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Polycystic Ovarian Syndrome in rich women a growing concern

Affluent women have poor sleep patterns
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Dr Seema Sharma, senior consultant obstetrics and gynaecology, Apollo Hospital.
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Polycystic Ovarian Syndrome (PCOS) is a common endocrine and metabolic disorder affecting nearly 10 to 15 per cent of women in the reproductive age worldwide. Characterised by hormonal imbalances, insulin resistance and weight gain, PCOS leads to symptoms such as irregular periods, acne, facial hair and infertility. While PCOS affects women across all socio-economic groups, its prevalence and impact in affluent societies presents unique challenges.

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In wealthier populations, sedentary lifestyles, high-calorie diets and stress contribute significantly to insulin resistance and hormonal imbalances. Affluent women often face demanding careers, leading to poor sleep patterns and chronic stress, which exacerbate PCOS symptoms. A diet high in processed foods and sugar, combined with lack of physical activity, worsens insulin resistance, a key driver of PCOS.

Affluent women have better access to healthcare, leading to earlier diagnosis through advanced tests. However, the reliance on quick fixes, such as cosmetic treatments, may delay addressing the root cause. While expensive fertility treatments are more accessible, long-term management remains difficult without lifestyle changes.

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The pressure to maintain a certain body image in affluent circles can worsen PCOS-related anxiety and depression. Social stigma around weight gain and infertility may lead to mental health struggles, despite financial resources for therapy.

If left unmanaged, PCOS can lead to serious health complications, including diabetes, hypertension, high cholesterol, cardiovascular disease and endometrial cancer.

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Lifestyle modification is key to managing PCOS. Affluent women can invest in personalised care, including nutritionists, personal trainers and mental health support. Advanced medical treatments, such as birth control pills and fertility treatments, can also be effective.

While financial resources provide better healthcare access, PCOS management in affluent women requires holistic lifestyle changes. Addressing diet, exercise and mental health is crucial, beyond just medical interventions. Awareness and preventive care can significantly improve quality of life for women with PCOS, regardless of socio-economic status.

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