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]
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