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PCOS and Fertility: A Comprehensive Overview
Polycystic ovary syndrome (PCOS) is a common endocrine disorder affecting reproductive-aged women, characterized by hormonal imbalances. PCOS can significantly impact fertility due to irregular menstrual cycles, anovulation, and follicular cysts on the ovaries. Insulin resistance and elevated levels of androgens, such as testosterone, are common features of PCOS that can further affect fertility. Women with PCOS may experience difficulties in conceiving naturally and may require assistance from fertility treatments. Ovulation induction medications, such as clomiphene citrate or letrozole, are often used to stimulate ovulation in women with PCOS. In vitro fertilization (IVF) may be recommended for women with PCOS who do not respond to conventional fertility treatments. Lifestyle modifications, including weight loss and dietary changes, can improve fertility outcomes in women with PCOS, especially those who are overweight or obese. PCOS-related infertility can also be addressed through management of associated symptoms, such as acne, hirsutism, and irregular periods. Women with PCOS should work closely with healthcare providers specializing in reproductive endocrinology to optimize fertility and pregnancy outcomes.Despite challenges, many women with PCOS are able to achieve successful pregnancies with appropriate medical interventions and support.
About the Speaker
Dr. Dilini Ilukpitiya
Gynecologist & Fertility Specialist Ministry of Health, Srilanka
Upcoming Case Discussions
Technology Integration with Healthcare
Technology integration in healthcare is transforming the way medical services are delivered, enhancing efficiency and patient outcomes. Innovations such as telemedicine, electronic health records (EHR), and wearable devices allow for real-time monitoring and improved accessibility. Artificial intelligence (AI) and machine learning aid in early diagnosis and personalized treatment plans. Robotic surgeries and advanced imaging techniques offer precision and reduced recovery times. By combining technology with healthcare, providers can streamline operations, improve patient engagement, and deliver cost-effective care solutions.
Pediatric Obesity: Treatment Management
Treatment management for pediatric obesity combines lifestyle changes, family support, and, in severe cases, medical interventions. Family-based strategies are key, encouraging healthy eating habits, regular physical activity, and reduced screen time. Behavioral therapy helps set achievable goals and address barriers, empowering children and families to make sustainable lifestyle adjustments. Dietitians often assist in designing individualized meal plans that focus on nutrient-rich foods and limit calorie-dense options. In cases of severe obesity with related health conditions, medications or surgery may be considered, particularly for adolescents. Continuous monitoring and support from healthcare providers are essential for long-term success and health improvement.
Clinician’s Approach to Sleep Apnea
A clinician's approach to sleep apnea begins with a thorough assessment of the patient's medical history, symptoms (such as snoring, choking, and daytime fatigue), and risk factors like obesity or hypertension. Diagnosis is typically confirmed through polysomnography or home sleep apnea testing, followed by treatment strategies such as continuous positive airway pressure (CPAP), lifestyle modifications, or surgical interventions depending on the severity and type of sleep apnea.
Case Based Approach to Arthritis
A case-based approach to arthritis involves analyzing individual patient cases to tailor diagnostic and therapeutic strategies based on specific symptoms, disease progression, and underlying causes. This method enhances clinical decision-making by providing personalized treatment plans and improving patient outcomes in conditions like osteoarthritis, rheumatoid arthritis, and psoriatic arthritis.
Falls and Fractures in Older Adults: Prevention and Immediate Care
Falls and fractures in older adults are common and can lead to significant morbidity, highlighting the importance of fall prevention strategies such as strength training, balance exercises, and home safety modifications. Immediate care involves quick assessment for fractures, pain management, and stabilization, along with appropriate transport to healthcare facilities for further evaluation and treatment.