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PCOS among Indians & managing it During Covid

By Dr. Satwika Dey in Obstetrics & Gynaecology

Sep 12, 2020

Understanding PCOS: More Than Just a Hormonal Condition

Polycystic Ovary Syndrome (PCOS), also known as Polycystic Ovarian Disease (PCOD) in India, is a complex endocrine condition that affects millions of women, especially during their reproductive years. Despite being termed a “disease,” PCOS is actually a syndrome — a collection of symptoms stemming from hormonal imbalances and metabolic disruptions. It can manifest at any age between 14 and 44 and often persists throughout a woman’s life.

What makes PCOS particularly concerning is its long-term impact — from irregular periods and infertility to metabolic disorders and increased risk of chronic conditions like diabetes and cardiovascular disease.

Also Read: A Ray of Hope in the Time of Coronavirus Disease COVID-19 Pandemic

Why Indian Women Are More Prone to PCOS

The causes of PCOS are both genetic & environmental. Indian women, unfortunately, have a higher genetic predisposition to developing PCOS. The condition often runs in families, with either the maternal or paternal side contributing to its inheritance. In many cases, male members are silent carriers.

Apart from genetics, lifestyle and environmental factors play a crucial role in triggering & aggravating PCOS — particularly in the modern urban context.

Impact of COVID-19 on PCOS Management

The COVID-19 pandemic and extended lockdowns have indirectly worsened PCOS symptoms for many women. The shift to remote work, increased screen time, lack of physical activity, poor sleep routines, heightened stress, and erratic eating patterns have all contributed to:

  • Weight gain
  • Hormonal imbalances
  • Aggravation of insulin resistance
  • Mental health issues like anxiety and depression

These disruptions have further complicated the management of PCOS during an already stressful period.

Also Read: Positive Parenting at the time of COVID-19

Recognizing the Symptoms of PCOS

PCOS affects women differently, but some common symptoms include:

  • Irregular menstrual cycles, including unusually heavy or light bleeding, or completely missed periods.
  • Unexplained weight gain, especially around the abdomen
  • Excessive facial or body hair (hirsutism)
  • Acne and oily skin
  • Darkened skin in body folds (neck, underarms, groin)
  • Difficulty in conceiving (infertility)
  • Elevated blood sugar levels or insulin resistance
  • Mood swings, depression, and poor sleep (including sleep apnea)

Medical Approach to PCOS

While there’s no definitive cure for PCOS, medical treatment can help manage the condition. Common medications include:

  • Metformin – to improve insulin sensitivity
  • Oral contraceptive pills – to regulate menstrual cycles and reduce androgen levels
  • Myoinositol – a supplement with anti-inflammatory and insulin-sensitizing properties
  • Vitamin D – often deficient in PCOS patients and helpful for hormonal regulation

However, these medications only assist — they do not replace lifestyle changes.

Also Read: Breastfeeding: Benefits To The Mothers And Safety Tips In Times Of COVID

Lifestyle: The Key to Managing PCOS Naturally

 1. Exercise & Weight Management

Engaging in regular physical activity is one of the most effective strategies for managing PCOS. Even a modest weight loss of 5%–10% can:

  • Restore menstrual regularity
  • Improve fertility
  • Reduce androgen levels
  • Enhance insulin sensitivity
  • Improve mood and energy levels

Interestingly, even without significant weight loss, consistent exercise can lead to noticeable symptom improvement. Aim for at least 30 minutes of moderate activity five times a week — walking, yoga, strength training, or aerobic exercises are excellent choices.

 2. Nutrition: The PCOS-Friendly Diet

Maintaining a balanced diet is essential for effectively managing PCOS. Embrace foods that reduce inflammation and balance blood sugar:

Recommended Foods:

  • Fresh fruits and vegetables (especially leafy greens)
  • Whole grains, legumes, and lentils
  • Healthy fats: nuts, seeds, olive oil, coconut oil
  • Anti-inflammatory spices like turmeric and cinnamon

Foods to Avoid:

  • Refined carbohydrates (white bread, pastries)
  • Processed and packaged snacks
  • Sugary drinks
  • Red meat and processed meats
  • Fried and fast foods

Adopt mindful eating: smaller portions, slower chewing, and stop before feeling completely full.

 3. Mental Wellness & Routine

A structured daily routine can significantly improve hormonal balance. Prioritize:

  • Consistent sleep schedule
  • Stress management through yoga, meditation, or journaling
  • Limiting screen time, especially before bedtime
  • Maintaining a work-life balance

These habits can support hormonal regulation and emotional well-being.

Also Read: Is Your Surgery Postponed Due To Covid19 Pandemic?

Empowering Women Through Awareness

The journey with PCOS is long but manageable. Creating awareness, especially during stressful times like the COVID-19 pandemic, is critical. Early diagnosis and proactive lifestyle changes can help prevent long-term complications.

More than prescriptions, personal commitment to health is the strongest medicine. As a woman makes mindful changes to her lifestyle, she reclaims control over her body and health.

Final Thoughts

PCOS doesn’t define who you are. With the right guidance, consistent effort, and a positive mindset, it is possible to lead a full, healthy, and empowered life. If you’re struggling with symptoms of PCOS, consult with a gynaecologist or visit Metro Hospitals for expert care and holistic support.