Q. How does polycystic ovary syndrome (PCOS) contribute to delayed periods?

Doctor Answer is medically reviewed by SecondMedic medical review team.

Answered by Secondmedic Expert

Polycystic Ovary Syndrome (PCOS) is a common hormonal disorder that can contribute to delayed or irregular periods. PCOS is characterized by an imbalance in reproductive hormones, particularly an excess of androgens (male hormones) compared to estrogen and progesterone. This hormonal imbalance can lead to various symptoms, including irregular menstrual cycles. Here's how PCOS contributes to delayed periods:

1. Anovulation: In PCOS, the ovaries may not regularly release eggs (ovulate) as they should. This condition is known as anovulation. When ovulation does not occur, the normal hormonal signals that regulate the menstrual cycle can be disrupted, leading to irregular or absent periods.

2. Cysts on the Ovaries: Despite the name, not all women with PCOS develop cysts on their ovaries. However, some may have small, fluid-filled sacs (follicles) on their ovaries that may contribute to hormonal imbalances. These cysts can affect the normal development and release of eggs.

3. Insulin Resistance: Many women with PCOS also have insulin resistance, where the body's cells do not respond effectively to insulin. Insulin resistance can lead to elevated insulin levels, which in turn can contribute to increased androgen production. Elevated androgens can disrupt the normal hormonal balance necessary for regular menstrual cycles.

4. Disruption of Hormonal Feedback Loop: PCOS can disrupt the normal feedback loop between the ovaries, hypothalamus, and pituitary gland, which regulates the menstrual cycle. This disruption can result in higher levels of luteinizing hormone (LH) and lower levels of follicle-stimulating hormone (FSH), contributing to irregular ovulation and delayed periods.

5. Low Progesterone Levels: Women with PCOS may have lower levels of progesterone, a hormone crucial for regulating the menstrual cycle. Insufficient progesterone can lead to a lack of coordination between the estrogen and progesterone phases of the menstrual cycle, causing delayed or irregular periods.

It's important to note that the specific symptoms and severity of PCOS can vary among individuals. Women with PCOS may experience a range of menstrual irregularities, from delayed periods to heavy or prolonged bleeding. If a woman suspects she has PCOS or is experiencing persistent menstrual irregularities, it's advisable to consult with a healthcare professional for a thorough evaluation and appropriate management. Early diagnosis and management of PCOS can help address symptoms and reduce the risk of associated health issues.

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Q. Hello Doctor, from past 3 weeks I have too much dandruff problem and it cause hair loss will you suggest any best solution for this?

Doctor Answer is medically reviewed by SecondMedic medical review team.

Answered by Secondmedic Expert

Dealing with excessive dandruff leading to hair loss can be frustrating, but there are effective ways to address this issue. Here's what you can do:

1. Switch to a Gentle Shampoo: Opt for shampoos specifically designed for dandruff, containing ingredients like ketoconazole, zinc pyrithione, coal tar, or selenium sulfide. Use these shampoos regularly to reduce dandruff buildup.

2. Scalp Massage: Gently massage your scalp while shampooing to help remove flakes and improve blood circulation, which can promote healthier hair growth.

3. Avoid Hot Water: Wash your hair with lukewarm water instead of hot water, as hot water can dry out your scalp and worsen dandruff.

4. Balanced Diet: Ensure you're eating a balanced diet rich in vitamins and minerals essential for healthy hair and scalp, such as omega-3 fatty acids, zinc, and B vitamins.

5. Manage Stress: Stress can exacerbate dandruff problems. Practice stress-relief techniques like meditation, yoga, or regular exercise to help manage stress levels.

6. Apple Cider Vinegar Rinse: Consider using diluted apple cider vinegar as a rinse after shampooing. It can help restore the scalp's pH balance and reduce dandruff.

7. Consult a Dermatologist: If the issue persists despite trying home remedies or over-the-counter solutions, seek advice from a dermatologist. They can provide a personalized treatment plan tailored to your specific scalp condition.

Remember, consistency is key when dealing with dandruff. Give these remedies some time to work, as immediate results might not always occur. It's essential to find what works best for your scalp, so don't get discouraged if you don't see immediate improvements.

Taking care of your scalp health not only addresses dandruff but also aids in reducing hair loss associated with this issue. Feel free to incorporate these tips into your routine and observe how your scalp responds. If the problem persists or worsens, seeking professional guidance is always recommended.

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