PCOS affects a major part of a menstruating person’s life than many of them are aware of. The lack of information about the condition and the reluctance of people to talk about the matter makes it worse. As we kick off World PCOS Awareness Month, we try to understand the proper repercussions and the best ways to manage your periods. As science progresses each day, many women have taken the initiative to further the research on PCOS and the reproductive health of women. We spoke to Dr Prarthana Shah, a doctor who specialised in preventative CVD medicine and an Integrative Health Coach to get a better understanding of the vital role nutrition plays in a woman’s reproductive cycle.

Polycystic Ovary Syndrome (PCOS) is a hormonal disorder affecting millions of women worldwide. Characterized by irregular menstrual cycles, excess androgen production, and the presence of cysts on the ovaries, PCOS can lead to a range of health issues, including infertility, obesity, type 2 diabetes, cardiovascular disease, and endometrial cancer.

Role of Nutrition in PCOS Management

A balanced diet plays a crucial role in managing PCOS symptoms and reducing the risk of associated health complications. By focusing on nutrient-dense foods and avoiding certain triggers, women with PCOS can significantly improve their overall well-being.

According to Dr. Prarthana, “The first thing is B12. So, a common deficiency, even otherwise, which can affect a woman's hormonal balance, because it helps regulate your hair length, and so it's important to make sure that you're getting enough B12.” There are important nutrients that women must have for healthy menstrual cycles.

• Vitamin B12: Essential for hormonal balance, hair health, and regular menstruation.
• Vitamin D: Helps regulate hormones, supports ovarian function, and improves insulin sensitivity.
• Iron: Crucial for preventing anaemia, which is common during menstruation.
• Electrolytes: Help maintain fluid balance and prevent fatigue.
• Amino acids: Provide building blocks for proteins and support overall health.

Dietary Recommendations for PCOS

As Dr Prarthana mentioned, the key nutrients that women lack are the reason why their periods might be irregular and make it difficult for them to handle it. She suggested that it's essential to prioritize a nutrient-rich diet. Focus on consuming whole foods like fruits, vegetables, whole grains, lean proteins, and healthy fats.

Minimize your intake of processed foods, sugary drinks, processed meats, and refined carbohydrates, as these can contribute to inflammation and hormonal imbalances. Consider limiting or avoiding dairy products, as they may contain hormones that can disrupt your hormonal regulation.

She also emphasised the importance of seasonal fruits. While many people have expressed their reservations with cross-contamination and germs from fruits she says, “You have to eat seasonal fruits and vegetables. Greens and salad leaves, all of these things for vitamin B12. Now, of course, there will be some vendors that cut it up. So, don't buy it from there. one tip I personally suggest is that I use something called Veggie Wash where I wash my salad leaves in that at home. You can also wash it with salt or apple cider vinegar.”

When enjoying seasonal fruits and vegetables, be mindful of potential contamination from vendors who cut and sell them. Wash them thoroughly at home to ensure safety. Finally, stay hydrated by drinking plenty of water throughout the day to support overall health and prevent dehydration.

Lifestyle changes you should make for PCOS

According to Dr Prarthana, your lifestyle plays a really important role in PCOS, “So, I know most women, even though they regularly exercise, I mean the ones that do, also kind of skip it during the period and that is the wrong thing to do, ideally.”

She also expresses how much it actually helps with period pains and relief for women, “It's okay. You should go and do some sort of exercise. Go for a walk. It could be lighter if you're, you know, tired. But something in some form of movement, maybe yoga, stretching, whatever works for each person depending on how much pain they have. It really opens up the muscles and gives you relief.”

Other changes include,

• Manage stress: Practice stress-reduction techniques like meditation, yoga, or deep breathing.
• Prioritize sleep: Aim for 7-8 hours of quality sleep each night.
• Consider supplements: Consult with a healthcare professional about potential supplements, such as vitamin D and iron, to address specific deficiencies.

Period hygiene is something that girls today are more aware of. This is because they have access to a lot of information from schools, doctors, social media and public health campaigns.

People are now more open to talking about periods than they were a years ago. Knowing about period hygiene does not always mean that girls are doing things the right way.

A lot of girls are still not sure how often they should change their sanitary pads or how to keep themselves clean. They also do not know which menstrual product is best for them.

Educating Young Girls About Menstruation

This is where parents can help. They should start teaching girls about menstruation before they get their period. This way girls will know that getting their period is not something to be scared of.

Parents should tell girls to change their sanitary pads every hour even if they are not completely soaked. They should also teach girls to wash themselves with clean water. Using soaps or fragrances is not necessary and can be bad for the skin.

When it is raining and the air is damp girls should keep themselves dry by patting themselves after washing. Wearing cotton underwear that can absorb moisture is also a good idea. This can help prevent infections.

Parents should also talk to girls about how to use menstrual products safely. Whether a girl uses sanitary pads, tampons, menstrual cups or period underwear she should know how to use them clean them and replace them correctly. If girls do not use these products the way they can get infections or feel uncomfortable.

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Menstrual Products

There are different menstrual products available today. This is a thing because girls can choose the products that are best for them. Having so many options can also be confusing especially for teenagers.

Instead of saying that one product is better than another we should focus on making sure girls have all the information they need to make good choices.

All menstrual products are safe if used correctly. Girls should feel like they can try products ask for help when they need it and choose the products that make them feel good, about themselves.

By Dr Nishita Shah, Gynaecologist, Saifee Hospital

Medical tourism is no longer just a trend—it's becoming a practical choice for millions of people worldwide. Whether it's traveling abroad for an affordable heart surgery, a dental implant, cosmetic procedures, or fertility treatment, more patients are exploring healthcare beyond their home countries.

But is medical tourism always a good idea? While it can offer significant savings and quicker access to treatment, it also comes with important risks that patients should understand before booking a flight.

What Is Medical Tourism?

Medical tourism refers to traveling to another country to receive medical treatment. People often choose this option because healthcare services may be less expensive, waiting times may be shorter, or certain treatments may not be easily available in their own country.

Popular destinations include countries such as India, Thailand, Turkey, Singapore, Mexico, and South Korea, each offering specialized medical services ranging from orthopedic surgeries to cosmetic procedures.

Benefits Of Medical Tourism

One of the biggest reasons people seek treatment abroad is cost. In many cases, medical procedures can cost significantly less than they would in countries with expensive healthcare systems, without necessarily compromising on quality.

Another major advantage is faster treatment. Patients who face months-long waiting lists for surgeries at home may be able to receive care within days or weeks overseas.

Understanding The Risks

Despite its advantages, medical tourism isn't without challenges.

Healthcare standards, regulations, and infection-control practices vary from country to country. Patients may also face language barriers, making communication with healthcare providers more difficult.

Follow-up care is another important concern. If complications develop after returning home, local doctors may have limited information about the treatment performed abroad, making recovery more complicated.

Long-distance travel soon after surgery can also increase the risk of complications such as blood clots, particularly after major operations.

Additionally, legal protections differ between countries. If something goes wrong during treatment, seeking compensation or resolving medical disputes may be more difficult than in your home country.

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How To Stay Safe

Experts recommend researching hospitals carefully before making any decisions. Look for internationally accredited healthcare facilities, experienced specialists, and verified patient reviews.

Patients should also request detailed information about the procedure, possible complications, recovery timelines, and total costs—including unexpected expenses.

Before traveling, discuss your plans with your primary healthcare provider. They can help determine whether traveling for treatment is appropriate and advise you on vaccinations, medications, and post-treatment follow-up.

Finally, purchase travel insurance that specifically covers medical procedures abroad if available, as standard travel insurance policies may exclude elective treatments.

Our role as cardiologists involves observing young athletes train hard to become the next footballer or cricket player. Maintaining a strong and healthy heart requires more than just lung capacity for endurance in tasks like completing '90-minute pitch sprints' or preparing to go through gruelling five-day test matches.

Although uncommon, young athletes often face serious cardiac events that can be prevented. Why? Start your day with habits that can protect your heart.

Vital Heart Habits For Aspiring Athletes

Before competing in a competitive sport, it is important to conduct introductory cardiac evaluations. Set priorities accordingly. If a family history includes sudden cardiac death, cardiomyopathy, unexplained fainting, or inherited heart disease, hypertrophic cardiomyopathies can be detected early on by examining the body through symptom-specific ECG and personal/family history testing.

The process of dehydration causes your heart to pump faster and requires a much greater amount of blood. Consuming water on a daily basis and using electrolyte solutions during intense sweat sessions can prevent arrhythmias.

Don't overlook symptoms like chest tightness, sudden shortness of breath, or faintness when exercising; these are not just fatigue but signs of fatigue. Go and see a medical professional without delay.

Prosperity for recovery and sleep: Deep sleep is characterized by a decrease in heart rate, a settling of blood pressure, and relaxation of cardiac muscle tissue. By sacrificing 8-9 hours of sleep, your heart will become affected, and stress hormones such as cortisol are elevated.

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Avoid consumption of energy drinks that contain harmful stimulants and high levels of caffeine, as it can lead to heart palpitations. Consume whole foods high in lean protein and complex carbohydrates.

“Dreaming big requires training smart. If you listen carefully and respect your heart today, it will be enough for years to make sure you can continue playing sports.”

Dr. Anshu Kumar Jha, Consultant – Cardiology, Manipal Hospitals, Dhakuria, Kolkata.