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Poor lifestyles Causes Ovarian Disorders In Indian teens Post Posted: Tue Nov 11, 2014 12:34 pm 
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According to the opinion of health experts, 10-30 percent adolescent girls and teens are being affected by Polycystic Ovary Syndrome (PCOS) due to sedentary lifestyle, bad food habits and obesity.

Ranjana Sharma, senior consultant - gynaecology, Indraprastha Apollo Hospitals said, "There is a strong association of obesity and PCOS, especially when it happens around adolescence. The incidence of PCOS is rising and lifestyle changes, nutrition and dietary factors play a large role in this."

Sandeep Chadha, executive consultant, obstetrics and gynecology, Jaypee Hospital, Noida, agreed with this and said that hormonal imbalance is the major "culprit" in PCOS cases. he listed obesity, sudden weight gain and, in some cases, genetic conditions as the reason of PCOS.

"In the past one decade, a sedentary lifestyle has taken the first place to create hormonal imbalance, and this leads to PCOS. If we look at urban India, approximately 15 percent young girls are falling to PCOS every year in India," Chadha said.

PCOS leads to the formation of multiple cysts in the ovary and excessive production of androgen and also causes increased facial and body hair, menstrual irregularities and acne.

Hrishikesh Pai, infertility expert at Mumbai's Lilavati Hospital, "Symptoms like weight gain, patches of the dark skin on the back of neck and other areas, irregular periods, unwanted hair growth and acne can lead to PCOS."

"However, not every individual develops PCOS if she has all of these symptoms. Different people have different symptoms with differing levels of severity," said Pai.

Also, he added that the symptoms usually develop around late teens and early 20s and teenagers suffering from PCOS can often develop depression or poor self esteem because of the effect of the other symptoms.

He said, "It becomes challenging for some teenagers in future when they plan to have children."

Shivani Sachdev Gour, director of SCI Healthcare says if untreated can lead to many other complications, including cancer.

"Type 2 diabetes due to insulin resistance, cholesterol and lipid abnormalities, increased risk of cardiovascular problems, abnormal uterine bleeding, infertility due to hormonal imbalance, depression and increased risk of uterine cancer due to exposure to unopposed estrogen are some of the harmful effects of untreated PCOS," Gour said.

PCOS can be diagnosed by symptoms and signs, ultrasound and hormone analysis, adding that various hormone tablets are available if women do not wish to conceive says Chadha.

He said, "If she wishes conception then ovulation induction drugs along with weight reduction and insulin sensitizing agents are used."

"Weight loss in obese patients is the first line of treatment. It improves menstrual abnormalities, infertility. Adolescent girls should be counselled for lifestyle modification, they should be encouraged to take part in physical activities and should adopt healthy eating habits," Gour added.

Moreover, she added that medication to decrease insulin resistance and the presence of male pattern of hair is also given.

"Surgery is the alternative procedure for those who are resistant to medical management. Mechanical electrolysis and laser treatment are the options available for facial hair but only after the underlying cause is corrected," Gour explained.

"They need to be made aware and informed that this condition is not limited to gynae but can affect the entire body as well. They need to understand two things: a) the right weight should be maintained and b) immediate medical advice (should be sought) as soon as the above symptoms are seen in a growing girl." advice Sharma.

 
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