Health
70% of women with polycystic ovary syndrome not aware – Gynaecologist
*Says, they risk infertility
By Francesca Hangeior.
As the world commemorates this year’s Polycystic Ovary Syndrome Awareness Month, a fertility specialist, Dr. Abayomi Ajayi, has said about 70 percent of women living with the condition are not aware that they have it due to ignorance.
PCOS is a common hormonal condition that affects women of reproductive age.
Ajayi, who is Medical Director, Nordica Fertility Centre, Lagos, said PCOS was a prevalent cause of infertility, especially anovulatory infertility.
He also stated that PCOS was the most common cause of hormonal disorders in women of reproductive age, causing disrupted ovulation and a lack of regular menstruation.
The consultant gynaecologist disclosed this during a webinar organised by the fertility centre to commemorate this year’s PCOS awareness month aimed at raising awareness about the condition.
PCOS Awareness Month is a global healthcare event observed annually throughout September. It aims to improve the lives of those affected by the condition, help them overcome their symptoms, and prevent and reduce their risks for life-threatening diseases such as diabetes.
The World Health Organisation says PCOS affects an estimated eight to 13 per cent of reproductive-aged women.
The global health body also states that up to 70 percent of women with the condition remain undiagnosed worldwide despite being a leading cause of infertility.
“PCOS is a common hormonal condition that affects women of reproductive age. It usually starts during adolescence, but symptoms may fluctuate over time.
“PCOS can cause hormonal imbalances, irregular periods, excess androgen levels, and cysts in the ovaries. Irregular periods, usually with a lack of ovulation, can make it difficult to become pregnant.
“PCOS is a chronic condition and cannot be cured. However, some symptoms can be improved through lifestyle changes, medications, and fertility treatments”, the WHO said.
Ajayi pointed out that the exact cause of PCOS was unknown, adding however that the condition could be genetic.
The consultant gynaecologist said, “September is PCOS awareness month, and that is why we have gathered here today to dispel the myths about PCOS, raise awareness, and offer support to women who are living with the condition so that we can empower them to take care of their health.
“PCOS has no cure, so it is something that they are going to live with for the rest of their lives. So they should understand it. It is a common abnormality in women, and it is a common cause of infertility, especially anovulatory infertility.
“It is estimated that 10 to 15 percent of women will have PCOs. Unfortunately, about 50 to 70 percent of them will not be diagnosed. So, there are still a lot of misdiagnoses and underdiagnoses going on.”
He noted that due to misdiagnoses, a lot of women were labeled to have PCOS when they were not, and the people who had PÇOs were not diagnosed most of the time.
“So, we must talk about this and ask questions. Why are we having misdiagnosis? We have this because people rely on laboratory results and that might not be true. Two out of three symptoms must be present before diagnosis of PCOS is done”, he said.
According to him, symptoms vary from woman to woman, with some experiencing milder symptoms and others more severe.
“Symptoms are linked to hormones, with women with PCOS having slightly higher testosterone levels, leading to facial hair growth, and insulin resistance, a condition where the body doesn’t respond to insulin, increasing glucose levels and leading to weight gain and fertility issues”, he added.
The maternal health expert explained that the treatment for PCOS and infertility often begins with an ultrasound diagnosis, which helps determine the necessary tests.
“Physical examinations, including height, weight, facial or body hair growth, acne, and discoloration of the skin under the arms, breasts, and groin, can help diagnosis. Insulin resistance, common to PCOS, may play a role in weight gain and the difficulty of losing any extra weight.
“With fertility medications, the chances of getting pregnant with PCOS are quite favorable. Although there is currently no cure for PCOS, some women’s periods do normalize after birth, and those with fertility issues may find it easier to conceive again. IVF is an excellent choice, but its effectiveness depends on individual factors such as age, length of infertility, and weight.
“Many women with PCOS suffer from physical or psychological manifestations of depression, which should be sought by a doctor who is willing to listen to concerns and not dismiss this potential side effect of PCOS,” Ajayi said.
He advised women with the condition to see a maternal health specialist for proper evaluation and appropriate treatment.
“Women with PCOS need a proper evaluation of infertility. If the cause is just PCOS, they will do ovulation induction with drugs and drugs are available.
Health
UNICEF to vaccinate 3.8 million children in Northern Nigeria
The United Nations Children’s Fund has disclosed that no fewer than 3.8 million children would be vaccinated against measles across four Northern states.
The UNICEF Health Officer in Bauchi state, Patrick Ako, disclosed this in a news conference on Friday, noting that the vaccination exercise would commence on Saturday and run for seven days.
He highlighted that the four Northern states where the integrated measles campaign would take place include Adamawa, Bauchi, Gombe, and Plateau.
“For the measles campaign, we have a target of 3.8 million children from nine months to 59 months, which we are targeting across the four states.
“We have received in all the states a total of over 4 million doses of measles vaccines which have been supplied across the four states,” Ako stated.
The Health Officer explained that UNICEF is also going to launch an oral vaccination campaign against polio across five Northern states.
He said, “For the oral polio vaccination, we have a target of 6.8 million children that we are going to reach from zero to 59 months, which is less than five years across five states of Taraba, Plateau, Bauchi, Gombe,e, and Adamawa.
“The total number of vaccines that have already gotten to them is 7.4 million doses across these five states.
“We are looking at it that no child should be left behind; all children of an eligible age group should be reached and be vaccinated.”
Also speaking, a Social Behavioural Change Specialist at UNICEF Bauchi Field Office, George Eki, said it became imperative for UNICEF to support the Nigerian government in protecting children against measles and other vaccine-preventable diseases.
Health
5 questions to ask your doctor before starting birth control
It’s normal to have questions about what birth control method is right for you.
Starting birth control is a big decision, and it can feel overwhelming if you’re not sure what questions to ask your doctor.
With so many options available, from pills and patches to implants and IUDs, it’s understandable if you’re feeling confused or anxious.
Finding the right method isn’t just about preventing pregnancy; it’s also about making sure you feel comfortable and healthy with your choice. Your doctor is there to guide you, but it’s important to come prepared with questions that address your concerns, lifestyle, and future plans.
1. What types of birth control are available?
When it comes to birth control, one size does not fit all. Ask your doctor about the different methods available, such as the pill, IUD (intrauterine device), patch, ring, implant, or shot.
Your doctor can explain how each method works, how effective they are, and what the pros and cons are. For example, if you prefer something long-term, an IUD might be a better option. But if you like having more control, the pill could work well.
2. What are the possible side effects?
Every type of birth control has possible side effects. Some people may experience nausea, headaches, weight changes, or mood swings, while others have no side effects at all. It’s important to ask your doctor about what you might expect. If you’re sensitive to hormones, your doctor can suggest non-hormonal options, like the copper IUD. Being aware of side effects in advance can help you know what to look out for and decide what you’re comfortable with.
3. How will birth control affect my period?
Birth control can change your menstrual cycle in different ways. Some methods may make your periods lighter or stop them completely, while others may cause irregular bleeding at first.
If having regular periods is important to you, make sure to mention this to your doctor. They can help you choose a method that aligns with your preferences. If your periods are painful or heavy, certain types of birth control may even help reduce those symptoms.
4. Will birth control interact with my current medications or health conditions?
If you have existing health issues, like high blood pressure, diabetes, or a history of blood clots, some birth control options may not be safe for you. Also, if you’re taking medication for any condition, ask whether it might affect how well your birth control works. Your doctor can guide you to options that won’t interfere with your health or current treatments. Safety should always come first when choosing birth control.
5. What happens if I want to get pregnant in the future?
You’ll need to ask how quickly you can become fertile again after stopping birth control. Some methods, like the pill or the patch, allow for a quick return to fertility, while others, like the shot, may take longer.
If you’re thinking about starting a family in the future, talk to your doctor about which birth control options will work best for your timeline. Planning ahead can make transitioning easier when the time comes.
Health
Cholera claims 10 lives in Enugu
The Enugu State Ministry of Health has confirmed the death of 10 people following a cholera outbreak in the state.
In a letter addressed to the Guild of Medical Directors on behalf of the Commissioner for Health, Prof. Emmanuel Obi, Dr Egwuonwu Samuel, Director of Medical Services, announced the outbreak and the swift actions being taken to prevent further spread.
The ministry reported several alarming cases of cholera, resulting in 10 fatalities so far. Efforts are already underway by the State Ministry of Health and its partners to contain the outbreak.
“Health facilities and personnel are advised to stay alert for symptoms like acute diarrhea, abdominal cramps, and vomiting,” said Dr. Egwuonwu.
“We are calling for the immediate implementation of heightened Infection Prevention and Control (IPC) measures in all medical facilities to stop the spread.”
He urged medical practitioners to take extra precautions and report suspected cases swiftly.
“This outbreak poses a significant public health threat, as cholera is a highly contagious disease typically spread through contaminated water or food. The ministry’s swift action is critical to containing the outbreak and protecting public health.”
Dr. Egwuonwu also appealed to the public to practice strict hygiene measures, including boiling water before drinking, frequent hand washing, and avoiding poorly handled food.
He noted that the Enugu State government would provide further guidelines and updates as the situation develops, while efforts continue in collaboration with local and international health partners to mitigate the outbreak.
(NAN)
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