Discover and read the best of Twitter Threads about #PCOS

Most recents (14)

Public service announcement 🧵 about #PCOS & #ultrasound

1 - Ultrasound should NOT be used for the diagnosis of PCOS in those <8 years after menarche, due to the high incidence of multi-follicular ovaries in this life stage

*FYI PCOM = polycystic ovarian morphology Image
2 - Using endovaginal ultrasound transducers w/ a frequency bandwidth that includes 8 MHz, the
threshold for PCOM on either ovary, a follicle number per ovary of = or > 20 and/or an ovarian volume
= or > 10 ml on either ovary, ensuring no corpora lutea, cysts or dominant follicle
3 - The threshold for PCOM should be revised regularly with advancing ultrasound technology, and age-specific cut-off values for PCOM should be defined.
Read 9 tweets
1) Interesting case for which I need some help.

20y female presents with darkening of the lips for past several years.

She is a known case of PCOD, dx in 2015 and is on COC for the same duration.
2) She has never been able to go off COC as her periods become extremely irregular.

No h/o sudden LOC on standing up, tiredness or discolouration in the body.

No hx suggestive of acne, hirsutism, acanthosis nigricans, deepening of voice or any genital abnormalities.
3) Gen survey
Pt C/A/C
Pulse - 90/min
BP - 130/60, L arm, sitting
RR - 18/min
T° - afebrile
No pallor, cyanosis, clubbing, icterus,edema, LNpathy or JVP
Hair growth on top of lips, side burn area 3+ by FG score in each
Dark lips and mucosal hyperpigmentation +
Read 8 tweets
Many people ask - I'm eating what my grandparents ate. They were vegetarians & were (mostly) healthy & slim.
Why do I have #metabolic issues? Why should I change my food?
(I'm referring to 👵🧓 before the 1980-90s era)
Consider these answers (A THREAD)
👇🏽
1. NO FOOD MILES & CLEAN EATING
Have you seen them eat from a hotel? Or buy from a shop?
They always ate locally sourced items, home cooked simple meals. Grains, Fruits & veggies didn't have the amount of #pesticides that are found today.
2. SUGARS & TREATS FOR SPECIAL OCCASSIONS
Sugary food, snacks & treats were mainly reserved for special occasions & feasting times. They were NOT an everyday item.
Read 9 tweets
Lots of discussion about lack of advancement in women's health

Here is the thing. We will NOT advance reproductive/pregnancy/women's health science by continuing to do clinical trials that are NOT based on fundamental mechanisms that drive health & disease

hang on...🧵🧵🧵
1/
Let me explain:

Millions (millions)💲 have been spent to perform clinical trials to decrease adverse pregnancy outcomes such as #preeclampsia

Trials on Vitamin C, E, magnesium, aspirin, calcium

Perhaps, you might be thinking--those are pretty generic interventions 👀

2/
And you would be right. They are.

Vit C & E clinical trial was based on concept that there is evidence of oxidative stress in placentas from preeclamptic individuals

OK. Yes, but oxidative stress is a pretty ubiquitous biological event
3/
Read 11 tweets
NEW PCOS STUDY looking at prevalence, incidence and years lived with disability due to polycystic ovary syndrome in 204 countries and territories has been published

What does this mean? 🧵

#PCOS #PCOSAwareness #PCOSStudy #Study #Research #Thread
Study looks at global, regional and national burden of PCOS by age and socio-demographic index.
It focuses on years of healthy life lost due to PCOS or any associated disabilities. The study spans time period 1990 - 2019.
Read 8 tweets
#thread
Seeking help for a friend who has suffered long because of headaches, has been to multiple specialists/docs, they treat her temporarily, but her headaches come back in full force. She wants to get to the bottom of this and resolve it. Pls RT tweeps. 1/n @DrJoyeeta
The story is over a decade old. Her migraines started after 6 months after delivering her first child. She went to an ENT doc, who did MRI/CT scan and a few other tests. Reports were normal, was asked to take painkillers, since then she ends up just doing that. 2/n @SonaliVaid
Over the next few years, she realized the pain killers were giving her acidity and many a time, the vomiting also worsened, throwing out any and every medication she took. There were times she had to quickly rush to a hospital to get pain killers through IV. 3/n @HShewade
Read 17 tweets
Autistic Women & medical conditions thread 🧵 RE: Common #Medical symptoms and conditions in #autisticgirls #autisticwomen
By @sbaroncohen et. al I feel this research study has implication on #autisticgirls #gender #ROGD #trans #detrans In my #Autism clinic it has
been common to hear about #puberty #Dysphoria
Menstrual problems, #PMDD #PCOS & #endometriosis What is really nice for clinicians is when we see research that backs up our clinical work. In consideration Of #gender distress #dysphoria #ROGD we should be considering this research ImageImageImage
In making clinical decisions that impact #autisticgirls #autisticwomen with #ROGD #trans #detrans This July 2021 study looked at common medical conditions in #autistic females.
For some time, researchers have been investigating #sexbias in #autism diagnosis. #Medical
Read 18 tweets
One of the best ways to know that you're ready for conception, and even learn the best things to do to prepare yourself for pregnancy, is to get your preconception (fertility) checkup!
Set up an appointment with your doctor so that they could review your medical history and discuss plans and proper ways to help you jumpstart your journey to pregnancy.
To assist you with financing your journey to parenthood, @fertilitynevada now offers in-house financing, in addition to continued access to various third-party provider financing options.

We will custom-tailor a down-payment and payment plan that meets your specific needs.
Read 4 tweets
A new research study in @bmj_latest doi.org/10.1136/bmj.m3… finds the risk to die early (<70yrs) increases with irregularity & length of women’s #menstrualcycle irregularity, with premature mortality mostly due to #cardiovasculardisease. What's it mean for women with #PCOS? 1/13
PCOS affects 10% of women worldwide & irregular menstrual cycles are a common symptom. Many of the women in this study likely have PCOS. Understandably, the higher rates of premature mortality reported will be worrying to women with PCOS. But what causes period irregularity? 2/13
Increased levels of male hormones #androgens are a cause of irregular periods (see: doi.org/10.1177/204201…; doi.org/10.1210/en.201…) and also impact on pancreatic beta cell function (doi.org/10.2337/db20-0…) causing #insulinresistance 3/13
Read 14 tweets
#Thread September is PCOS (Polycystic Ovarian Syndrome) Awareness Month!
The patriarchal gender bias in healthcare care practice and medicinal research has a negative impact on our well-being!
The impact is huge and diverse! People living with PCOS find it challenging to navigate through the bias that distorts research, diagnosis, and treatment. According to research, PCOS is fast becoming a modern epidemic, especially in Asia.
So what is it? PCOS is a common endocrine disorder that affects people with ovaries, with 20-25% womxn in India and around 1 in 10 womxn worldwide affected by it.
Read 11 tweets
#Poly_Cystic_Ovary_Syndrome PCOS

PCOS is a HORMONAL DISORDER that affects Women of REPRODUCTIVE AGE (16 - 45 years of age).

1 out of 10 (10%) of ladies are diagnosed with PCOS. 🚺

#PCOS affects woman’s hormonal levels thereby AFFECTING the OVARIES.

A Thread 👇 Image
In HEALTHY WOMEN, the ovaries produce a very small amount of MALE HORMONES called as ANDROGEN.

But In PCOS, due to #INSULIN_RESISTANCE, the ovaries produce EXCESSIVE androgens, RATHER than the female hormones (such as Estrogen & Progesterone). ❌

These Excess #ANDROGENS are
responsible for CAUSING lots of body changes SUCH as : Facial Hair (beards) & No or IRREGULAR menstrual flow.

POLY-CYSTIC means ‘Many Cysts.’

In PCoS, Many CYSTS (Small Fluid-filled Sacs containing IMMATURE EGGS) develops inside the Ovaries.

The EGGS are NEVER fully grown to
Read 9 tweets
We are excited to announce an opportunity for volunteers to join us for a new #PCOS Leadership Programme supported with public engagement funding from @wellcometrust. Join @WiebkeArlt & our team to advocate alongside us for health equality & a greater awareness of PCOS! 1/2 Image
If you have any questions or would like to find out more, you can DM us or see bit.ly/2XZfkSe. Anyone may apply, but we are especially interested in working with Midlands-based British South-Asian & South-Asian women and College & University students of any ethnicity 1/2
@drpunith ☺️
Read 3 tweets
Why is it important to evaluate the cardiovascular system in patients with polycystic ovary syndrome?

#MedTwitter #medstudenttwitter #Tweetorial #PCOS #Cardiology #Science @USFQ_Ecuador
1/
Polycystic ovary syndrome (PCOS) is the most common endocrine-metabolic disorder in reproductive-age women, with a prevalence between 6 and 20%, depending on how it is defined.

nature.com/articles/nrend…
2/
The most common definition is Rotterdam Criteria, with 2 out of 3 of the following features:
- Hyperandrogenism
- Ovulatory dysfunction
- Polycystic ovarian morphology

nejm.org/doi/full/10.10… https://www.nature.com/arti...
Read 25 tweets
Love that people are acting like the concept of “thin privilege” is new and that it doesn’t exist. HAHAHA that’s cute. I think the “privilege” word is what people may be finding problematic. But to suggest that people “choose” to be fat is offensive and simply untrue.
As someone who has been told by multiple doctors regarding my #PCOS and weight loss “I’m sorry you’re basically just screwed” I really get my back up about this.
Not that I even consider myself “overweight”. But I am on medications that at BEST keep me where I am. If I don’t also eat properly, I would continue to gain and gain. Which sucks. Dieting to maintain your weight? Feels awful.
Read 9 tweets

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