A woman having delayed periods with excessive hair growth on face and body must think of PCOD. So, if the monthly reminder (menses) is missed often, then rule out PCOD first in the early days itself (better before marriage).
- The most common symptoms of PCOD are
- Irregular and infrequent menstrual periods or no menstrual periods at all;
- Infrequent or no ovulation with increased serum levels of male hormones – testosterone;
- Inability to get pregnant within one year of unprotected sexual intercourse;
- Weight gain or obesity;
- Diabetes, over-production of insulin with abnormal lipid levels and high blood pressure;
- Excess growth of hair on the face, chest, stomach in male pattern (hirsutism) and male-pattern baldness or thinning of hair;
Acne, oily skin or dandruff;
- Patches of thickened and dark brown or black skin on the neck, groin, underarms, or skin folds;
- Skin tags, or tiny excess flaps of skin in the armpits or neck area;
- Male fat storage patterns – abdominal storage rather than standard female pattern on thighs, hips and waist; and Mid-cycle pain indicating painful ovulation – due to the enlargement and blockage of the surface of the ovaries;
Menstrual irregularities – Constant oestrogen production stimulates growth of the uterine lining which usually induces very heavy uterine bleeding. The bleeding episodes may occur after long gaps of time (oligomenorrhea) or, for some women, not at all (amenorrhea). Irregular periods are a nuisance and suggest some hormonal disorder or risk of endometrial thickening.
Medication: To induce a menstrual period and restore normal cycles, birth control pills are used. It regulates menstruation, reduces androgen levels and helps to clear acne. The method of treatment depends on the severity of the symptoms and whether the patient is trying to get pregnant or not. If not trying to conceive, then they are treated with hormones, including the birth control pill. If trying to become pregnant, fertility drugs and other treatments are necessary.
Getting normal can be tried: