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Let’s talk about PCOS today, tomorrow & the Future
Polycystic Ovary Syndrome (PCOS) is a common endocrine disorder that affects people assigned female at birth, typically during their reproductive years. PCOS is characterized by hormonal imbalances, irregular menstrual cycles, and the presence of small cysts on the ovaries. Today: Currently, PCOS is a well-recognized and researched condition. It is often diagnosed based on symptoms, physical exams, and laboratory tests measuring hormone levels and ovarian function. Management today involves a multidisciplinary approach, including lifestyle modifications (diet and exercise), hormonal contraceptives to regulate menstrual cycles, and medications to address specific symptoms such as excess hair growth or insulin resistance. Tomorrow: Future developments in PCOS research and management may involve a more personalized medicine approach. Advances in genetics may lead to a better understanding of the underlying causes and risk factors, allowing for targeted and individualized treatments. Ongoing research may also reveal novel therapeutic options, including medications that address insulin resistance, inflammation, or other pathways associated with PCOS. The Future: Looking ahead, there's potential for breakthroughs in fertility preservation and assisted reproductive technologies for individuals with PCOS facing difficulties in conceiving. Continued research may uncover new strategies for preventing or managing long-term complications of PCOS, such as diabetes and cardiovascular disease. Telemedicine and digital health tools may play a growing role in delivering personalized care and support for individuals with PCOS.
About the Speaker
Dr. Bohaira EI Geyoushi
Fertility Clinical Lead Consultant Gynecology , Reproductive Medicine & IVF, Sulaiman AI Habib
Upcoming Case Discussions
Endometriosis and Infertility
Endometriosis is a condition where tissue similar to the lining of the uterus grows outside of it, often affecting the ovaries, fallopian tubes, and pelvic organs. This disorder can cause painful periods, pelvic pain, and, in many cases, infertility. The presence of endometrial-like tissue outside the uterus can disrupt normal reproductive function by causing inflammation, scarring, and adhesions, which can interfere with ovulation, fertilization, and embryo implantation. Approximately 30-50% of women with endometriosis experience infertility, making it one of the leading causes of reproductive challenges in affected individuals. However, treatment options like surgery, medication, or assisted reproductive technologies can help improve fertility outcomes.
Impact of Endometriosis on Fertility
Endometriosis, a condition where endometrial-like tissue grows outside the uterus, can significantly impact fertility. It causes inflammation, scarring, and adhesions that may distort pelvic anatomy, block fallopian tubes, and impair ovarian function. Endometriosis is also linked to hormonal imbalances and poor egg quality, reducing the chances of conception. Symptoms like chronic pelvic pain and painful intercourse further complicate fertility. Diagnosis often requires laparoscopy, while management includes pain relief, hormonal therapy, and assisted reproductive techniques like IVF. Early intervention with medical or surgical treatment can improve reproductive outcomes, but severe cases may necessitate advanced fertility treatments for conception.
Hyperlipidemia: From Diagnosis to Treatment
Hyperlipidemia is a condition characterized by elevated levels of lipids, such as cholesterol and triglycerides, in the blood, which can increase the risk of cardiovascular diseases. Diagnosis typically involves blood tests measuring lipid profiles, while treatment focuses on lifestyle changes, such as diet and exercise, alongside medications like statins to manage cholesterol levels and reduce cardiovascular risk. Regular monitoring is essential for effective management and prevention of complications.
Acne: Disorders and Treatment Approaches
Acne is a common dermatological condition caused by clogged pores, excess sebum production, bacterial growth, and inflammation. It can manifest as blackheads, whiteheads, papules, pustules, or cysts, often leading to scarring if untreated. Various factors, including hormonal changes, diet, stress, and genetics, influence its severity. Treatment approaches range from topical and oral medications, such as retinoids, antibiotics, and hormonal therapy, to advanced procedures like chemical peels and laser therapy. A personalized skincare regimen, along with lifestyle modifications, plays a crucial role in managing and preventing acne.
Abnormal Uterine Bleeding: Diagnosis and Management
Abnormal Uterine Bleeding (AUB) is a common gynecological condition characterized by bleeding outside the normal menstrual cycle, excessive flow, or irregular patterns. It can result from structural causes (polyps, fibroids, adenomyosis, malignancy) or non-structural factors (coagulopathy, ovulatory dysfunction, endometrial disorders). Diagnosis involves a thorough history, physical examination, laboratory tests, imaging (ultrasound), and sometimes hysteroscopy. Management depends on the underlying cause and includes hormonal therapy (oral contraceptives, progestins), non-hormonal options (NSAIDs, tranexamic acid), and surgical interventions (endometrial ablation, myomectomy, hysterectomy). A tailored approach ensures effective symptom control and improved quality of life. Early evaluation is key to preventing complications.
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