective.

scholarly journals Polycystic ovarian syndrome (PCOS) awareness among young women of central India

2018 ◽  
Vol 7 (10) ◽  
pp. 3960
Author(s):  
Jaya Patel ◽  
Shailesh Rai
Keyword(s):  
Young Women ◽  
Polycystic Ovarian Syndrome ◽  
Central India ◽  
Signs And Symptoms ◽  
Cross Sectional Study ◽  
P Value ◽  
Cross Sectional ◽  
The People ◽  
Study Participants ◽  
Ovarian Syndrome

Background: Polycystic ovarian syndrome (PCOS) associated with multiple presentation in females although it is common disorder but due to lack of knowledge females often delays in getting confirm diagnosis and treatment. PCOS remains a syndrome and as such no single diagnostic criterion is sufficient for clinical diagnosis. Objective: To assess the knowledge about PCOS in young women.Methods: Cross sectional study was performed on 400 women of age group 18-30 years either studying in Colleges or working in Indore city. Written informed consent was obtained and simple random technique was applied for selection of study participants. Pre-designed, pre-tested, semi-structured questionnaire was used for data collection. The data collected were analyzed through percentages and frequencies using Excel. Relevant statistical test was applied was applied and p value was calculated where ever required and considered statistically significant when it is <0.05.Results: Among 400 participants, only 41% of the women were aware of the term PCOS. 46% of the subjects who were aware about the organ system involved in this disease. Most of the people know about this disorder through friends or relatives. 49% of the women knew about the various signs and symptoms associated with PCOS.Conclusions: The results of present study show that very few of the young women understand what this disease is and what are the earliest symptoms that should alarm them to consult a physician.  Discussion with the girls in college authors came to know that most of the people are considering menstrual pain and irregularities as a part of their physiological process and do not consider consulting a doctor.

Evaluation of Ovarian Cysts following GnRH-a Treatment in Patients with Polycystic Ovarian Syndrome

1998 ◽  
Vol 46 (4) ◽  
pp. 252-255 ◽  
Author(s):  
O. Gregoriou ◽  
N. Vitoratos ◽  
S. Konidaris ◽  
C. Papadias ◽  
A. Chryssikopoulos
Keyword(s):  
Polycystic Ovarian Syndrome ◽  
Ovarian Cysts ◽  
Ovarian Syndrome

Multiple Ovarian Cysts in a Woman with Epilepsy

2017 ◽  
Author(s):  
M. Angela O’Neal
Keyword(s):  
Polycystic Ovarian Syndrome ◽  
Clinical Evidence ◽  
Reproductive Function ◽  
Complex Interaction ◽  
Ovarian Cysts ◽  
Consensus Definition ◽  
Menstrual Dysfunction ◽  
Genetic And Environmental Factors ◽  
Definition Of ◽  
Ovarian Syndrome

This chapter explores how epilepsy can affect reproductive function. The National Institute of Health consensus definition of PCOS includes the presence of menstrual dysfunction, clinical evidence of hyperandrogenism, and exclusion of other endocrinopathies, such as Cushing’s syndrome and hypothyroidism. The etiology of PCOS is felt to be heterogenous, related to a complex interaction between both genetic and environmental factors. PCOS develops when the ovaries are stimulated to produce excessive testosterone. The diagnosis and pathogenesis of polycystic ovarian syndrome is explored; in particular, how valproate contributes to the condition in women with epilepsy. Valproate is the AED most associated with PCOS, as it can directly increase ovarian testosterone production. It can also cause weight gain leading to insulin resistance, another mechanism contributing to PCOS.

scholarly journals 2021 European Thyroid Association Guideline on Thyroid Disorders prior to and during Assisted Reproduction

2020 ◽  
Vol 9 (6) ◽  
pp. 281-295
Author(s):  
Kris Poppe ◽  
Peter Bisschop ◽  
Laura Fugazzola ◽  
Gesthimani Minziori ◽  
David Unuane ◽  
...  
Keyword(s):  
Polycystic Ovarian Syndrome ◽  
Embryo Quality ◽  
Thyroid Autoimmunity ◽  
Thyroid Disorders ◽  
Menstrual Disorders ◽  
Normal Thyroid Function ◽  
Increased Risk ◽  
Meta Analyses ◽  
Ovarian Syndrome ◽  
Serum Tsh

Severe thyroid dysfunction may lead to menstrual disorders and subfertility. Fertility problems may persist even after restoring normal thyroid function, and then an assisted reproductive technology (ART) may be a solution. Prior to an ART treatment, ovarian stimulation is performed, leading to high oestradiol levels, which may lead to hypothyroidism in women with thyroid autoimmunity (TAI), necessitating levothyroxine (LT4) supplements before pregnancy. Moreover, women with the polycystic ovarian syndrome and idiopathic subfertility have a higher prevalence of TAI. Women with hypothyroidism treated with LT4 prior to ART should have a serum TSH level &#x3c;2.5 mIU/L. Subfertile women with hyperthyroidism planning an ART procedure should be informed of the increased risk of maternal and foetal complications, and euthyroidism should be restored and maintained for several months prior to an ART treatment. Fertilisation rates and embryo quality may be impaired in women with TSH &#x3e;4.0 mIU/L and improved with LT4 therapy. In meta-analyses that mainly included women with TSH levels &#x3e;4.0 mIU/L, LT4 treatment increased live birth rates, but that was not the case in 2 recent interventional studies in euthyroid women with TAI. The importance of the increased use of intracytoplasmic sperm injection as a type of ART on pregnancy outcomes in women with TAI deserves more investigation. For all of the above reasons, women of subfertile couples should be screened routinely for the presence of thyroid disorders.

scholarly journals Analysis of Various Techniques for Ovarian Cyst Segmentation

2020 ◽  
Author(s):  
Sheela S ◽  
Subashini V ◽  
M. Sumathi ◽  
Roopsree G ◽  
Soundhar B ◽  
...  
Keyword(s):  
Ovarian Cancer ◽  
Menstrual Cycle ◽  
Level Set ◽  
Ovarian Cyst ◽  
Ovarian Cysts ◽  
Ultrasound Images ◽  
Jaccard Coefficient ◽  
Female Reproductive System ◽  
Segmentation Algorithms ◽  
Ovarian Syndrome

In the female reproductive system, ovary plays a major role. The diseases caused by ovaries are ovarian cysts, ovarian cancer, menstrual cycle disorder and polycystic ovarian syndrome(PCOS). PCOS in women mainly causes infertility. The method of analyzing a polycystic ovarian image varies with every individual patient and a great deal for the image analyst to segment the cyst. This paper reviews several segmentation algorithms like Level set algorithm, K-means clustering and Adaptive thresholding segments the ovarian cyst from the ultrasound images exactly. The four parameters such as accuracy, jaccard coefficient, precision, and sensitivity are used for the evaluation of segmentation processes.

scholarly journals ASSESSMENT OF THE EFFICACY OF SPECIFIC YOGASANASA - SINGLE CASE STUDY ON PCOS

2020 ◽  
Vol p4 (05) ◽  
pp. 2450-2452
Author(s):  
Sushma 1 ◽  
Shivani Chaudhary ◽  
Satish Jalihal
Keyword(s):  
Metabolic Disorders ◽  
Polycystic Ovarian Syndrome ◽  
Ovarian Function ◽  
Single Case ◽  
Primordial Follicle ◽  
Cystic Changes ◽  
Diet And Lifestyle ◽  
Day By Day ◽  
Ovarian Syndrome

Due to sedentary lifestyle and stress, the incidence of metabolic disorders is increasing day by day. Among these, polycystic ovarian syndrome (PCOS) is one of them. PCOS is a disease, which is related to cystic changes in the ovary. The follicles develop from primordial follicle, but the development stops at an early antral stage due to disturbed ovarian function. Women with PCOS have irregular menstrual cycle, excess of androgen, anovulation, acne, hirsutism and infertility. According to Ayurveda, this type of clinical features is found in Pushpagni, Jataharni and Artavakshaya. It can be considered as rasa Medodhatuvikara and has to be managed depending on Doshadushya vitiation. Ayurvedic management principles as Amaha-rachikitsa, Shodhana and Samana therapies along with Vata-Kaphahara Dravyas. Diet and lifestyle modi-fications are also proving to be beneficial in PCOS. The present study highlights the effect of Samana ther-apy in PCOS.

scholarly journals Management of Polycystic ovarian syndrome (PCOS) with Ayurveda - a case study

2021 ◽  
Vol 2 (1) ◽  
pp. 133-138
Author(s):  
Dr. Kajal Jha ◽  
Amulya Dahal ◽  
Bijendra Shah ◽  
Pratibha Tripathi ◽  
Sabbu Thasineku ◽  
...  
Keyword(s):  
Menstrual Cycle ◽  
Teaching Hospital ◽  
Hair Growth ◽  
Polycystic Ovarian Syndrome ◽  
Hormone Level ◽  
Polycystic Ovaries ◽  
Facial Hair ◽  
Common Problems ◽  
Ovarian Syndrome

Polycystic Ovarian Syndrome (PCOS) is one of the most common problems affecting approximately5% of all women.  PCOS can affect menstrual cycle, fertility, and hormone level as well as appearance including acne, facial hair growth and balding, overweight. Some women may suffer from depression. It is also a metabolic problem that affects several body systems. The condition gets its name because there are often an increased number of small painless cysts in the ovaries (polycystic ovaries). It is very difficult to cure in contemporary system and treatment is also very costly. A case of 19 years female suffering from PCOS reported was treated successfully at at Ayurveda Teaching Hospital within 1 month by various ayurveda medicine and panchakarma procedures. The improvement is evident from regularity of menstrual cycle and also from the ultrasonography (USG) reports.

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