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Health Monitoring Guide / स्वास्थ्य निगरानी गाइड
PCOD/PCOS Health Checkup Schedule
PCOD/PCOS स्वास्थ्य जांच कार्यक्रम
Regular monitoring for managing PCOD effectively
PCOD/PCOS Health Checkup Guide
PCOD/PCOS स्वास्थ्य जांच गाइड - By Dr. Neha Singhania
Hormonal Tests / हार्मोनल जांच
| Test / जांच | When to Do / कब करें | Frequency / आवृत्ति | Purpose / उद्देश्य |
|---|---|---|---|
| LH & FSH | Day 2-3 of period | Every 6-12 months | Check LH:FSH ratio |
| AMH (Anti-Mullerian Hormone) | Any day | Yearly / वार्षिक | Ovarian reserve |
| Testosterone (Total & Free) | Any day | Every 6 months | Hyperandrogenism |
| DHEA-S | Any day | Yearly / वार्षिक | Adrenal androgens |
| Prolactin | Fasting, morning | At diagnosis, then as needed | Rule out other causes |
| Thyroid (TSH, T3, T4) | Fasting | Every 6-12 months | Rule out thyroid issues |
| 17-OH Progesterone | Day 2-3 of period | At diagnosis | Rule out CAH |
Metabolic Screening / मेटाबोलिक स्क्रीनिंग
| Test / जांच | Frequency / आवृत्ति | Target Values / लक्ष्य मान |
|---|---|---|
| Fasting Blood Sugar | Every 6 months | < 100 mg/dL |
| OGTT (75g Glucose) | Yearly / वार्षिक | 2hr < 140 mg/dL |
| HbA1c | Every 6-12 months | < 5.7% |
| Fasting Insulin | Every 6-12 months | < 25 μIU/mL |
| HOMA-IR (Insulin Resistance) | Yearly / वार्षिक | < 2.5 |
| Lipid Profile | Every 6-12 months | LDL < 100, HDL > 50 |
Ultrasound Monitoring / अल्ट्रासाउंड निगरानी
| Type / प्रकार | When / कब | What to Check / क्या देखें |
|---|---|---|
| Baseline Pelvic USG | Day 2-5 of period | Ovarian volume, follicle count, endometrium |
| Routine Follow-up USG | Every 6-12 months | Monitor ovarian changes |
| Folliculometry (if trying to conceive) | Day 9, 11, 13, 15... | Follicle growth, ovulation |
| Endometrial Thickness | If irregular periods | Rule out endometrial hyperplasia |
Cardiovascular Screening / हृदय स्क्रीनिंग
| Parameter / पैरामीटर | Frequency / आवृत्ति | Target / लक्ष्य |
|---|---|---|
| Blood Pressure | Every visit / हर विज़िट | < 120/80 mmHg |
| BMI & Waist Circumference | Every visit / हर विज़िट | BMI < 25, WC < 80cm (Indian) |
| hs-CRP (if high risk) | Yearly / वार्षिक | < 1 mg/L |
If Planning Pregnancy / यदि गर्भावस्था की योजना है
Additional tests before trying to conceive:
- • Day 2-3 Tests: FSH, LH, Estradiol, AMH
- • Day 21 Test: Progesterone (to confirm ovulation)
- • Partner: Semen analysis
- • HSG/Sonosalpingography: To check tube patency
- • Rubella & Varicella IgG: Immunity check
- • Folic Acid: Start 3 months before conception
📋 Lifestyle Monitoring Checklist / जीवनशैली निगरानी
Track Monthly / मासिक ट्रैक करें:
- ✓ Period dates & flow
- ✓ Weight & measurements
- ✓ Exercise frequency
- ✓ Acne/hair growth changes
- ✓ Mood & energy levels
Goals / लक्ष्य:
- • 150 min exercise/week
- • Low GI diet
- • 7-8 hours sleep
- • Stress management
- • 5-10% weight loss (if overweight)
🚨 When to See Doctor Immediately / तुरंत डॉक्टर से मिलें:
- • No period for more than 3 months
- • Heavy or prolonged bleeding (>7 days)
- • Sudden weight gain or difficulty losing weight
- • Severe acne or rapid hair loss
- • Signs of diabetes (excessive thirst, frequent urination)
- • 3 महीने से अधिक समय तक पीरियड नहीं
- • भारी या लंबे समय तक रक्तस्राव
⚠️ Important Notes / महत्वपूर्ण नोट्स:
- • Testing frequency may vary based on symptoms and treatment
- • If on Metformin, check Vitamin B12 yearly
- • If on OCPs, monitor BP and liver function
- • Adolescents may need different approach
- • जांच की आवृत्ति लक्षणों और उपचार के आधार पर भिन्न हो सकती है