Sunday, 26 May 2019

Can stsin help in risk reduction of cardio vascular diseases in PCO cases with dydlipidaemia?


How many members use stains in teenage PCO if there is marked dyslipidaemia??

Ans: This raises a question is it worthy to prescribe such drug when hepatic enlargement is not uncommon (Fatty liver). How should one balance the risk of stating induced myopatly albeit  rare.Does stain have any long term beneficial effect Ion risk reduction in the form of CVD prevalence .Does stain prevent prevalence or magnitude of CVD in later life?What does the evidence say?? 

What is known about PCO;-We are aware of the  fact that high levels of serum androgens (male hormone) are one of the main features of PCOS.
 women with polycystic ovary syndrome (PCOS) usually suffer from  irregular periods, excessive hair growth (hirsutism) and acne (pimples).

How many members use statins in PCO when there is dyslipidaemia at post pubertal age due to PCO to curtail CVS risk in later life? We know post-pubertal girls who are having Oligomenorrhoea, overweight along with F/H/O of DM are at a higher risk of Metabolic syndrome & CVD in of 4th/5th th  decade of life . But the magnitude of risk(how early will the and how severely the woman will be affected but the fact remains that OGTT is a better guide for glycemic status of adolescent PCO abd Lipid profile to forewarn the parents about diet  &  exercise).
Ans 2:-There is no good evidence from different long term studies that `   :-
Statins improve menstrual regularity, spontaneous ovulation rate, hirsutism or acne, either alone or in combination with the combined oral contraceptive pill.
 There is also no good evidence that statins have a beneficial effect on hirsutism or acne (pimples) associated with PCOS.
But the plus point is :-- In women with PCOS, statins are effective in reducing serum androgen levels and decreasing bad cholesterol (LDL), but
statins are not effective in reducing fasting insulin or insulin resistance. There is no good evidence available on the long-term use of
statins (alone or in combination) for the management of PCOS.



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