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Ano ang dahilan sa pagkakaroon ng PCOS o Polycystic Ovarian Syndrome? | Pinoy MD
GMA Public Affairs
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1/6/2024
Aired (January 6, 2024): Ano nga ba ang PCOS o Polycystic Ovarian Syndrome at ano ang sanhi nito sa kababaihan? Alamin ang kasagutan ni Dr. Raul “Q” Quillamor sa video na ito.
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00:00
Welcome back to Pinoy MD!
00:02
And of course, we will welcome our obstetrician gynecologist, Dr. Q,
00:06
to answer some of the questions you sent to our FB page.
00:12
Good morning to you, Dr. Q!
00:14
Good morning, Konnie, and good morning to all of our listeners.
00:18
Happy New Year, everyone!
00:20
For our first question,
00:22
"Doctor, can a woman with child already have PCOS or polycystic ovarian syndrome?"
00:28
"What is the reason for this?"
00:33
This question is from Ninia De Leon.
00:36
PCOS is a condition that occurs in reproductive-age women,
00:40
whether they are pregnant or not.
00:43
PCOS is polycystic ovarian syndrome,
00:46
where there are many manifestations.
00:50
There is no period, sometimes menstrual bleeding is heavy,
00:54
there are pimples, and abnormal pigmentation in other parts of the body.
00:59
This is due to hormonal imbalance.
01:02
The estrogen level can be high, the progesterone level can be low,
01:05
or there is insulin resistance in a woman, like diabetes mellitus.
01:10
Or PCOS can also occur in a woman if she has an abrupt weight gain or abrupt weight loss.
01:16
On to our next question, Dr. Q.
01:19
"Is it natural for a woman to have menstruation for 3 weeks?"
01:24
This question is from Rosa Lizabido.
01:28
A normal menstruation can last for 3 to 7 days.
01:32
The period from the first day of the last menstruation to the first day of the next menstruation
01:37
is around 28 days, plus or minus 7 days.
01:40
This means that a woman can have menstruation within 21 days or 35 days.
01:46
So, in one month, she can have 2 menstrual cycles,
01:50
or there is a month where she cannot have menstruation,
01:54
and then the following week of the next month, she can have menstruation.
01:57
If this exceeds 35 days, or a woman has menstruation for less than 21 days,
02:03
this is not normal.
02:05
This is what we call abnormal uterine bleeding.
02:08
If a woman's bleeding exceeds 7 days,
02:12
or if it is more severe than her previous cycles,
02:16
this is what we call abnormal uterine bleeding.
02:19
Here is our next question, Dr. Q.
02:21
"What is amenorrhea? How is it obtained, and what are the effects on health?"
02:28
This question is from Colette Torres.
02:30
Amenorrhea is the loss of a woman's period.
02:34
We call it primary amenorrhea and secondary amenorrhea.
02:38
Primary amenorrhea is when a woman reaches 15 years of age and does not have periods.
02:46
Secondary amenorrhea is when a woman has periods before,
02:51
and then for the 3 succeeding months, she does not have periods.
02:57
There are many causes of primary amenorrhea.
03:00
It can be hormonal, genetic, or chromosomal aberrations like Turner's syndrome.
03:06
The secondary amenorrhea causes are the following.
03:09
It can be hormonal imbalance,
03:11
or it can be hormonal imbalance in other parts of the endocrine system of our body
03:18
like thyroid glands or adrenal glands.
03:22
If a woman has hyperthyroidism or adrenal insufficiency,
03:26
or if a woman undergoes dialysis because of chronic renal failure,
03:30
amenorrhea can also occur.
03:32
Malignancies or infections are the other causes of amenorrhea.
03:37
And on to our next question again, Doc Q.
03:40
Why is it that her 18-year-old son has not yet had a menstruation?
03:46
If your son is 18 years old and has not yet had a menstruation,
03:50
this is what we call primary amenorrhea.
03:53
And it needs to be examined to find out if the problem is anatomic or hormonal.
04:01
Because if it is anatomic, it is difficult to correct if he does not have a matrix
04:05
or if his ovarian is underdeveloped and under functioning or hypofunctioning.
04:11
Or it can also be labial agglutination where the labia of a child is closed.
04:19
The blood accumulates inside the vagina, inside the matrix,
04:24
and it returns to his body and to the pelvic cavity.
04:28
Or a child can also have hormonal problems.
04:31
That is why he needs to get a complete history, a detailed evaluation
04:37
to find out what is the cause of his primary amenorrhea.
04:41
And last but not the least, for women, of course, this is about the use of pills.
04:48
To make sure that this is effective, what is the right use of pills?
04:54
The question from Spencer T.
04:58
The use of pills also requires counseling,
05:01
especially if you are just starting to take oral contraceptive pills.
05:06
So you can consult a doctor or a healthcare provider trained in family planning
05:11
so that you can be given counseling and discuss with you
05:15
what is the right or appropriate oral contraceptive method for you.
05:20
You cannot just buy medicine at the counter and start
05:25
because you also need to see if you have other problems
05:28
that can be contraindicated by using oral contraceptive pills.
05:32
Thank you so very much again, Doc, for answering the questions of our viewers.
05:36
If you have other questions, just send them to our Facebook page.
05:42
And maybe the next question, we can ask our expert.
05:46
Pinoy MD will be back.
05:49
[Music]
06:11
[BLANK_AUDIO]
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