Polycystic Ovarian Syndrome (PCOS)- Ayurvedic Treatment, Diet, Exercises,

PCOS is a problem with hormones that affects women during their childbearing years. Many women have PCOS but don’t know it. Polycystic ovary syndrome (PCOS) is a condition that affects a woman’s hormone levels. Women with PCOS produce high amounts of male hormones than normal. This hormonal imbalance causes them to skip menstrual periods and makes it harder for them to get pregnant.

Although it is a disease primarily affecting the reproductive system, it has effects on the whole body. It produces signs and symptoms in areas other than uterus & ovary. These include hair growth on the face and body, and baldness. And it can contribute to long-term health problems like diabetes and heart disease.

In many cases, birth control pills and diabetes drugs can help fix the hormone imbalance and improve symptoms with necessary changes in diet & life style.

Signs & Symptoms

PCOS is mostly diagnosed as a part of treatment for infertility. Some women with recent excessive weight gain and missed periods when tested, get the same diagnosis.

The most common PCOS symptoms are:

Irregular or missed or late periods with heavy bleeding and other discomforts.
Extra hair growth – hair on their face and body — including on their back, belly, and chest. It is called hirsutism.
Acne – Male hormones can make the skin oilier than usual and cause breakouts on areas like the face, chest, and upper back.
Recent weight gain leading to obesity
Baldness like in males – Hair on the scalp gets thinner and fall out.
Black discolouration of skin – Dark patches of skin can form in body creases like those on the neck, in the groin, and under the breasts.
Maux de tête

Causes

Exact cause is still not known.

Genes, insulin resistance, and high level of inflammation in the body are considered to be related with excess androgen production.

Physiopathologie

PCOS affects a woman’s ovaries, the reproductive organs that produce oestrogen and progesterone — hormones that regulate the menstrual cycle. The ovaries also produce a small amount of male hormones called androgens. The ovaries release eggs to be fertilized by a man’s sperm. The release of an egg each month is called ovulation. Follicle-stimulating hormone (FSH) and luteinizing hormone (LH) control ovulation. FSH stimulates the ovary to produce a follicle — a sac that contains an egg — and then LH triggers the ovary to release a mature egg.

PCOS is a “syndrome,” or group of symptoms that affects the ovaries and ovulation. In PCOS, many small, fluid-filled sacs grow inside the ovaries. The word “polycystic” means “many cysts.” These sacs are actually follicles, each one containing an immature egg. The eggs never mature enough to trigger ovulation. The lack of ovulation alters levels of estrogen, progesterone, FSH, and LH. Estrogen and progesterone levels are lower than usual, while androgen levels are higher than usual. Excess male hormones disturb the menstrual cycle, so women with PCOS get fewer periods than usual.

Diagnostic

Case history
Examen physique
Pelvic examination
Blood tests to check the levels of male hormones.
Ultrasound scan
PCOS is diagnosed when a woman has at least two of these three symptoms
high androgen levels
irregular menstrual periods
cysts in the ovaries

Traitements

Lifestyle interventions are the first treatments doctors recommend for PCOS, and they often work well. Weight loss can treat PCOS symptoms and improve the odds of getting pregnant. Diet and aerobic exercise are two effective ways to lose weight.

Medicines are an option if lifestyle changes don’t work. Birth control pills, Clomiphene and metformin can both restore normal menstrual cycles and relieve PCOS symptoms. Hair removal creams and treatments are done in needed cases. Surgery is also an option where other therapies fail.

Pronostic

PCOS is a life-long condition which can be managed but a permanent cure is not possible. Without treatment, women with PCOS are at increased risk of a number of complications.

Complications

Infertilité
Gestational diabetes or pregnancy-induced high blood pressure
Miscarriage or premature birth
Non-alcoholic steatohepatitis — a severe liver inflammation caused by fat accumulation in the liver
Metabolic syndrome — a cluster of conditions including high blood pressure, high blood sugar, and abnormal cholesterol or triglyceride levels that significantly increase your risk of cardiovascular disease
Type 2 diabetes or prediabetes
Sleep apnoea
Depression, anxiety and eating disorders
Abnormal uterine bleeding
Cancer of the uterine lining (endometrial cancer)
Obesity is associated with PCOS and can worsen complications of the disorder.

Maladies et Ayurveda

In Ayurveda, cysts are considered as granthi which are unwanted and abnormal growths which can develop wherever possible in the body. Ayurveda explains that the vitiated doshas travel from their sites throughout the body and get lodged where there are abnormality or damage in the circulatory channels(srotas). When the doshas cause granthi in aartavavahasrotas (reproductive channels) it is called as granthiartava.

Nidana

Causative factors for the vitiation of Kapha and Vaata

Unwholesome diet and lifestyle during menstruation

Purvaaroopa

Non mentionné

Samprapti

When vitiated Kapha and Vaata in women reach the reproductive organs and get lodged in andasaya, artava production is affected and the development of it is delayed & arrested in andasaya. Due to the kapha and vaata doshas, it forms a cyst like growth which leads to granthiartava

Lakshana

Irregular menstrual bleeding with clots

Lower abdominal pain

Divisions

Non mentionné

Pronostic

Saadhya in new cases in healthy women with no complications.

Yaapya in chronic cases

Chikithsa

The aim of Ayurvedic treatment in granthiartava is to remove and expel the kapha dosha blocking the normal functioning of Vaata. This will help the reproductive system in functioning in the normal way. To eliminate kapha, vamanam and nasyam are done if the patient is suitable. After clearing the obstruction in channels, treatment is given to enhance artava formation and development in a normal way. Nasya has a specific effect on ovulation, pertaining to stimulation of Hypothalamo-Pituitary-Ovarian axis. Along with kaphahara treatment, Vaata should also considered as Ovary in Pakwasaya is the seat of Vaata and the process ovulation is controlled by Vaatadosha too.

Samana

Aamapaachana
Agnideepana
Internal medicines and diet with ushna-teekshna (hot, pungent & penetrating) properties
Krishna Tila, kulattha

Sodhana

Sneha-sweda
Vamana
Virechana
Kashayavasti
Snehavasti
Uttaravasti

Médicaments couramment utilisés

Marques disponibles

AVS Kottakal
AVP Coimbatore
SNA oushadhasala
Vaidyaratnam oushadhasala

Home Remedies

No home remedies can completely cure ovarian cysts. But a healthy diet and lifestyle can help manage the discomforts.

Régime alimentaire

À éviter

Les repas lourds et les aliments difficiles à digérer provoquent des indigestions.

Junk foods- cause disturbance in digestion and reduces the bioavailability of the medicine

Boissons gazeuses - rendent l'estomac plus acide et perturbent la digestion

Aliments réfrigérés et congelés - provoquent une digestion faible et paresseuse en affaiblissant Agni (le feu digestif).

Milk and milk products – increase kapha, cause obstruction in channels and obesity

Caillé - provoque le vidaaha et, par conséquent, de nombreuses autres maladies

A ajouter

Des repas légers et des aliments faciles à digérer

Green gram, soups, sesame oil

Aliments fraîchement cuits et chauds traités avec des graines de cumin, du gingembre, du poivre noir, de l'ajwain, etc.

Comportement :

Protect yourself from extreme hot climate.
Il est préférable d'éviter une exposition excessive à la lumière du soleil, au vent, à la pluie ou à la poussière.
Maintenir une alimentation et un sommeil réguliers.
Évitez de retenir ou de forcer les envies comme l'urine, les selles, la toux, les éternuements, etc.
Avoid sedentary lifestyle. Be active

postures de Yoga

As granthiartava develop due to stagnant Kaphadosha due to sedentary lifestyle, regular exercising is advised unless severe pain present. Also, specific yogacharya including naadisuddhi pranayama, bhujangaasana, pavanamuktasana for apaanavayu correction is recommended.

L'exercice régulier contribue à améliorer la biodisponibilité des médicaments et des aliments ingérés et favorise la santé.

Le yoga permet de maintenir l'harmonie à l'intérieur du corps et avec le système environnant.

Pavanamuktasana

Nadisudhi pranayama

Bhujangasana

Exercices simples pour la santé des poumons et du cœur

Specific asanas for female reproductive health

Vajrasana

Gomukhasana

Bhadrasana

Tous les exercices et les efforts physiques doivent être décidés et effectués uniquement sous la supervision d'un expert médical.

Research Articles

https://www.ncbi.nlm.nih.gov/books/NBK560541/#_article-26445_s5_

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6676075/

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5045492/

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Rédacteur :
Rajesh Nair, cofondateur et consultant en chef d'Ayurvedaforall.Com, est diplômé du prestigieux Vaidyaratnam Ayurveda College (affilié à l'université de Calicut), au Kerala, en Inde. Il est également titulaire d'un diplôme de troisième cycle en thérapie par le yoga de l'université d'Annamalai.

Le docteur Nair propose des consultations dans deux cliniques très fréquentées à Haripad, Alleppey, Kerala, l'État du sud, célèbre dans le monde entier pour ses traitements ayurvédiques authentiques et ses médecins. Tout en offrant des consultations sur tous les aspects des traitements ayurvédiques, le Dr Nair s'intéresse tout particulièrement au Panchkarma, au yoga et aux massages.

Grâce à Ayurvedaforall, le Dr Nair propose des consultations en ligne à des patients du monde entier et a servi des centaines de patients au cours des 20 dernières années. En plus de sa pratique ayurvédique, il est le rédacteur en chef de ayurveda-amai.org, le portail en ligne de l'Ayurveda Medical Association of India, et le membre du comité d'État de l'Ayurveda Medical Association of India.

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