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Monthly Archives: November 2012

PCOD myths!!

Polycystic ovarian syndrome (PCOS) or Polycystic ovarian disease (PCOD) is a leading cause of infertility which affects some 35 per cent of women in their reproductive years. The incidence of PCOS is rising, perhaps due to changing lifestyles, particularly, altered diet and exercise patterns. Its primary cause remains unclear.

Young women who get diagnosed with PCOS commonly seek medical attention because of irregular menstrual periods, missed periods, obesity, infertility, acne, excessive hair growth and thinning of hair on the scalp. Symptoms begin to show up around puberty and start of menstruation. However, many do not develop symptoms until their mid 20s.

It has been shown that PCOS is an insulin-resistant state. This means there is too much insulin which is likely to cause testosterone overproduction by the ovaries. High levels of testosterone lead to absence of egg release (an ovulation), amenorrhea (missed periods) and infertility.

PCOS has also been linked to high cholesterol levels, high blood pressure and abdominal obesity. It increases the risk of type II diabetes, heart disease, endometriosis and cancer.

Diagnosis of PCOD has to be by Hormonal study. USG evidence of polycystic ovary can be due to other causes like Hypothyroid & high Prolactin as well. Diagnosis is confirmed by high levels of Insulin and Luteinising hormone along with high male hormones at times.

Weight loss is essential for obese women with PCOS. It has been shown that even a 10 to 15 per cent weight reduction resulted in spontaneous conception in about 75 per cent of obese infertile women with PCOS.

A healthy diet also helps. Low glycemic food products like wheat bran, barley, oats, grainy breads, whole seeds, lentils, kidney beans are recommended as they are digested slowly and induce less insulin secretion. They are associated with increased HDL, weight loss and improvement in insulin sensitivity and PCOS.

However changing lifestyle is the key factor. Increase fat burning exercises & healthy eating is the only way to keep PCOD away.

 

Adolescence

 

Adolescence” literally means to ‘grow up’. It is an important milestone in everyone’s life, when the innocence of childhood ends and maturity & responsibility of adulthood start appearing. This transition is usually leads to turmoil and frustration for parents as well as children. However this also is the time for foundation of healthy habits which are most essential for their future life.

An adolescent by definition is the young person between the ages of 10 and 19 years. Although adolescence and young adulthood are generally healthy times of life, several important public health and social problems either peak or start during these years. Examples include:

  • Malnutrition (under & over)
  • Lack of fitness
  • Depression/aggressive behaviour
  • Suicidal tendency
  • Motor vehicle crashes, including those caused by drinking and driving
  • Substance use and abuse
  • Smoking
  • Sexually transmitted infections, including human immunodeficiency virus (HIV)
  • Teen and unplanned pregnancies

Because they are in developmental transition, adolescents and young adults are particularly sensitive to environmental influences including family, peer group, school,

Family

  • Healthy habits starts at home, parent with healthy habits carry a major influence in the children’s mind.
  • Adolescents who perceive that they have good communication and are bonded with an adult are less likely to engage in risky behaviours.
  • Parents who provide supervision and are involved with their adolescents’ activities are promoting a safe environment in which to explore opportunities.
  • Parents, who guide their children with their peer group, help them keep healthy habits.
  • The children of families living in poverty are more likely to have health conditions and poorer health status, as well as less access to and utilization of health care.

School

  • Academic success and achievement are strong predictors of overall adult health outcomes.
  • High school graduation leads to lower rates of health problems
  • The school social environment affects students’ attendance, academic achievement, and behaviour.

 Neighborhoods

Adolescents growing up in distressed neighborhoods characterized by concentrated poverty are at risk for a variety of negative outcomes, including poor physical and mental health,  and risky sexual behaviour.

Parents as well as the society needs to focus on these growing children/adults. They need ‘tender loving care’ along with disciplinary hand in order to make them grow in to a healthy responsible citizen of the country.