|Year : 2017 | Volume
| Issue : 1 | Page : 48-49
Multidisciplinary opinion on challenges in the medical management of polycystic ovarian syndrome
Sudhaa Sharma1, Neelam Aggarwal2
1 Prof. PG Department of Obstetrics and Gynaecology, GMC, Jammu, Jammu and Kashmir, India
2 Additional Professor Department of Obstetrics and Gynaecology, PGIMER, Chandigarh, India
|Date of Web Publication||14-Mar-2017|
Prof. PG Department of Obstetrics and Gynaecology, GMC, Jammu, Jammu and Kashmir
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Sharma S, Aggarwal N. Multidisciplinary opinion on challenges in the medical management of polycystic ovarian syndrome. J Mid-life Health 2017;8:48-9
Author name: Rama Vaidya, Reena Wani, Jayamangal Gogate, Sangeeta Velaskar, Beena Joshi, Gulrez Tyebkhan, Priti Vyas, Rishma Dhilon Pai, Srabani Mukherjee
Edition: March, 2016
Publisher: Spectra Division
“PCOS, a disease of pediatrics can manifest in geriatrics if not taken care of.”
Polycystic ovarian syndrome (PCOS) incidence is on rise globally and has become one of the most common endocrine disorders among women. Dr. Sanjay Chauhan has very rightly termed this syndrome as a “Silent Killer” of a woman's womanhood in his foreword. Keeping that in mind an attempt has been made by the authors who are expert in this field and with their own individual experiences have tried to highlight some of the not so well known aspects of PCOS for a multispecialty approach.
Dr. Rama Ashok Vaidya, Founder President IMS; Director – Division of Endocrinology and Metabolic disorders at Medical Research Centre of Kasturba Health Society, Mumbai, along with Dr. Gulrez state that there is a common thread of pathophysiological mechanisms such as insulin resistance and chronic inflammation that encompass PCOS and other metabolic disorders such as type 2 diabetes, cardiovascular disease, and cancers. Dr. Rama and Dr. Jayamangal Gogate have very briefly given the varying and evolving definition of PCOS, prevalence of obesity in school children and adolescents in India, and challenges in the management of PCOS. There are evidence-based guidelines for the assessment and management of PCOS in their slides. Epidemiology has been covered by Dr. Beena Joshi, who has summarized the studies on the prevalence of PCOS and observed that the prevalence would be high if Rotterdam criteria are used compared to more stringent AES criteria. Dr. Priti Vyas has covered the diagnosis, risk factors, and management in adolescents.
Adult PCOS and its challenges have been highlighted by Dr. Reena J. Wani wherein she has focused on the medical aspects of treatment and the importance of diet. Simple ways to control calorie consumption have been shown in her slides – eating at the table, eating together, watching what you eat, serve yourself the quantity required, eat slowly, and eat with spoon would help you control weight. Targeting the treatment with pharmacotherapy, she has also shown the benefits of newer progestogens. She has highlighted that “The clinical presentation of PCOS in menopause can be in terms of metabolic syndrome and Ca Endometrium.”
The skin - a mirror of PCOS has been compiled by Dr. Sangeeta and Dr. Gulrez. They have concluded that the skin serves to provide valuable clues to underlying PCOS in women and can be the first sign. Hence, there should be a team approach with dermatologist, gynecologist, and endocrinologist for better management. Dr. Jaya, Dr. Rama, and Dr. Rishma have covered PCOS and assisted reproductive therapy in their presentation and have shown that in contrast to the literature reviewed, PCOS has turned out to be the second most common cause of female-related infertility. According to the international literature, PCOS has very good outcome after medical and/or surgical treatment. They have also highlighted future strategies for this syndrome. The genetic overview has been written by Dr. Srabani Mukherjee.
The layout of the book is pleasing, and each chapter has key points highlighted at the beginning. Chapters are easy to read with useful subheadings and plenty of summary tables and figures.
This book is indispensable for all those involved in the care of patients with PCOS.