Hormonal Clinic

Polycystic Ovary Syndrome : Imbalance of female hormones and increase of male hormone i.e., testosterone, it leads to the growth of multiple cysts in the ovaries rather than healthy egg. This leads to delayed menstrual cycle, male like features of female and this condition is called Polycystic Ovary syndrome.
It is a disease caused by life style change and first line treatment is also life style change. It is a lifelong disease which not only affects egg formation, menstrual cycle and chances of having a baby but untreated can lead to obesity, lipid disorder, diabetes, high blood pressure, increased heart attacks and cancer of the womb.

Causes

Exact cause is unknown, however, genetics and hormonal imbalances plays a vital role. A batch of follicles develops each month in a normal ovary, out of which one or two release eggs, while the remaining die automatically. High levels of insulin and increased male hormone prevents normal follicular growth and leads to formation of cysts.

Symptoms

The symptoms can vary from person to person. Typically, it starts in teens after the first menstruation. It is better to consult a doctor to understand the diagnosis completely. Some of the symptoms include:

● Irregular period pattern or absence of it completely is one of the symptoms. Some women also experience heavy bleeding.

● Hair growth on the face, back, stomach, chest, thumbs or toes is also a symptom of polycystic ovary

● Acne, oily skin, weight gain and hair loss from the scalp can also be a result of PCOS

● Depression, anxiety and mood swings

● Problems in conceiving and repeated miscarriages

Diagnosing PCOS

Our PCOS specialists conduct ultrasound and blood tests to determine if you are facing the problem of polycystic ovaries.

How to Treat PCOS

Diet and medication is recommended for treating polycystic ovary syndrome. Regular exercise along with proper diet is extremely important. If a woman is obese and is suffering from PCOS, it is important to reduce weight to balance the hormones and regulate the menstrual cycle. Anti-androgens are drugs that are prescribed to minimize hormone levels. Medications for diabetes are also prescribed to reduce blood sugar.

For conception as well it is important to loose weight first and then start medication and injection for egg formation. Strict follicle monitoring is needed when taking injection otherwise excess hormone levels can be dangerous to woman.

Obesity

Obesity is a disorder related to excessive amount of body fat. Obesity can lead to serious health problems such as high blood pressure, diabetes, high cholesterol, stroke, heart disease and different types of cancer.

Causes for Obesity

Obesity can be caused due to less physical activity, over-eating and genetics. Hormonal imbalance can also lead to obesity in certain rare cases.

Treating Obesity

There are no shortcuts to treating obesity. It needs a long-term approach, which focuses on exercise, proper diet and major lifestyle changes. Certain weight loss medication can also be prescribed to help obese people lose weight quickly. Weight loss surgery is also an alternative in case of excessive obesity.

Thyroid

Thyroid is a gland in front of the neck producing hormones that handle metabolism. Thyroid problems can increase or slow down metabolism through the imbalance in production of thyroid hormones. Excess of thyroid hormones result in hyperthyroidism while reduced production of hormones result in hypothyroidism.

Hypothyroidism

If the gland is not producing enough hormones, it leads to Hypothyroidism. There are number factors that contribute to it such as changed immunity leading to destruction of thyroid hormone producing cells, iodine deficiency, pregnancy or medication.

Causes

If the gland is not producing enough hormones, it leads to Hypothyroidism. There are number factors that contribute to it such as:

Symptoms

Symptoms for Hypothyroidism vary from person to person depending on the severity of the deficiency. Some of the symptoms include:

● Weight gain

● Dry skin

● Tiredness

● Weakness in muscles

● High blood cholesterol

● Puffy face

● Pain or swelling in joints

● Heavy or irregular menstrual periods

● Depression

● Thinning of hair

● Constipation

Diagnosis

Doctors take into consideration the symptoms and blood test results. The blood test result measures the level of TSH and thyroxine to determine if a person is suffering from thyroid problem or not.

Treatment

The standard treatment for Thyroid involves taking oral medication, which regulates hormonal fluctuations and minimizes the signs of hypothyroidism. The medicine also gradually reduces cholesterol levels and even weight gain. The doctor regularly checks TSH levels to determine the dosage of the medicine.

Hyperthyroidism

When there is overproduction of thyroid hormone due to certain stimulating factors or altered immune phenomenon, there is increased release of thyroid hormone. Sometimes it may be temporary and further lead to hypothyroidism.

Symptoms

● Weight loss and thinning of body

● Excess sweating

● Tiredness

● Increased appetite

● Diarrhea

● High blood pressure

● Delayed periods

Diagnosis

Doctor makes the diagnosis from symptoms and blood tests for TSH levels and various antibodies. Sometimes doctor may recommend thyroid scan to rule out tumor.

Treatment

Medication needs to be taken regularly to control thyroid hormones in body. During pregnancy safe medications are given with special care during delivery and of newborn. When medicines are unable to control thyroid levels, surgery may be recommended by endocrinologist.
In hypothyroidism and hyperthyroidism regular monitoring at 3-6 months is recommended.

Menopausal problems

Menopause is a condition that occurs in every woman’s life when her menstruation stops and she is no longer able to become pregnant. The average age for experiencing menopause is in 40’s, however, the symptoms start much earlier. Since it marks the end of a woman’s period, therefore, 12 months after the last menstrual period is termed as menopause.

Causes

Menopause naturally occurs in a woman after a certain age, however, some women may experience induced menopause or premature menopause. Premature menopause is defined if a woman before the age of 35 experiences menopause, whether it is natural or induced.
There are some women who get natural menopause before the age of 40 and experience the same symptoms such as hot flashes, vaginal dryness, emotional problems and reduced sex drive. Premature menopause can be a result of chromosome defects, removal of ovaries, radiotherapy or genetics.

Symptoms

Some of the symptoms associated with menopause include irregular periods, hot flashes, vaginal dryness, night sweats, mood changes, sleep problems, dry skin, thinning of hair and loss of breast fullness. Erratic period before menopause is quite common, as most women skip periods for two to four months in between.

Diagnosis

It is important to consult a doctor in the pre-menopause period for a complete checkup. The doctor recommends thyroid test, pap’s smear. lipid screening, mammography and colonoscopy. Doctor may also suggest blood tests to determine FSH (Follicle-stimulating hormone) as it tends to increase during menopause.

Treatment

There is no specific treatment for menopause; however, some women may get treatment for the severe symptoms they may experience.

● Replacement therapy is effective for minimizing hot flashes. Based on family history, the doctor may recommend low dosage of estrogen to provide relief from hot flashes and prevent bone loss.

● To find relief from vaginal dryness, estrogen can be administered through vaginal cream. Through this cream, the vaginal tissues absorb a small amount of estrogen, which can relieve dryness and discomfort with intercourse.

● Certain antidepressants are also prescribed to minimize hot flashes, especially for those women who cannot take estrogen for medical reasons.

Gurgaon Location Tags: Fertility Clinic in Gurgaon, Infertility Specialist in Gurgaon, hormonal clinic in Gurgaon, PCOD treatment in Gurgaon, PCOD & PCOS Specialist in Gurgaon, best laparoscopic surgeon in gurgaon, Best IVF Center in Gurgaon, laparoscopic surgery in gurgaon, Best Infertility Doctor in Gurgaon Sector 5, IVF Center in Gurgaon, Infertility Specialist in Old Gurgaon, Best Gynecologist in Gurgaon, Gynae in Old Gurgaon