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The silent struggle: PCOS and PCOD on the rise among young Indian women
The silent struggle: PCOS and PCOD on the rise among young Indian women

Business Standard

timea day ago

  • Health
  • Business Standard

The silent struggle: PCOS and PCOD on the rise among young Indian women

Across India, an increasing number of adolescent girls and young women are grappling with Polycystic Ovary Syndrome (PCOS) and Polycystic Ovarian Disease (PCOD) – two hormonal disorders that often go undetected but can have significant long-term health consequences. Affecting reproductive, metabolic, and psychological well-being, these conditions are becoming more prevalent in the 15–25 age group, largely due to lifestyle factors, urban stress, and lack of awareness. Health experts estimate that PCOS now affects between 3.7% and 22.5% of Indian women, depending on diagnostic criteria and location. Globally, it is among the most common endocrine disorders, impacting 8–13% of women of reproductive age. Understanding PCOS and PCOD Today, the terms PCOS and PCOD are often used interchangeably but medically they are two distinct entities. Dr. Dhivya Sharona, Consultant – Gynaecology, Rela Hospital Chennai, explains: 'PCOD is a condition where ovulation is affected and there is formation of cysts in the ovaries. Here, the ovaries produce immature and partially mature eggs in large quantities leading to the formation of cysts secreting excess amounts of androgen (male hormone).' 'It is associated with irregular periods, excessive bleeding and painful periods. It is more common than PCOS and affects around 1/3rd women of reproductive age worldwide. It is also less severe than PCOS and has less impact on fertility compared to PCOS. Around 80% women with PCOD are able to conceive with help,' Dr Sharona adds. On the other hand, PCOS is a syndrome with a spectrum of signs and symptoms including painful periods, weight gain, excessive hair growth, mental health disorder and both presence and absence of cyst formation in the ovaries. The incidence of PCOS is quoted to be between 5-20% in actively menstruating women. It has a high association with obesity along with hypertension, diabetes and heart diseases. Dr. Nidhi Thakur, Consultant Obstetrician & Gynaecologist, Ujala Cygnus Group of Hospitals says that in some cases, ovaries form fluid-filled cysts when the egg is not released properly, leading to amenorrhea (absence of menstruation), hormonal disruption, and fertility issues. Despite the name, not all women with PCOS have visible ovarian cysts, which often makes diagnosis difficult. Recent studies show that most people with PCOS have insulin resistance, where the body's cells don't respond properly to insulin, disrupting hormone balance. Testing for this can help rule out other conditions often mistaken for PCOS. The challenges Many young women with PCOS or PCOD go undiagnosed for years. Symptoms like irregular periods, hair growth, or weight fluctuations are often normalised or overlooked. This delay in diagnosis means the condition progresses silently, potentially leading to infertility, insulin resistance, obesity, sleep apnea, and mental health issues like anxiety and depression. The social stigma around discussing menstrual or reproductive issues also contributes to underdiagnosis. In many cases, women only discover their condition while struggling to conceive or manage other related health complications. In 2021, a study was undertaken by the Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh to assess treatment pathways that patients with PCOS have followed. It revealed that even after having initiated treatment, almost 45% of the patients knew nothing about PCOS. Only 9.1% learned anything from their doctors, and almost 85.5% had to visit multiple doctors to gather information. Some patients (approximately 37%) also took to the internet as their primary source of information in trying to learn about their condition. Many women, in a different ethnographic study, revealed that they received conflicting information from different health-care professionals about their condition, which generates a "trust deficit." That is, women have begun to lose trust in their doctors because they are not confident about the quality of the information provided to them. There is a disconnect that the patients feel, which can only be bridged through clear communication and helping them understand how the condition and its management go hand in hand. Lifestyle and prevention: The first line of defense While there's no permanent cure, PCOS and PCOD can be effectively managed through early intervention and lifestyle changes. A healthy diet, weight management, and regular exercise play a crucial role in restoring hormonal balance and improving insulin sensitivity. Reducing sugar and processed food intake helps control blood sugar and insulin levels. Moderate physical activity improves metabolism and regulates the menstrual cycle. Stress-reduction practices like yoga or meditation help manage hormonal fluctuations. Even a modest weight loss of 5–10% can significantly improve symptoms and restore ovulation in many cases, says Dr. Nidhi Thakur. Medical management and costs Medical treatment typically includes hormonal contraceptives to regulate periods and reduce androgen levels, as well as anti-androgen medications to manage symptoms like excess hair growth. In some cases, laparoscopic ovarian drilling is recommended when medications are ineffective. The cost of managing PCOS can vary: Hormonal medications: ₹400–₹800 per month Surgery (if needed): ₹35,000–₹50,000 Total treatment costs may range from ₹20,000 to ₹50,000, depending on the individual case Though affordable options are available, the cumulative long-term costs can be high if not managed early. Long-term impact on health and fertility If left unmanaged, these diseases can significantly affect a woman's long-term health. The risk of developing Type 2 diabetes, metabolic syndrome, cardiovascular diseases, and endometrial cancer increases with time. PCOS is also a leading cause of infertility, due to chronic anovulation and hormonal imbalance. Beyond physical symptoms, the condition can have a profound psychological impact. The frustration of dealing with chronic symptoms, weight issues, and fertility concerns can lead to low self-esteem, anxiety, and depression, making mental health support an important part of the treatment plan. Importance of early detection and regular check-ups PCOD and PCOS are on rise due to high stress, poor social and emotional relatedness, sedentary lifestyle, environmental toxins etc. Dr. Dhivya says that the lack of reproductive health education, taboo around discussing female reproduction along with social and cultural notions of women's ability to bear pain render women unable and unwilling to seek necessary help. Thus, both the conditions are significantly under-diagnosed by practitioners and there is a significant information gap that does not offer people the resources they need. Young women are encouraged to consult gynaecologists if they experience irregular menstrual cycles. Basic screening tests—such as fasting blood sugar, HbA1c, lipid profiles, BMI, and ultrasound scans—can help detect early signs of PCOS and prevent complications. In some cases, consultation with endocrinologists and nutritionists may also be needed for comprehensive care. To effectively tackle this health crisis, we need a major shift in how the conditions are understood and managed. Closing knowledge gaps, creating evidence-based treatment guidelines, and prioritizing lifestyle changes along with complementary therapies—supported by accessible patient education—are all critical steps forward. A manageable condition with the right support PCOS and PCOD are chronic but manageable conditions. With early diagnosis, lifestyle changes, and appropriate medical support, most women can live healthy, fulfilling lives. What's crucial is breaking the silence around menstrual and hormonal health and making gynaecological check ups a routine part of adolescent healthcare. Raising awareness, both at the family and institutional level, can help young Indian women recognise symptoms early, seek help without stigma, and take control of their health before complications set in.

How to lose extra kilos with PCOD? Fitness coach shares vegetarian meal plan to support detox, weight loss
How to lose extra kilos with PCOD? Fitness coach shares vegetarian meal plan to support detox, weight loss

Hindustan Times

time03-06-2025

  • Health
  • Hindustan Times

How to lose extra kilos with PCOD? Fitness coach shares vegetarian meal plan to support detox, weight loss

Lifestyle and fitness coach Anu Tripathi often shares nutrition and exercise tips to aid weight loss on Instagram. In a video posted on May 24, she listed a vegetarian meal plan that someone who wanted to lose weight and had PCOD (Polycystic Ovarian Disease) could follow. Also Read | Sarfaraz Khan's 10 kg weight loss in less than 2 months: What cricketer ate after giving up his favourite biryani The fitness coach's meal plan features breakfast, mid-morning snack, lunch, evening snack, dinner, and pre-bedtime vegetarian options, along with the right time to eat them. Let's find out everything that Anu suggested: A post shared by Anu Tripathi (@wholisticlivingwithanu) The fitness coach also listed some PCOD weight loss tips to keep in mind while following the above-mentioned meal plan. 1. Eat early, chew well, and avoid cold/raw food at night 2. Daily movement (yoga/walking/strength training) 3. 1 tsp soaked seeds daily (flax/sunflower) While nutrition and being on a caloric-deficient diet are necessary for weight loss, one also needs to add protein options to their diet. While Anu's meal plan has some protein options, here's a list of 20 vegetarian protein sources that helped a weight loss coach shed almost 20 kgs. Note to readers: This article is for informational purposes only and not a substitute for professional medical advice. Always seek the advice of your doctor with any questions about a medical condition.

Social media misinformation impacting menstrual health: Survey
Social media misinformation impacting menstrual health: Survey

The Print

time27-05-2025

  • Health
  • The Print

Social media misinformation impacting menstrual health: Survey

72.4 per cent of respondents were in the 19–35 age group, and 76.6 per cent had completed graduation or higher education. The findings are part of the 10th annual edition of the everteen Menstrual Hygiene Survey, released ahead of Menstrual Hygiene Day. New Delhi, May 27 (PTI) While a majority of Indian women consider social media a good source of information on menstruation, very few rely on it during menstrual emergencies, a recent survey said. The survey states that while around 71.6 per cent of women believe that social media offers adequate information about menstruation, only 11.5 per cent rely on it as their primary source during menstrual emergencies. 'The fact that more than two-thirds of women in India are relying on social media as a source of information shows that influencers and bloggers are doing a fabulous job in creating awareness on menstrual hygiene,' Chirag Pan, CEO of PAN Healthcare, said. 'However, they have an even bigger responsibility in realising Prime Minister Narendra Modi's vision of a Viksit Bharat. It is imperative that the social media community builds viewer trust through accurate, fact-based and verified information,' he added. Several women reported encountering misleading or harmful information online. One recurring example was the false claim that delayed periods indicate Polycystic Ovarian Disease (PCOD). Others reported being advised to consume lemonade or coffee for period pain, which only worsened their symptoms. Some respondents came across inaccurate home remedies, while others saw misinformation suggesting exercise during periods could harm the body — a notion that contradicts scientific evidence supporting light-to-moderate physical activity to relieve menstrual cramps and improve mood. Hariom Tyagi, CEO of Wet and Dry Personal Care, the makers of everteen said the survey highlights a significant awareness gap. 'It is evident from our survey that while several women are searching, there is a lack of awareness on safe and effective solutions for menstrual cramps,' he said. As many as 41.5 per cent of women reported not using any form of pain relief during menstruation, despite 82.7 per cent experiencing mild to severe pain. Only 5.5 per cent were aware of the benefits of menstrual cramp roll-ons as an alternative to painkillers, which are used by 14.2 per cent of respondents, Tyagi said. Women also noted the prevalence of social media content reinforcing menstrual taboos and myths — such as beliefs that menstrual blood is impure, that women should not visit religious places during periods, or that touching pickles or fermented foods can spoil them. Other misleading claims included not washing hair during periods, avoiding white-coloured foods like milk and curd, and misconceptions such as light flow indicating infertility, or that women cannot get pregnant during menstruation. Some posts falsely claimed that tampons could stretch intimate parts or instilled fear about using menstrual cups. Another trend highlighted in the survey was the rising adoption of disposable period panties (5.7 per cent), which have overtaken menstrual cups (4.7 per cent) and tampons (1.6 per cent) in popularity. Sanitary pads remained the most widely used menstrual hygiene product, with 87.8 per cent of respondents preferring them. The survey covered 1,152 women across India, including from Andhra Pradesh, Assam, Delhi, Gujarat, Haryana, Jammu and Kashmir, Karnataka, Kerala, Maharashtra, Manipur, Odisha, Punjab, Rajasthan, Tamil Nadu, Telangana, Uttar Pradesh and West Bengal. PTI PLB MPL MPL This report is auto-generated from PTI news service. ThePrint holds no responsibility for its content.

Managing PCOD, weight gain naturally: Ayurvedic solutions for underlying causes
Managing PCOD, weight gain naturally: Ayurvedic solutions for underlying causes

Hindustan Times

time29-04-2025

  • Health
  • Hindustan Times

Managing PCOD, weight gain naturally: Ayurvedic solutions for underlying causes

Polycystic Ovarian Disease or PCOD is a highly prevalent hormonal disorder among women today that presents itself through irregular periods, weight gain, acne and difficulty conceiving. This is all due to an underlying cause, i.e. imbalanced hormone levels with elevated androgen levels. Experts claim that while modern medicine offers treatments that primarily manage symptoms, Ayurveda takes a holistic approach, addressing the root causes. Ayurveda sees PCOD as an imbalance in the body's doshas, especially the vata dosha, which affects hormonal function. The ancient science focuses on natural detoxification, dietary modifications and herbal remedies to restore balance. In contrast to instant or quick-fix treatments, Ayurveda emphasizes sustainable lifestyle changes that promote overall well-being. Ayurveda recommends Panchakarma therapies such as Vaman (medicated vomiting) and Virechana (purgation) to detoxify the body and restore hormonal balance. These therapies help remove toxins from the body and regulate metabolism, addressing PCOD at its core. Herbal remedies are also an essential part of managing the condition naturally. In an interview with HT Lifestyle, Dr Aishwarya Tandle, Ayurveda Physician and Deputy Manager - Medical Affairs at SAVA Herbals, explained, 'Everybody is different and Ayurveda offers personalised solutions by targeting the underlying imbalances. Incorporating herbs like Methi, Ajwain, Shatavari and Dhaniya into daily diets can naturally aid in symptom management.' A disciplined lifestyle, including a balanced diet, stress management and regular exercise, is equally essential in controlling elevated cortisol levels and supporting hormonal stability. Many women with PCOD struggle with persistent acne due to increased androgen levels leading to excessive oil production. Experts claim that Ayurveda offers targeted solutions by balancing hormones and detoxifying the body from within. Dr Govindarajan, Head of R&D at Kapiva, highlighted, 'Ashwagandha helps manage stress, a major trigger for both PCOD and acne. Shatavari promotes hormonal stability, while Neem and Tulsi regulate oil production and control stress-related breakouts. Yashtimadhu aids in detoxification, addressing the internal imbalances that lead to skin issues.' Understanding the unique challenges faced by women with PCOD, women-health wellness brands are pioneering Ayurvedic-based solutions that cater specifically to hormonal health. Their range of herbal formulations and dietary recommendations align with Ayurveda's holistic principles, ensuring sustainable wellness. While PCOD remains a growing concern for women of all ages, experts insist that Ayurveda offers a natural and effective way to manage it by addressing the root cause rather than merely suppressing symptoms. They claim that herbal solutions, detox therapies and holistic lifestyle changes pave the way for long-term health and hormonal balance hence, by integrating Ayurvedic practices into daily life, women can navigate PCOD with confidence, embracing a healthier, more balanced future. Note to readers: This article is for informational purposes only and not a substitute for professional medical advice. Always seek the advice of your doctor with any questions about a medical condition.

Breaking silence on women's health: 5 common gynae problems and symptoms you should know
Breaking silence on women's health: 5 common gynae problems and symptoms you should know

Hindustan Times

time28-04-2025

  • Health
  • Hindustan Times

Breaking silence on women's health: 5 common gynae problems and symptoms you should know

Women's reproductive health is complex, making it important to bring it into the conversation to raise awareness. Taboo or hush-hush stigma often prevents people from talking about it openly, letting women suffer silently, struggling with the symptoms and not understanding their problems. Some of them can even escalate or, in some cases, turn life-threatening when timely attention is not given. In an interview with HT Lifestyle, Dr Yashica Gudesar, Director and Unit Head of Obstetrics and Gynaecology at Max Super Speciality Hospital, Dwarka, shared common gynaecological problems in women. She said, 'Gynaecological wellbeing is an essential aspect of a woman's general health, but many women tend to neglect symptoms or postpone treatment because of stigma, ignorance, or just dismissing them as normal. From cramps during menstruation to hormonal imbalances, numerous gynaecological problems can plague a woman at various phases of life. Although most of these conditions are mild and can be treated, some can have a drastic effect on fertility, daily life, and quality of life if left unaddressed.' Moreover, she went into detail, explaining each issue, elaborating the symptoms. Here are the 5 common gynaecological issues women face in daily life that Dr. Yashica Gudesar shared: Ovarian cysts: They are fluid-filled sacs that develop on or around the ovaries. Many women have cysts at some point without any noticeable symptoms. In most cases, they dissolve naturally, but persistent or large cysts may require medication or even surgical intervention. Regular monitoring through pelvic exams and ultrasounds is crucial. PCOS and PCOD: A more chronic condition affecting the ovaries is Polycystic Ovarian Syndrome (PCOS) or PCOD (Polycystic Ovarian Disease). This hormonal disorder causes the ovaries to produce multiple immature follicles that fail to release eggs, leading to irregular periods, acne, excessive hair growth, mood swings, and potential infertility. Managing PCOS requires a combination of medication, lifestyle changes, and hormonal regulation. ALSO READ: Acne to infertility: Hidden impact of PCOS on women's health ALSO READ: UTI and yeast infections: Causes, symptoms, treatment and all that you need to know Note to readers: This article is for informational purposes only and not a substitute for professional medical advice. Always seek the advice of your doctor with any questions about a medical condition.

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