How Much Should A Two Month Old Baby Girl Weight Preconceptional Counselling & PCOS (Polycystic Ovarian Syndrome)

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Preconceptional Counselling & PCOS (Polycystic Ovarian Syndrome)

What is preconception counseling?

As soon as you start thinking about having a baby, a visit to your doctor at least 3 to 6 months before planning a pregnancy is known as preconception counseling.

More information on advice:

When a couple visits preconception counseling, a detailed medical history and examination is done. The aim is to identify factors that can negatively affect you or your baby during pregnancy. A treatment plan can then be worked on.

The biggest obstacle is that most of the pregnancies are unplanned and most women take it for granted. So, ideally, it should actually be offered to all women of childbearing age regardless of the intention to become pregnant.

It is a golden opportunity to ask your doctor all the questions you have about pregnancy. Any doubts about pregnancy accidents in the family should be discussed. You should also discuss causes/complications associated with preterm birth, repeated pregnancy loss, intrauterine death and ectopic pregnancy because many of these are preventable. Many adverse events can be prevented by treating them before conception. If the mother is over 35, there is a risk of Down syndrome in the child, which can be diagnosed with some advanced tests. Also, ultrasound history of birth defects, mental retardation, blood coagulation disorders, congenital blindness in the family and consanguineous marriages warrants genetic counseling.

Some important things you can do for preconception health are:

Take 400 to 800 micrograms of folic acid each day. It reduces your risk of birth defects in the brain and spine.

Stop smoking and drinking alcohol. Avoid contact with toxic substances. Stay away from cat or rodent droppings.

If you have a medical condition, such as anemia, asthma, diabetes, oral health, obesity, epilepsy, thyroid disease, hypertension, epilepsy, tuberculosis or kidney disease, make sure it is under control.

PCOS (polycystic ovary syndrome) and DIG

A typical case commonly seen in our clinic is a young overweight girl with difficult acne, irregular cycles and increased facial hair. On ultrasound, polycystic ovaries are seen, which creates a lot of anxiety in her mind. But it is the most common endocrine disorder, affecting 25 to 30% of young women. Approximately 75% of anovulatory women have polycystic ovaries.

About the disease

PCOS, which is called Stein-Leventhal syndrome, is a syndrome of ovarian dysfunction together with features of increased male hormones and ovaries showing polycystic morphology in the absence of other explanatory endocrinopathy.

The etiology is complex with recent studies suggesting the role of insulin resistance. Obesity worsens the signs and symptoms of PCOS by exacerbating insulin resistance symptoms. Symptoms can be as varied as irregular or absent periods, excessive hair growth on the face, around the nipples and/or around the lower abdomen, obesity, thinning hair on the head, severe acne, infertility, miscarriage and type 2 diabetes or pre-diabetes .

Management

A good history, clinical examination followed by pelvic ultrasound and hormone profile complete the diagnosis of PCOS. Ultrasound shows enlarged ovaries with several small cysts generally oriented in the periphery, like “string of pearls”. Hormonal profile reveals high levels of DHEA, LH, AMH and a normal FSH level. High LH levels with a normal FSH level are typical of PCOD

The aim of the treatment

Weight loss through diet and exercise is the most effective treatment. It lowers insulin resistance, which restores regular cycles and ovulation. Anti-diabetic drugs such as metformin, glitazone, newer drugs such as D-chiro-inositol, Myo-inositol, Vitamin D3 and acupressure are other supportive therapies.

Restoring Fertility – Not all women have difficulty conceiving. For those who do, ovulation is induced with drugs such as clomiphene or HMG/FSH injections. Some may require laparoscopic ovarian drilling (a laser or cautery is used to drill 4-10 more holes through the thickened ovarian capsule). Those who do not respond to these and diet and lifestyle changes, IVF (in vitro fertilization) is the option. Treatment results with PCOS are good

Treatment of hirsutism or acne

Restoration of regular menstruation, to prevent endometrial hyperplasia and endometrial cancer using progesterone or combined oral contraceptives. If menstruation occurs at least every three months, treatment is not necessary.

Early diagnosis and treatment can reduce the long-term risk of type 2 diabetes and heart disease.

Is there a cure?

There is no straightforward cure. Medical treatments reduce symptoms and consequences of PCOS. The majority of women respond excellently only to lifestyle changes

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