00:00We had a press conference for Adolescent PCOS, which is called Poly-Endocrine Metabolic Ovarian Syndrome.
00:06We discussed what are the elections, what is the diagnosis, what is the risk factor, what is the treatment and
00:16what is the prevention.
00:17I have told that the normal age of periods is quite variable, but after periods, up to one year, the
00:25cycles are irregular.
00:26Sometimes they are coming in a gap, sometimes they are coming in a gap, sometimes they are coming in a
00:28gap.
00:29We don't consider it physiological. We don't do any investigation.
00:34But after one year, cycles are generally regular.
00:37And cycles start occurring every few months.
00:41So in less than one to two, three years, cycles have a gap between the cycles, 21 days to 45
00:49days.
00:50And after three years of cycle, the normal gap is 21 days to 35 days.
00:54So there is no other girl who doesn't match cycles this period.
00:58Or they are coming in 21 days before, or they are coming in a bit late, even after 35 days.
01:03Or even after one year of menarche, the cycle gap is more than three months.
01:08Then we should take it seriously and we should go for consulting the doctor.
01:12I would like to tell you what we have studied.
01:15This is the Society of Endocrine Health and Adolescent, Elderly Adolescent and Children.
01:21Because this is an NGO.
01:23So we have studied with them.
01:26We have gone to various schools.
01:27In this situation, we have studied what is the prevalence of PCOS.
01:31Because it's a big lifestyle disorder.
01:33In this situation, its prevalence is growing.
01:35So we thought we will go to school and see how many girls are these problems.
01:39So we went to various schools.
01:41And we have studied what is the prevalence of the prevalence of children.
01:45What is your message for your family?
02:15It is a risk factor that they are sitting in a sedentary lifestyle, no exercise, no physical activity, that is
02:21a risk factor.
02:22Or they want to watch more screens, more than two hours per day.
02:27Or they don't sleep at times, they are not taking adequate sleep, they are sleeping at night.
02:31And that's why they have a whole hormonal imbalance.
02:34So it's very important that in adolescent age, we have a proper diet, exercise, sleep schedule, and as long as
02:41we incorporate our lifestyle.
02:43So basically, we have told how to diagnose PCOS.
02:48And since the criteria has been changed, what are the new criteria?
02:53So there are two main criteria.
02:57One is clinical and biochemical hyperandrogenism.
03:01That is, the male hormones.
03:02There are clinical features.
03:04Or there are blood tests.
03:07Clinical features such as hair growth.
03:10There are thick, coarse hair growth.
03:13Which is on face or other body parts.
03:16And there is biochemical hyperandrogenism.
03:19In which we measure blood levels of testosterone.
03:22And they are elevated.
03:23Then we talked about risk factors.
03:26In which we had told that there are multi-modal risk factors.
03:29There are not only one cause.
03:31Which is why PCOS is developed.
03:33The genetic risk factors.
03:35If the mother has PCOS and has PCOS in first degree relative,
03:40then the child has more chance.
03:42If the child has more chance.
03:42Or if the child has more chance.
03:43Or if the child has more chance.
03:47If the child has more chance.
03:48Before PCOS develops.
03:49Then we talked about birth weight.
03:51If the child is low.
03:52Or is less than 2.5 kg.
03:53Or is a small for gestational age.
03:55Then the child has more chance.
03:58lifestyle changes like sedentary lifestyles like school and coaching
04:06so their lifestyle is sedentary and screen based and physical activity is very low which is another major risk factor
04:15then stress and anxiety which is very much prevalent these days
04:19that is also a risk factor
04:20then the eating habits we have discussed about high fat, high sugar and high salt diet
04:27which again is another risk factor
04:30but it is not only one cause
04:32all the causes are mostly present together
04:35which can be developed by PCOS
04:39then we have talked about treatment
04:42which we have told that the first modality is our lifestyle changes
04:48which we have talked about in yoga
04:51that yoga works on multiple levels
04:54and our sleep hormones
04:56and our testosterone levels
04:59and gut microbiome
05:01which is regulated in gym
05:04yeah exactly
05:06gym basically
05:08actually it is advised
05:11that you do moderate to vigorous aerobic exercise
05:13and strength training
05:15so basically to begin with
05:17to begin with
05:18to begin with
05:19to begin with
05:20body weight based exercises
05:23so strength exercises
05:25there are two levels
05:26one is external weight
05:28and one is body weight
05:31so to begin with
05:32body weight based strength training exercises
05:42then we talked about yoga
05:45meditation and stress relieving pranayamas
05:49box breathing, 4-5-7 breathing exercises
05:53so there are many breathing exercises
05:55which help in stress relieving
05:57which have been
05:59found useful in regulating cycles
06:02and regulating the hormones
06:03after that we have talked about
06:05medical therapy
06:07there are two types of therapies
06:09one is hormonal based therapies
06:13one is hormonal based therapies
06:13which are combined oral contraceptive pills
06:15and other is non-hormonal therapy
06:18which are insulin sensitizing drugs
06:21like metformin
06:22which are all of these
06:23antiandrogens
06:24which are male hormones
06:26as well as antiandrogens
06:29поэтому
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