Polycystic Ovarian Syndrome Treatment in Singapore

Polycystic ovarian disease is one of the most common endocrine or hormonal disorder in females of reproductive age. It is characterized by infrequent or prolonged periods and higher levels of male hormones called androgens.

Since females suffering from PCOD may suffer from a combination of different symptoms, it is also known as polycystic ovarian syndrome. The objective of PCOS treatment is to control or reduce the severity of the symptoms by treating the underlying cause. Some of the most common forms of treatment include birth control pills to regulate menstrual cycles, hormones to regulate ovulation and drugs such as metformin and statins to control blood sugar and cholesterol levels.

Losing weight, staying physically active, and reducing the intake of carbohydrates are known to help women with PCOS.

What are the factors leading to Polycystic Ovarian Syndrome Treatment?

PCOS treatment is required in the following categories of females:

  • Women with severe symptoms such as excessive facial hair growth, irregular periods, and severe acne
  • Women who are facing difficulty conceiving a baby due to the absence of ovulation or periods

Some women may have PCOS but may not know it because of the absence of any symptoms.

Factors Affecting the cost of PCOS Treatment

The following factors affect polycystic ovarian syndrome treatment cost:

  • The form of treatment – medications, lifestyle changes, or surgery such as ovarian drilling
  • Purpose of treatment – weight loss, reduce symptoms or successful conception
  • Experience of the specialist
  • Choice of clinic or hospital
  • Duration of treatment
  • Severity of symptoms
  • Age of the candidate
  • Other underlying comorbidities
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About the Polycystic Ovarian Syndrome (PCOS) Treatment

Women suffering from polycystic ovarian syndrome may show different symptoms. Therefore, polycystic ovarian syndrome treatment for them may differ depending on their concerns.

For example, some women suffering from PCOS could be overweight, therefore, weight loss and diet monitoring may be advised to them initially. Some women with PCOS may have a normal body mass index (BMI), however, they could be suffering from other symptoms such as cystic acne or excessive facial hair. Therefore, she may be put on birth control pills for a while to negate the symptoms.

The following are some of the most common forms of polycystic ovarian syndrome treatment available worldwide:

For women not planning a pregnancy

  • Self-care: Weight loss, lifestyle modifications, and physical exercising
  • Medications: Anti-diabetic medications (metformin), statins, and hormone and hair inhibitors
  • Hormonal: Birth control pills

For women planning a pregnancy

  • Self-care: Weight loss, lifestyle modifications, and physical exercising
  • Medications: Anti-diabetic medications (metformin), statins, and hormone and hair inhibitors
  • Ovarian stimulation: Gonadotropins, letrozole, and Clomid
  • Surgery: Laparoscopic ovarian drilling (ovarian diathermy)

In laparoscopic ovarian drilling, two to three minor incisions are made in the lower abdomen to pass the laparoscope and instruments through which the laser is passed. The ovarian cysts producing high amounts of androgens are ruptures with the help of heat generated by the laser. This lowers the LH and testosterone levels and therefore, the hormone imbalance is temporarily restored.

Symptoms of Polycystic Ovarian Syndrome

The following are some of the symptoms of polycystic ovarian syndrome:

  • Irregular periods
  • Absence of periods
  • Difficulty getting pregnant
  • Excessive hair growth (hirsutism) mainly on the neck, face, back, and chest
  • Weight gain
  • Male-type baldness
  • Hair thinning
  • Cystic acne
  • Oily skin
  • Depression and mood swings
  • Severe premenstrual syndrome (PMS)

Diagnosis for PCOS

Irregular periods or absence of periods is one common sign that may indicate that the woman may have a polycystic ovarian syndrome. However, it can only be confirmed with the help of ultrasound during a regular visit to the gynecologist.

The following tests are performed to confirm PCOS:

  • Ultrasound (abdominal or transvaginal)
  • Blood work-up: LH, FSH, blood sugar, TSH, free testosterone, and Prolactin

Who all can get PCOS Treatment?

Not all women suffering from the polycystic ovarian syndrome are a candidate for treatment. The following women are advised to seek treatment for the polycystic ovarian syndrome:

  • Those with irregular or missing periods
  • Women with severe symptoms such as cystic acne, hair loss or thinning, and considerable weight gain
  • Women trying to conceive but are unable to due to irregular ovulation

How is Polycystic Ovarian Syndrome (PCOS) Treatment performed?

Recovery from Polycystic Ovarian Syndrome (PCOS) Treatment

There are plenty of options available when it comes to PCOS treatment. However, the approach to treatment should be decided based on an individual's profile and factors such as age, symptoms, regularity of menses, and expectations out of the treatment.

Each treatment type has its benefits and risks. While the main benefit is to manage the symptoms and improve the quality of life, some of the common risks of drugs and medications (including birth control pills) may include weight gain, mood swings, hot flashes, and nausea. However, none of the risks are serious or pose a threat to life.

If laparoscopic ovarian drilling has been advised to the woman, then the recovery is fairly quick. Since it is a laparoscopic procedure, the discharge takes place on the very next day. The minor stitches are removed after 7 to 10 days of the procedure and you can return to a normal routine after that. However, ladies are advised not to perform high-impact exercising for at least a month. To exercise, a normal brisk walk is advisable.

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Frequently Asked Questions

What is the health care infrastructure of Singapore / Why should opt for Singapore as a destination for your medical treatment?
Singapore is generally known for its well-managed health care infrastructure and has an efficient and widespread system of healthcare. Singapore was ranked 6th in the World Health Organization's ranking of the world's health systems in the year 2000. Bloomberg ranked Singapore's healthcare system the most efficient in the world in 2014. Three main healthcare groups exist in Singapore:
  • National Healthcare Group
  • National University Health System
  • SingHealth
The 10 public hospitals in Singapore comprise 8 general hospitals (AH, SGH, NUH, CGH, TTSH, KTPH, NTFGH & SKH), and 2 specialized hospitals (KKH & IMH). In addition, there are 9 national specialty centres for cancer (NCCS & NCIS), cardiac (NHCS & NUHCS), eye (SNEC), skin (NSC), neuroscience (NNI) and dental care (NDCS & NUCOHS). The private healthcare infrastructure in Singapore is also well established. The payment methods include private payment gateways or private insurance companies. You can expect better technology to be used in private hospitals in Singapore. Various procedures like stem cell therapy and cancer research are conducted in Singapore.
What are the conditions of the hospitals in Singapore? Are they JCI certified? What is the quality of the support staff in the hospitals?
The Joint Commission International (JCI) is a global leader in health care accreditation. JCI accreditation is considered a gold standard in worldwide health care. It provides the most skilled and experienced healthcare professionals in the medical industry, as evaluators of the rigorous international standards in healthcare quality and patient safety. Here are some of the JCI certified hospitals in Singapore :
  • Mount Elizabeth Hospital
  • Singapore National Eye Centre
  • National Dental Centre
  • Raffles Hospital
  • National University Hospital
  • Gleneagles Hospital
  • Singapore General Hospital
  • National Heart Centre Singapore
  • Changi General Hospital
  • National Cancer Centre
  • National Skin Centre
  • Johns Hopkins Singapore International Medical Centre
  • Tan Tock Seng Hospital
Are the doctors/surgeons in Singapore of the best quality?
Since Singapore is known all over the world for some of the best medical treatments all across the globe, you can surely expect the best quality of doctors and surgeons here. This country has a very high quality of life and hence the health of people is of high priority.
What is the process for obtaining a medical visa in India?
People who wish to go to Singapore as a tourist for social purposes or seeking medical treatment, and require a longer period of stay beyond the Visit Pass granted on entry into Singapore, may submit an application for extension of stay (not more than 89 days from date of entry) online using the e-Service of ICA. All extension applications must be submitted online using the e-service at least seven days prior to the expiry of the visit pass to avoid overstaying. Extension of visit will not be accepted over the counter. Every visit pass issued to any person as a tourist or for the purpose of a social visit or medical treatment shall be subjected to the condition that the holder shall not engage in any form of employment (paid or unpaid) or in any business, profession or occupation in Singapore during the validity of that pass unless he is a holder of a valid work pass issued under the Employment of Foreign Manpower Act. Do visit the ICA website for further information.
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MediGence enables you to plan and manage your medical decisions better. These are some of our services offered:
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Which are the best cities in Singapore for medical treatment?
Singapore is a sovereign island city in itself. So you can find many options for treatment in Singapore itself, without having to travel too much.

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