PCOS

Polycystic ovary syndrome is a hormonal disorder characterized by:

  • Irregular menstrual cycles
  • Ovulatory disfunction
  • Elevated level of androgens
  • Presents of cysts on the ovaries

Symptoms and clinical presentation

1. Menstrual Irregularities- Women with pcos often experience irregular menstrual cycles, which may manifest as prolonged periods, heavy or infrequent menstruation
2. Hyperandrogenism- Elevated androgen level can lead to symptoms such as acne, hirsutism, and male pattern baldness
3. Ovulatory dysfunction- An ovulation or lack of irregular ovulation can results in infertility and  challenges in conceiving 
4. Metabolic disturbance- PCOS is associated with insulin resistance, increasing the risk of type 2 DM and metabolic syndrome
5. Mood and emotional well being- Hormonal fluctuations in PCOS may contribute to mood swings, anxiety and depression
 

 Ayurvedic perspective

PCOS in often attributed to an imbalance in disturbance in vata dosha 
Excess kapha- accumulation of kapha in reproductive system can lead to the formation of cysts in the ovaries 
Excess vata – Contributes to irregular menstrual cycles, errotic ovulation and heightened stress responses.
                         symptoms such as anxiety insomnia and digestive irregularities may be associated with vata disturbances

Agni and Ama 

Impaired agni causes production of ama and ama accumulation can obstruct channel. disrupt , hormonal imbalance and contribute to the manifestation of pcos. 
 

Diagnosis 

Medical History
physical examination
blood test
USG
 

Management and Treatment approaches 

 
1. Life style modification- Dietary changes, regular exercise and weight management
2. Pharmacological Intervention- Medication may be prescribed to regulate menstrual cycle, manage insulin resistance and address hyperandrogenism
3. Psychosocial support – counseling and support groups can aid in addressing emotional challenges
 

Ayurvedic perspective 

1. Dietary recommendation- Diet that pacifies kapha and vata 
                                                  – Avoidance of processed foods sugary  treats   and excessive diary products.
2. Herbal intervention- Shatavari, Ashwaganda, guduchi and triphala
3. Lifestyle changes- Regular exercise stress management practices, including yoga and medication
4. Shodhana procedures- Virechana-Basti

Author : Dr. Pavithra mol Reji 

                Dr. Neha Zainab

Department of Prasooti tantra and Streroga