 Hello friends. I am Dr. Leena Shreeder. I am heading the Department of Obstructs and Gynecology at the Manipal Hospital, Dwarka, New Delhi. I am going to tell you a little bit about polycystic ovaries, which is really one of the common problems affecting the youth of today, the young women. As you know that polycystic ovaries, the incidence has increased for the last 10 to 15 years. One of the reasons is genetic preponderance for it as well as our diet and sedentary habits. For example, a woman, she has regular periods, one of the eggs ruptures every month and you know the cycle of the menstrual cycle goes on. You can see this is one egg which is rupturing. So what happens in polycystic ovaries is multiple eggs form but not one of them ruptures. So she starts getting irregular mences. She starts putting on a lot of weight. They could be acne, they could be hercitism that is the male pattern of hair which is you know seen typically the beard hair or the hair under the chin. So this is seen. Now this is used to be considered only as a hormonal problem but now it has been very clearly proven that this is a metabolic disorder and it runs in families and the main reason is hyperinsulinia. That is the high level of insulin in families right from the beginning those ladies have a lot of polycystic ovaries. You will see that there is a sugar problem where ladies have more chances of having PCOS. It is not necessary that all these symptoms are in one woman. They can be two of these plus they can be an ultrasound picture or they can be just an ultrasound picture and none of these other symptoms the lady may be thinking I am getting regular periods but actually eggs are not forming and after a few years she finds that weight gain is happening. So important is that they should come early. Doctor has to go to the doctor quickly. He has to get his treatment. Weight loss. He said he has gone with exercise, diet. Due to that we can keep a lot of polycystic ovaries in control. This is very important for us to understand this disorder so that his long term problems are not there. For example the young girl she is having a regular period. She is putting on a lot of weight. Tomorrow she gets married. She wants to conceive. She may also have difficulty in conceiving. If she does not have difficulty she conceives. More chances of abortion. More chances of problems during pregnancy. Sugar problem in pregnancy. Diabetes that is. And when she gets old then at an older age there is a slight higher incidence of cancer's ovarian cancer in those women who have polycystic ovaries. That is why this importance is very important to diagnose this condition well in advance and I would say that there should be a overall general awareness towards this.