Dietician for PCOS/PCOD in Delhi-Archana Agarwal
Nutritionist and Dietician for PCOS/PCOD in Delhi
When we talk about PCOS treatment, we need to first talk about Archanaji whose passion is to connect with more and more people and her ultimate goal is to Cultivate a Responsible, Preventive attitude towards our Health and Well Being with a Balanced Lifestyle.
Archana Agarwal is one of the best nutritionist in Delhi having more than 3 decades of Experience & Expertise in Dietary support Counseling for PCOS /PCOD, Hormonal Imbalances & Infertility.
Overview about PCOS/PCOD
PCOS or Polycystic Ovary Syndrome is typically marked by Irregular Periods or by No Menstruation at all. PCOS is a Hormonal Disorder which causes Enlarged Ovaries with small Cyst on the outer edges. Though the exact cause is not well understood, but it involves a combination of Genetic and Environmental Factors.
PCOD or Polycystic Ovarian Disease and PCOS are very often used interchangeably but are not the same! PCOS is an Endocrinol Problem or a Metabolic Syndrome and is more serious in nature. In the condition of PCOS, ovaries releases increased amount of Androgen than usual which hampers the regular function of the eggs, hampering its development and release. The PCOD is a Hormonal Problem caused by HORMONAL IMBALANCE and is normally considered as temporary which can be corrected through a Right Balance of Diet and Exercise.
There is no absolute cure for PCOD or PCOS, but the Symptoms are managed with a Regulated Dietary and Physical Regime. In the case of PCOS, the Treatment involves correcting several different factors causing the Symptoms rather than just one.
Though PCOD is more common, PCOS has more serious Complications and Implications like increased Risk of developing Diabetes, High Blood Pressure/Cardiovascular Issues, Obesity and even Endometrial Cancer. PCOS is visible much earlier in life in Teenage girls and exhibit Symptoms of the Disease in the form of Acne, Excessive Hair Growth and Weight Gain which are apparent from a younger age due to Metabolic Disturbances.
There are less significant Fertility Issues in PCOD and they can conceive with Medical Help and Support. For instance, women suffering from PCOS have a bigger and longer struggle with Infertility and have higher rates of Miscarriages.
However, in both PCOD and PCOS, it is imperative to catch the Disease as soon as possible to Control Prolonged Damage. Eating a Healthy Diet which is free of Processed and Junk Food and following a Regular Physical Exercise Routine with Proper Lifestyle Changes and Medication to support leads to tremendous Improvement in the Symptoms.
PCOS is an Endocrine Disorder which is found in approximately 6.5% of Reproductive Age Women. It is commonly associated with Obesity, Menstrual Irregularities, Infertility, Insulin Resistance and Clinical Hyperandrogenism and/or Hyperandrogenemia. Since Insulin Resistance and Hyperinsulunmia is the Prime Cause of PCOS in both- Lean as well as Obese Individuals, hence it is important to Plan and Customise a Diet which is best suited for increasing Insulin Sensitivity.
Since Obesity Exacerbates both Insulin Resistance and Hyperinsulunmia, it is important to Plan a Diet which aims at Reducing Weight in case of obese individuals. Even a 5-10% Reduction in Weight has been associated with increased Insulin Sensitivity.
Increased Insulin Levels inhibit the Hepatic Production of Sex Hormone Binding Globulin and Insulin like Growth Factor, Binding Factor-1. Increased Insulin Levels stimulates Ovarian Androgen Production leading 1to the typical Hormonal Abnormalities associated with PCOS.
SYMPTOMS OF PCOS
● Irregular Periods or No Periods at all
● Weight Gain
● Excess Hair Growth (Hirsutism) – usually on the Face, Chest, Back or Buttocks
● Thinning hair and Hair Loss from the Head
● Oily Skin or Acne
● Difficulty in getting Pregnant (because of Irregular Ovulation or Failure to Ovulate)
DIAGNOSIS of PCOS
For the Diagnosis of PCOS, a Thorough History and Physical Examination are essential and the follo11wing criteria are normally regarded as indicative of PCOS.
1. Menstrual Irregularities- Anovulation, Oligo-Ovulation, Amenorrhea, or Irregular Bleeding
2. Symptoms of Hyperandrogenism- Acne, Hirsutism, Male Pattern Baldness, Elevated Serum, Total or Free Testosterone Concentration are the Common Symptoms.
3. In the case of Adolescent, PCOS Diagnosis is made when Clinical or Biochemical evidence of Hyperandrogenism is present along with persistence Oligomenorrhea.
4. Post Menopausal Women are diagnosed with PCOS if they have a long term history of Oligomenorrhea and Hyperandrogenism.
Holistic Treatment for PCOS/ PCOD in Delhi By Archana Agarwal
A Treatment plan for PCOS subjects typically includes Insulin Lowering Drugs, coupled with Antiandrogen Therapy, Oral Contraceptives, and most important of all- the Implication of necessary and relevant Lifestyle Changes.
One of the most important aspects of Lifestyle Changes would be related to achieving the Desirable Body Weight through Dietary Modifications, Regular Physical Regime, and Meditative Practices to keep the body in maximum mode of Parasympathetic State to provide Optimal Healing and Nourishment.
The Additional Benefit of Weight Loss and achieving a Desirable Body Weight is that- it is an Effective Treatment for Type 2 Diabetes Mellitus which is a Risk Factor for Women suffering from PCOS. Diabetes has similar Clinical and Metabolic features like PCOS including Generalized and Abdominal Obesity, Insulin Resistance, Hyperinsulinemia, Dyslipidemia, and increased risk for development of Cardiovascular Diseases.
A relevant Alteration in the Diet Composition has been shown to alter the Metabolic Profile of subjects with PCOS, however the Optimal Diet could be the one which is highly customized based on the Current Nutritional and Health Status of the Subject.
A Customized Diet Plan for PCOS can be handful to improve the Glucose and Insulin Lipid Profiles is an Anti-inflammatory Diet, rich in Antioxidants, to minimize Systematic Inflammation and maintain the overall Well-being of the subject. This is most important to ensure that an Individual is motivated to continue to follow the Diet Plan for Sustainable and Desirable Outcomes.
A Healthy & Balanced & Anti-inflammatory Diet which helps you to prevent Insulin Resistance and maintains your body weight is the best to support the ongoing PCOS Treatment!!
Best Nutritionist for PCOS/PCOD in Delhi
Archana Agarwal is one of the best nutritionist id Delhi having more than 3 decades of Experience & Expertise in Dietary support Counseling for PCOS /PCOD, Hormonal Imbalances & Infertility.
NUTRITIONAL GUIDELINES for WOMEN SUFFERING FROM PCOS
Women with PCOS who have the same overall Energy Intake, Physical Activity and Resting Metabolic Rate as a Control Group, seem to have a greater Appetite, consume more Energy & High Glycaemic Index Food, and have Inadequate Fiber Intake.
Because of the above factors, they get quite low on Quality of Life.
The following Nutritional Guidelines not only help to improve the Metabolic and Hormonal Markers but also improve the Overall Quality of Life which has a Direct Impact on the Outcome of Treatment.
Trunk Fat, Waist Circumference and Raised BMI are the best Predictors of Insulin Resistance so typically associated with PCOS and are also the major root cause of the same. Lifestyle changes with Corrected Diet Patterns and Active Physical Activity bring about a Reduction in Insulin Resistance which is the Principal Goal of PCOS Treatment/ Nutritional Therapy.
● Diet plans for PCOS should include Food with Lower Glycaemic Index and Glycaemic Load which can be achieved by a Proper Balance in the Protein, Carbohydrates and Fat Intake, not only in terms of Quantity, but also the Type of these Macronutrients. It has a Direct Effect on reducing Metabolic Markers associated with PCOS even when there is no remarkable Weight loss.
● Creating a Negative Energy Balance from 350-800 calories per day depending upon the existing BMI and the target for Weight Loss leads to-
○ Successful Body Weight and Fat Loss
○ Improvement in Menstrual Cycle
○ Increased Insulin Sensitivity
The Highly Customized Dietary Patterns of the Diet Plan are based upon the subject’s present Nutritional Status.
● Carbohydrates Distribution, Meal Frequency/Timing and an adequate intake of Omega 3 Fatty Acids along with Vitamin D Supplementation offers additional benefit for markers of Glucose and Energy Metabolism as well as Reproductive Hormone Regulations.
● INOSITOL- the Pseudo Vitamin found in foods such as Fruits, Beans, Cereals and Buckwheat should be included in the Diet to regulate activities of Hormones including Follicle-stimulating Hormone, Thyroid Stimulating Hormone and Insulin.
● Weight Loss helps to reduce increased Testosterone level in PCOS women and also improves Insulin Sensitivity and Ovulatory Function. An Anti-inflammatory Diet has been found to be the most common factor in initiating Weight Loss with the help of Diet Plan having variable Diet Composition.
● Supplements like Vitamin D have an Inverse Relationship with Metabolic and Hormonal Disorder. It is essential to maintain Desirable Vitamin D level for improving Menstrual Regularity.
● Fish Oil Supplementation offers benefits to women with PCOS (Both overweight or Lean Women) which include-
○ Reducing the Elevated Triglycerides Levels
○ Improving Fatty Liver
○ Decrease in Inflammation and Lowering Testosterone
○ Menstrual Cycle Regulation
DIET PLAN FOR PCOS WOMEN
Based on the above Nutritional Guidelines and Dietary Considerations, following is the Meal Plan which promotes Insulin Sensitivity and Weight Loss as well as prevents Pre-diabetes leading to onset of Diabetes and Cardiovascular Risk Issues associated with PCOS.
Glass of Lukewarm Water with half teaspoon of home ground Organic Turmeric Powder and one-third teaspoon of Black Pepper Powder
200 ml of Homemade Buttermilk with lots of Roasted Cumin Powder and Fresh/Dry Mint
A medium Size Bowl of Savory Oats loaded with vegetables like Carrot, Beans, Capsicum and Flavored with Green chili, Ginger and Lemon.
This can be topped with a TEASPOON of Dry Roasted Sunflower Seeds
Seasonal Fruit (Preferably Citrus like Orange or Sweet Lime depending upon the Season)
A medium Bowl of Seasonal Green Vegetable with Multigrain Chapati and a bowl of Carrot/Cucumber/Lauki Raita
Seasonal Fruit like Guava or Jamun (Depending upon the season)
A cup of Green Tea with Dry Roasted Makhanas or Chana
A Light Dinner of Mixed Vegetable Pulav with Green Chutney or a Medium Sized Uttapam with Coconut Chutney