History of Polycystic Ovarian Disease (PCOD) in Indian medical literature

Abstract

Polycystic Ovarian Disease (PCOD) is a hormonal disorder that affects the reproductive system of females. Understanding the background of PCOD makes the concept clear. PCOD was previously considered just an Ovarian Disease but it was later recognised to be a hormonal metabolic disorder. An analysis of PCOD history clarifies the evolution of its diagnostic criteria. Modern diagnostic techniques are the result of long term historical development. Earlier the focus was on only surgery and ovaries but now it is on the modification of lifestyle and control of insulin resistance. History shows what was effective and what was not. It is called polycystic Ovary Syndrome (PCOS) in Western books. In India, it is called PCOD. According the Western medical research, PCOS is a long-term condition. This is not just a period issue: It’s related to hormonal and Metabolism. Periods are late or absent, high Androgen hormone (Male hormone) and the appearance of small cysts in the ovaries are the main problems in PCOD Western Literature and scientific studies focus more on blood tests, ultrasound and clear diagnostic criteria. Indian medical studies agree with the Western definition, but they highlight a few extra points such as lifestyle factors (junk food, physical inactivity and stress). In India, PCOD is often a late diagnosis. Irregular Periods are considered normal. Periods and infertility are not discussed openly in society.