Can I smoke while trying for a baby?

By Dr. Shweta Goswami

We make many lifestyle changes while trying to have a baby like by limiting the coffee or alcohol intake But not all changes are equally easy to make. Caffeine, for example, is addictive, it has nicotine. If you are a smoker, you probably already know that you should stop smoking during your pregnancy, but can you smoke while trying to conceive? Many surveys and researches have been conducted in the past which says that women who smoke are 60 percent more likely to ne infertile as compare to nonsmokers.

Cigarettes smoking affects your fertility in major way. Following are the ill effects of smoking:

• smoking may affect different stages of reproduction, including hormone production and embryo transport
• smoking may affect ovarian reserve and the quality and quantity of the eggs.
• smokers may also have a lower

Trying to have a baby but unsuccessful? What’s your next step should be?

By Dr. Shweta Goswami 

I have seen many cases in my career as an IVF Expert where over 10% of reproductive-age couples are unable to conceive even after a year of trying. There are many possible reasons for this, including issues with the male’s sperm, the woman’s ovulation, hormonal issues; from being very underweight or very overweight, or from thyroid, cervical or uterine problems, or blocked fallopian tubes. 

What to do if unsuccessful.? 

The first step to identify possible issues contributing to a couple’s inability to conceive. Both man and her woman should undergo a physical exam depending on the risks identified, further testing is done to specifically identify the limiting conditions. This may include testing to examine the male’s sperm (amount, motility, etc.), evaluation of the female’s anatomy (for example a hysterosalpingogram, ultrasound, and/or other tests) and evaluation of the women’s ability to ovulate (possibly including hormonal testing and/or other tests). 

In fact out of 100% nearly 30% of all infertility cases, the cause is attributed to a problem in the male, 30% of cases, the cause is attributed in female and 30% to both male and female factors and rest 10% is unknown. 

The main cause of infertility is the 

• abnormalities in sperm of males which includes low sperm production or immobile sperm. 
• tubal issues in the woman account for another third, ovulation issues for about 15 percent, and
• other issues or no explanation identified in the rest. 

What treatment to go for when the cause is identified? 

Once a cause is identified, a specific care plan can be developed. This may include treatment for the male partner (or even consideration of using sperm donation), medical treatment of the woman to help increase ovulation (including weight

5 things that can affect your fertility

By Dr. Shweta Goswami 

Many a times we didn’t realize that there are very basic things that causes hindrance in getting pregnant. Let’s get to know what are all these factors that can affect one’s fertility 

1.     Being obese   

Women who are overweight or obese have less chance overall of getting pregnant than women of a healthy weight (with ‘healthy’ defined as having a body mass index – or BMI – of between 20 and 25). Overweight and obese women are also more likely to take longer than a year to conceive. Being obese (BMI of more than 30) can cause pregnancy and birth complications, such as hypertension and pre-eclampsia. 

Overweight and obese men have worse sperm quality than men of healthy weight. Being overweight or obese can also cause hormonal changes that reduce fertility and make men less interested in sex. Men who are very overweight are also more likely to have problems getting an erection. 

Being overweight or obese in pregnancy also has implications for your baby’s health later on, as children born to overweight or obese mothers are more likely to become obese children and adults – with associated health problems (including fertility issues). 

The good news is that if you’re overweight or obese and planning to try for a baby, losing even a few kilos can increase your chances of getting pregnant. 

2.     Drinking too much caffeine  

Although there is not absolute evidence to suggest caffeine having a negative effect on your fertility, studies are constantly indicating that it can disrupt ovulation and hormone levels, as well as the efficiency of the fallopian tubes. 

3.     Alcohol and Smoking  

Everybody knows that smoking and drink alcohol are big NOs when pregnant but did you also know that excessive alcohol consumption over long periods of time and constant inhalation of cigarette fumes can affect your future fertility; Smoking can affect your hormone production and the environment in the uterus. It can also

What you should know about Ovarian Cancer?

By Dr. Shweta Goswami 

Ovarian cancer - the cancer of ovaries has been known as a ‘silent killer' in the past because it's hard to diagnose. 

Its symptoms are:

• persistent tummy or pelvic pain  
• increased tummy size or persistent bloating – not bloating that comes and goes 
• Difficulty eating and feeling full quickly.  

Some women may also experience other symptoms like: 

•  the need to wee more frequently,  
• changes in bowel habit,  
• extreme fatigue or pain.  

If you have these symptoms more than 12 times in a month, you should seriously consider going to see your doctor. 

According to the American Cancer Society about 1 in 75 women will get ovarian cancer in her lifetime, but young women are rarely affected. The risk escalates starting at age 63, 

Diagnosis of Ovarian cancer: 

It is often diagnosed at a late stage. Ovarian cancer is frequently diagnosed when the cancer is already at an advanced stage and women often delay seeking help. This may be because the woman thinks her symptoms are due to menopause or confused with other common stomach and digestive complaints. Doctors also often initially suspect less serious

How to change your diet and exercise routine if you have PCOS

By Shweta Goswami 

PCOS - polycystic ovary syndrome as we all know is one of the most common hormonal disorders for women. But when you've been diagnosed with it, no matter how severe your symptoms are, from excess hair to spots, irregular or absent periods and weight gain, it can be really hard to know what to do next. Firstly, it's important to remember that although PCOS is related to our hormone levels, and insulin production, it's not your 'fault' if you have it. The symptoms can sometimes, however, be managed and hopefully, improved through diet and exercise. 

1. If you are overweight (with a BMI of over 25) even a small reduction in weight can significantly improve symptoms, including a low mood or depression.  

2. Keep your sugar controlled; as you can't handle high sugar levels in PCOS. So, your diet is a chance to really change things and this can also help you in future too, during pre-menopause and before and during pregnancy. By keeping your weight stable, your pregnancy is likely to be more straightforward health wise.  

Here I have listed out few important Do’s to do if you have PCOS: 

1. Focus on nutrition, not diet 

Eat clean. Have lots of leafy green vegetables, blueberries, pineapples and a focus on whole foods and sources of protein like fish, eggs and chicken breast, and good fats like nuts and avocado. Also add spices like turmeric, cinnamon, fenugreek, and ginger, that are anti-inflammatory and believed to help with insulin resistance. 

2. Cut out processed foods 

It simply means swapping fruit drinks and smoothies for whole fruit, because they contain more fibre, which is vital for a healthy gut. Fruits low in fructose are best, like grapefruits, lime, lemon, raspberries, blackberries and strawberries. 

3. Try and balance your blood sugar throughout the day 

Start with breakfast. Don't leave home with an empty stomach and then grab a sandwich at 12 or simply a big aaple. Just make sure

Every woman should know these 4 things

By Dr. Shweta Goswami 

Being a Gynecologist and IVF specialist it is my duty to inform all the women I know about few things. No matter what if you are a student, a housewife, a working professional, a mother or a grandmother, you should get informed about these below mentioned things. 

1. PCOS and PCOD: 

Poly Cystic Ovarian Syndrome and Poly Cystic Ovarian Disease are the disease both associated with ovaries; ovaries are the very important part of women’s reproductive body. PCOS is an endocrine system disorder in which woman’s levels of sex hormones estrogen and progesterone gets out of balance. This leads to growth of ovarian cysts. PCOD is a condition developed by the hormonal imbalance, which lead to collection of mature eggs in the ovary, as they cannot be discharged. These also become cysts and some of the cysts lead to more cysts and this cycle goes on. One of the causes would be insulin diet; hormonal disturbances or stress that leads to PCOD. 

Symptoms:    

• you  have irregular menstrual cycle or prolonged cycles (beyond 35 days or so)   
• increased growth of hair on the face, chest, stomach, back, thumbs, or toes   
• your skin is breaking out or you get acne, oily skin, or you are getting dandruff   
• you have gained extra weight around your tummy   
• darkening of skin around your neck  

  

  DNA

2. POF: 

Premature ovarian failure refers to a loss of normal function of your ovaries before the age of 40. If your ovaries fail, they don't produce normal amounts of the hormone estrogen or release eggs regularly. In simple words, you get menopause before the age of 40. 

Symptoms:          

• Vaginal dryness 
• Hot flashes 
• Mood swings 
• Lack of sleep 
• Reduced sex drive 

3. Thyroid: 

Hypothyroidism is a condition in which the thyroid gland doesn't produce enough of certain important hormones. For women, there is

When to go for fertility treatment?

By Dr. Shweta Goswami   

Infertility or unable to conceive is a common problem in today’s modernized society. Today, fertility treatment is a gift of modern science which has helped millions of couples across the globe to conceive.   

Often the question arises when should we seek for fertility treatment? Consider following points if:   

• You haven’t conceived even after having one-year of regular unprotected sex, see a fertility specialist  
• You are under 35 who find it difficult getting pregnant after having regular unprotected intercourse for a year must seek medical help.   
• You are over 35 and having difficulty conceiving after having six months of regular unprotected sex must opt for fertility treatments.   
• You are having irregular menstrual and ovulation patterns poses a high risk for infertility. If you are going through these issues, then it is highly recommended to see a fertility specialist to increase your chances of getting pregnant.  
• Either of the partners has been

Let’s talk about myths and facts about infertility

By Dr. Shweta Goswami 

There are many myths associated with infertility and IVF treatment. Today let’s burst some myths and consider facts about it. 

Myth No.1: Infertility is a psychological problem, not a physical one! 

Fact: Friends and family may suggest that infertility is due to you being under stress or due to worrying too much. While infertility is usually a condition of the reproductive system, in 30% of cases the cause is unexplained. Stress in any situation is never good for your health and studies indicate that time to achieve pregnancy can be reduced and success rates for achieving pregnancy increased by cutting down on stress. Start relaxation techniques such as yoga or meditation for about 10-20 minutes a day, which can relieve your stress and improve your overall well-being. 

Myth No. 2: A woman can get pregnant only on a single day of her menstrual cycle. 

Fact: The fertile window is the six-days that end on the day of ovulation. Pregnancy is most likely to occur with intercourse within the three days before ovulation. Keep track of ovulation with the calendar method (ovulation occurs around 14 days before the menstrual period is due) or by using an ovulation predictor kit. Frequent sex boosts your chances of conceiving. It’s important to have a happy sex life. Be relaxed and have sex often throughout the month. 

Myth No.3: Infertility treatment is expensive 

Fact: In some cases infertility treatment can be expensive, but in many cases, it is simple, brief and inexpensive.  The sooner patients

Fertility over 40, what’s the secret?

By Dr. Shweta Goswami 

Age is one such issue which tops the list if you want to become pregnant because you can’t do anything about it. There’s no medicine, no cure for old age and the disabilities that come with it. The only thing you can do is plan your future well and make the best of today. The ideal age for pregnancy is the mid-to-late 20s. If you want to wait, then you can push that limit to 35. After 35, the chances of a successful pregnancy start declining. 

IVF, for so long considered the only hope for women who are unable to fall pregnant on their own but I believe that IVF isn't the only answer for women wanting to get pregnant. 

There are other options too and that many could find their fertility better boosted through acupuncture, making simple lifestyle changes and, actually, just having more sex. I've known many patients who wanted to go for IVF treatment and aren't regularly having sex. Often people are looking for every possible option not but sex. Physical intimacy between couples is of utmost importance. They've created a joyless life for themselves and they're doing endless yoga or furiously

5 most important things you should know about IVF Treatment

By Dr. Shweta Goswami 

As we know infertility means when you are unable to concive naturally despite of one year of trying. As you age your fertility levels will decline plus there are many lifestyle factors that affects your fertility and then you opt for IVF treatment to conceive. So, here are few things that you should know about IVF: 

1. When women's and men’s fertility really starts to drop: 

First and foremost you should know about the time when a woman's fertility starts to drop dramatically i.e from the age of 30 onwards. Diminishing egg numbers along with diminishing egg quality is one issue. A simple blood test, known as AMH, will tell a woman if she has a normal number of eggs for her age but tells us little about the quality of the eggs remaining. 

On the other hand, men's fertility can also reduce with age. While women are born with all the eggs they will ever have, men are continually producing new sperm. However, as men age, the quality of the genes in their sperm deteriorates.  

2. Success rate of IVF treatment: 

There are ‘N’ number of fertility clinics and infertility specialists in the world and many have achieved the highest success rates in IVF in the world. However, an individual couple's chance of success depends on a number of factors such as the cause of infertility, age and lifestyle. As a general guide, there is a 60 to 70 percent chance of conception per IVF treatment if aged under 30. This goes down to a 20 percent chance for your first IVF treatment over the age of 40. 

3. Cost factor:

Infertility is increasing at a fast paced and IVF is becoming a common option for all. So, as a result IVF has become more affordable in India than in other developed countries. It is just 1/5th of the costs outside India with success rate at par with the world. 

4. Risks involved: 

IVF has been around for more than 30 years. It is a very safe procedure, with no long-term risks to mother or child. The most serious medical complication is

Dealing with infertility

By Dr. Shweta Goswami 

We are living in a society where barrenness ia a taboo. In today’s era also people look down to such women who cannot bear a child in their womb. No matter how society as a whole we are progressing there are many issues which needs to be dealt carefully and one such issue is infertility. Today, we talk about on how to deal with infertility. It is very normal thing these days as there are many lifestyle factors that affects ones fertility be it a male or a female. But without losing our self confidence we need to deal with it.  

So, here are few tips that may help you to get through it: 

1. Love your body  

No matter what God has given you beautiful body. Self-care is utmost important things that you can do Just nurture and love your body. Diet and exercise can be a great way to take control and give your body what it needs. From taking a long hot water shower bath to treating yourself to lovely food, to pampering yourself with a spa etc just do that. 

2. Give yourself time 

Take each day as if it’s today only. It is a cliché that ‘time heals’, take each day as it comes and try not to beat yourself up. Manage your work home time equally and do what the time needs at a particular given hour. 

3. Do not get over emotional 

It is completely ok if you feel a loss for sometime but hanging to such a loss for a longer period of time is not good. Today thanks to the technology we have so many options to

Your Lifestyle may be the cause of your infertility

By Dr. Shweta Goswami 

There is an old saying that “Good practices reap good results and bad practices reap bad results”. Here in the process of your parenthood your lifestyle choices plays a pivotal role which decides your fertility levels. If you have opted whole life the good choices then results will be good and vice versa. Modern day habits like easy reach to junk food, no physical activity, and sedentary lifestyle can reduce your chances of conceiving children. This is especially true in this time and age, where couples prefer to have babies late (in their mid 30s). In such a scenario, lifestyle choices become even more important. 

Here in my post, let’s throw some light on the various factors that can negatively affect your fertility levels. 

First and foremost your Age: 

Age is one such issue which tops the list because you can’t do anything about it. There’s no medicine, no cure for old age and the disabilities that come with it. The only thing you can do is plan your future well and make the best of today. The ideal age for pregnancy is the mid-to-late 20s. If you want to wait, then you can push that limit to 35. After 35, the chances of a successful pregnancy starts declining. 

Smoking, a lifestyle choice: 

Smoking has been associated with infertility in both male and female partners. It’s also known to cause many other problems in women, such as increased rate of

Vitamin E improves fertility among men

By Dr. Shweta Goswami 

Infertility is a common problem now. No one knows that what the exact cause of infertility is. Lifestyle plays a vital role in our fertility issues. For example what we take inside our body directly impacts on fertility if we drink alcohol or smoke regularly it badly affects our fertility. 

Studies have shown that certain nutrients if we consume on a regular basis can directly impact the sperm quality in men and can ultimately results in improved pregnancy rates. Many times it is said that low levels of Vitamin E can cause impotence in men. Lack of vitamin E also causes low sex drive and infertility. So, in a way vitamin E is considered as very important nutrient for men. Vitamin E acts as a anti oxidant protecting cell membranes from oxidative damage. 

In a study conducted in USA, men undergoing IVF treatment who have been given vitamin E have shown better fertilization rates which suggest that the antioxidant activity of vitamin E makes the sperm more fertile. Vitamin E is known to

Your journey from fat to fertile

By Dr. Shweta Goswami 

As we all know that fat is no fun. Being overweight or obese has its own plethora of problems. Being overweight affects everything.  Yet another growing problem in today’s time among the population is infertility caused due to Obesity. Weight problem cases are on increase everywhere, and so are infertility clinics. Almost 10% of couples in the country get affected by infertility and are hesitant to take medical advice. The obesity rates in India have been rising at an extensive rate, out of which quarter of the women’s population is defined as medically obese. 

People in cities follow a sedentary lifestyle. Little or no physical activity, easily jumping up to junk food, sitting for prolonged hours, night shifts, wrong eating patterns etc are to be blamed for being obese and there by infertile. 

Obesity also leads to low stamina, which reduces the urge of having sex. Obesity in women is known to contribute to anovulation, a reduced conception rate and at greater risk of pregnancy complications like having a C-section, giving birth to a large baby or even developing gestational diabetes and hypertension. On the other hand men who are

Is Thyroid giving you infertility?

By Dr. Shweta Goswami 

Infertility as we all know is the inability to conceive after one year of regular intercourse without contraception. It is one of the medial, social and psychological burdens in the world. The thyroid hormone regulates cellular function; abnormal thyroid function can affect your fertility. 

According to Indian Thyroid society about 70% of women with PMS have low thyroid levels, which make the ovaries less able to produce progesterone leading to PMS symptoms. 

Having trouble getting pregnant? Your thyroid could be the problem - and your doctor may not even know it. Standard blood tests miss up to 80 percent of cases in which low tissue thyroid levels are causing or contributing to infertility. 

What are the factors affecting your Thyroid health? 

Your thyroid levels can be affected by a variety of reasons such as: 

• High stress levels 
• Nutritional deficiencies, if you are not taking proper balanced diet 
• Immunity disorders 
• Excessive levels of estrogen and prolactin in the body 

Under active thyroid (hypothyroidism) is a condition in which the thyroid gland doesn't produce enough of certain important hormones. For women, there is a link between hypothyroidism and infertility. Low levels of thyroid hormone can interfere with ovulation, which impairs fertility. In addition, some of the underlying causes of hypothyroidism — such as certain autoimmune or pituitary disorders — impair fertility. 

Since standard thyroid blood tests are not sensitive enough to detect low ovarian tissue levels the majority of the time, Women must find a knowledgeable physician who understands that standard tests will often not be useful in detecting low ovarian thyroid levels. 

Let’s look at the symptoms of developing thyroid: 

The symptoms of hypothyroidism can be of many types. Some patients show no symptoms, while others show some marked symptoms. The symptoms usually depend on the severity of the hormone deficiency and the rate at which it develops in the patient. The symptoms are usually milder at the beginning but develop gradually as the condition deteriorates.

• weight gain 
• fatigue 
• constipation 
• muscle

How old is too old to have a baby.?

By Dr. Shweta Goswami 

We all witnessed the recent news of an Indian couple where the woman of 72 years of age and her husband 79 years of age gave birth to a baby boy but at the same time we know that age factor is directly associated with decreasing fertility in women; their eggs grow old. But age does affect the fertility level in men too. 

Yes, you heard it right. Age is not a difficulty in women but after the age of 30, there is a drop in testosterone of 1% per year in men too. Testosterone is the energy, the hormone that you need to make good-quality sperm. It’s not just women who have to worry about their ticking reproductive clock. Men's sperm quality seems to decline after the age of 35. The older a man is the more his sperm cells are dived, and the more divisions present, the more there is a chance for an abnormality to occur. 

In males, sperm motility changed with age. Sperm motility is how well the sperm swim. Sperm motility is usually the best before age 25 and lowest after age 55. In fact, when comparing the number of “good swimming” sperm in men between the ages 30 to 35 with men over age 55, sperm motility decreased by 54 percent. 

In fact many studies have claimed that pregnancy rates decrease between 23% to 38% in comparisons between men under 30 and men over 50. Increased paternal age

Some Do’s and Don’ts during IVF treatment

By Dr. Shweta Goswami 

In Vitreo fertilization (IVF) is a blessing for infertile couples and indeed IVF trend has picked up in India from quite a while now.  When a couple chooses IVF for conception, it affects both the partners physically and emotionally.  There are a few things that you need to keep in mind to improve your chances of conception. 

1. First of all de-stress yourself; be calm and composed think positive.  Also avoid making major life changes such as moving to a new house or starting a new job the same time you’re going through the IVF process. As High stress levels are known to reduce fertility in both men and women and compromise the outcome of an IVF cycle. 

2. Take good care of yourself; It’s very hard to combine your job with an IVF treatment. Don’t stop living. Don’t put everything on hold for your big dream. The impact will be massive. 

3. Eat good amount of nutrients; before your IVF begin start eating fertility diet. Getting nutritious foods is vital for producing healthy eggs and promoting implantation of the embryo. Your diet should consist of 4-6 small meals each day and each should consist of some complex carbohydrate (such as brown rice or quinoa) interspread with fresh fruits and vegetables. For a fertility diet read here. 

4. Drink lots of fluids; Some women during IVF process suffer from OHSS (Ovarian hyper stimulation syndrome) so drink lots of fluids during this time. Drinking 3-5 liters of water per day can prevent OHSS in some cases. 

5. Stop consuming alcohol; Alcohol consumption, even in small amounts, can reduce a woman's chance of conceiving by more than 50%, so why take a chance. 

6. Communication

Trying to conceive then quit smoking

By Dr. Shweta Goswami

If you are a chain smoker and trying to get pregnant then please stop smoking as cigarette smoking is harmful to the ovaries, and the degree of damage is dependent upon the amount and length of the time a woman smokes or is exposed to a smoked environment. Nicotine and other harmful chemicals in cigarettes interfere with the body’s ability to create estrogen, a hormone that regulates folliculogenesis and ovulation. Female smokers also have decreased rates of fertility and decreased fallopian tube function. It not only can lead to all kinds of serious problems with the baby but also reduces the chances of IVF producing a live birth by 34% and increases the risk of an IVF pregnancy miscarrying by 30%. A pregnant woman who smokes also adds a risk to pregnancy. 

If you smoke for many years or smoke many cigarettes per day, your risk for fertility problems is increased. When you smoke, more than 7000 chemicals spread throughout your entire body and all of your organs. This can lead to serious fertility problems like blocked fallopian tubes, damage to your reproductive organs, premature menopause, genetic issues etc.  Ovarian aging is thought to be a major contributor to unexplained infertility. 

Not only that but due to the toxins that released from cigarettes; smokers are more likely to suffer from miscarriage than nonsmokers. In addition, smoking increases

With IVF it’s possible

By Dr. Shweta Goswami 

Motherhood completes a woman; in fact it makes you a better person. Every married woman dreams of having own her baby but due to fast paced life and sedentary lifestyles these dreams seem to have taken a back seat and people are busy in building their careers. 

Many times we don’t know that small lifestyle issues severely affect our fertility and there by reduces the chances of conceiving naturally. Fast paced life, junk food, late working hours affect the fertility levels in both men and women thereby making you infertile. 

According to ICMR (Indian council of medical research) bulletin it is estimated that globally between 60-80 million couples suffer from infertility every year, of which probably between 15- 20 million are in India alone. 

The reason behind infertility are many few of them could be PCOS, sedentary lifestyle, eating junk food, depression, problematic womb, consumption of alcohol, smoking, stressful life, uterine problems, fallopian tube blockage, low sperm count, etc. The causes of infertility are present in both the genders. A woman cannot be blamed alone for this. 

But thanks to modern technology In Vitreo Fertilization or IVF technique, a woman can now enjoy motherhood with their own biological child even after crossing their puberty age. However, many do not know about the advanced treatment presented by the medical science 

The fertility of a woman starts declining after she crosses 27 and men fertility too starts dropping after 35. The chances of miscarriage, ectopic pregnancy or

Time to seriously think of PCOS

By Dr. Shweta Goswami    

PCOS which is called Poly cystic ovarian syndrome is a hormonal imbalance disorder in which woman’s levels of sex hormones estrogen and progesterone gets out of balance. This leads to growth of ovarian cysts. To elaborate what actually cysts is that in girls with PCOS, the ovaries produce higher levels of androgen than normal, and this interferes with egg development and release. Some of the eggs develop into cysts which are little sacs filled with liquid and instead of being released during ovulation, these cysts build up in the ovaries and even get enlarged , hence the name poly cystic ovaries or Poly-Cystic Ovarian Syndrome. Thus a girl or woman with PCOS does not actually have cysts in her ovaries, she has lots of egg follicles in various stages of maturation which on an ultrasound give the appearance of numerous fluid filled cysts in both ovaries  

Mostly more than half of women with poly cystic ovary syndrome don't even realize they have PCOS; mainly hormonal imbalances and genetics play a pivotal role in developing PCOS.   

Women with infrequent menstrual periods or irregular bleeding are likely to have PCOS. Moreover if you notice these symptoms in your body then please do consult a good IVF specialist as PCOS could give you infertility as well which means that you are unable to get pregnant on your own.  

One should consider getting evaluated for PCOS if:   

• you  have irregular menstrual cycle or prolonged cycles (beyond 35 days or so)
• increased growth of hair on the face, chest, stomach, back, thumbs, or toes 
• your skin is breaking out or you get acne, oily skin, or you are getting dandruff  
• you have gained extra weight around your tummy   
• darkening of skin around your neck    

If PCOS is not diagnosed early and treated properly it can lead to problems as well like type 2 diabetes , high cholesterol, high blood pressure, abnormal bleeding from the uterus, and very occasionally cancer too. The most important step is screening the condition and PCOS can be easily diagnosed through Blood tests and Ultrasound and therefore the chances of having serious side effects are reduced. The important thing is to diagnose