“Those who think they have no time for healthy eating, will sooner or later have to find time for illness.” - Edward Stanley

Today’s tip is about the drink that has substituted water among the younger generation.Yup, am talking about the COCA-COLA. Did you think ‘Pop open Good Times’ or ‘Open Happiness’ was for you?? Naah, thats just for the company. All that you get is unwanted calories and more weight!

When coca cola was originally created, its major ingredients were Cocaine and caffeine and hence the name Coke. Cocaine was later removed but caffeine is still added which makes us get addicted to Coke without realizing it. Whats more tempting? – The Price. Have you ever noticed that Coke costs less than water!

What happens when I drink Coca Cola?

Here are some interesting facts on what happens when you consume a can of coke:

And what happens when I feel dehydrated? Thats right, Pop open another Coke! The design is by itself compelling us to consume more of what we must avoid like hell. Did you notice the Blood sugar and Insulin spike in 10-20 mins? Well for someone who is blessed enough to be normal, this can be alright. But with an already high level of free insulin (because of the insulin resistance), the extra insulin is definitely not what we want.

This is not just limited to Coke. The same holds good for all the other aerated drinks. In fact Fanta and other more sweeter versions have even more sugar content than in Coke.

Coca cola and Fertility

This might sound ridiculous, but the fact is that Coca cola douches were used for contraception in the 50’s and 60’s when the now effective methods were unavailable. Coca cola when mixed with human sperm (5:1 ratio) immobilizes the sperm instantly. High sugar content of Coca-Cola risks vaginal yeast and bacterial infections. In general, carbonated beverages have detrimental effects on lactobacilli, beneficial bacteria present in a healthy vagina (they maintain the normal vaginal ecosystem).

Not just that, it is a major cause of obesity which directly affects the fertility as outlined in my previous post on obesity and fertility.

The horror doesn’t end there. Do you know that Coca cola or any aerated drink for that matter increases the level of carbon-di-oxide in the blood. In a college competition at Delhi University on who drinks most coke, a student died on consuming 8 bottles of coke because of the high Carbon di oxide level. It has been clinically proven that one of the major reason for Cancer is low oxygen content in the cells of body.

I have reduced a good deal of weight by staying away from Coke and mid meal snacks. There are many more PCOS-ers who have brought their weight down just by cutting Coke off their regular diet. The testimonies are in many PCOS forums.

Alarming alternate uses of coke/Pepsi

1. Coke removes stain off the toilets with no scrubbing. The citric acid in coke does the magic
2. Apply a cloth soaked in coke to a rusted bolt for an hour or so, it comes off like a piece of cake
3. Add the contents of a coke can along with detergent to your laundry load, greasy stains will disappear from the clothes
4. Are the car battery terminals corroded? Try pouring bit of coke there and see the corrosion bubbling away

Are you still ready to drink this excellent multi-purpose cleaner? Shall we take the first step today and say no to Coke/Pepsi?

We had discussed in length about PCOS, Obesity and Fertility in one of the earlier posts. It is essential to understand that weight loss plays a major role in controlling the PCOS symptoms, controlling the insulin resistance in the body and most importantly in improving the fertility.How nice would it be to have a regular cycle! So the first step that we can take to help ourselves is to bring down that extra pounds.

But thats where the problem starts, cutting the weight is easier said than done. So I am planning to write a series of tips, PCOS friendly recipes, exercise, yoga and diet changes that can help you in this Himalayan task.

Body Mass Index (BMI)

As this is the first post in the series, I wanted to tell you about the ideal weight that one must maintain not just for PCOS but also for a healthy living. No prizes for guessing, I am talking about BMI (Body Mass Index)

Lets start by defining BMI. According to Wikipedia,

 

“The body mass index (BMI), or Quetelet index, is a heuristic measure of body weight based on a person's weight and height. Though it does not actually measure the percentage of body fat, it is used to estimate a healthy body weight based on a person's height”

The BMI chart varies between the genders and I am going to focus just on the female BMI chart. Here is how the BMI values are interpreted:

• BMI = <18.5           Underweight (value<16 is considered severely underweight)
• BMI = 18.5–24.9       Normal weight
• BMI = 25–29.9         Overweight
• BMI >= 30             Obese (these are further divided into Class I(<35), II(35-39.9),III (>40)

These BMI values also varies by the region of origin (For example Asian – typically Japanese and Singapore have a lesser value ranges. For them a value > 23 is overweight).

Why is understanding BMI important?

If you had visited one of those rare to find good and patient Doctors, their first advice to you would be to lose weight (or gain in really very very rare cases) before starting with any kind of fertility medication. This is because a greater BMI is indicative of fat-related extra weight and according to Dr. David Hoffman of IVF Florida Reproductive Associates, “Fat makes hormones and these additional estrogens can then interfere with optimal hormone levels."

Sad enough that the hormones are already dancing to their own tunes, obesity adds to the misery. Most of the PCOS women have shown to be with BMI>30. This not just aggravates the symptoms but also hinders fertility and increases risk of miscarriage.

Important point to note:

BMI cannot differentiate between muscle mass and fat mass. So if you are an athletic person (which is really good especially since you are already obsessed with staying in shape), a higher BMI does not always mean you have bad fat mass in the body.

Where do we start?

Lets start with finding out our BMI values. You can use the fun BMI calculator below which will give you the BMI value and which celebrity do you resemble to in terms of BMI.

Alternatively, you can also refer to this easy to interpret BMI Chart to know about the target weight ranges.

The pivotal point here is that yes, we definitely need to reduce the weight. But take that easy. Don’t go increasing your stressing with thoughts of reducing the weight and societal judgments. That is going to be counteractive, because in PCOS, stress and depression influence the hormones on a higher scale than what you’d imagine.

Always remember, a healthy mind makes a healthy body. So take it easy and start with the simple step of cutting the amount of your daily Soda dose. I am going to write more on that in my next post. Till then, happy losing!

I’d love to here more tips and your success with weight loss, do leave them in comments!

When I came to US and went to see a doctor for my condition (I even told here I was PCOS), the first thing she did was to order a lot of blood work. I am sure all fertility tests begin with the blood work. Just like everyone, I had no clue what these levels were. Even though there was a chart in the blood work that says the normal value ranges, I was still confused as my levels were either lower or elevated than normal. I couldn’t comprehend what the higher/lower levels meant.

This can be really frustrating because in most cases, doctors also do not really say much about what the lower/higher levels mean. So I started reading on the net and found some answers though not all. In this post, I want to share the details of the normal ranges and what a deviation from normal means.

Ok, there are several vials of blood taken from you on the Day 3 of your cycle. This stage is called the follicular phase and the levels are termed ‘Follicular Phase levels’. Later some more tests are done on Day 7 of your cycle, which is called the mid cycle phase and usually LH is checked at the surge period (Days 13 to 15) to check for ovulation.

These values are the average normal ranges and the ranges may differ from lab to lab. These values are presented just for the reference purposes so that you can better know about the hormone levels and ask your doctor precisely about the doubts that you may have. These values must not be used for self diagnosis or treatment.

There are several other tests that are taken when one goes for a fertility treatment. I am going to write about those tests and what they mean in my future posts.

I hope these info helps at least in a small way.

Have I missed any hormone values? Do you have more information on the hormone levels from your doctor? Please share them in the comments.

Now, the title of this post may have you wondering if this is going to be a replica post to the post about symptoms of PCOS. No, its not. In fact, one of my friend’s question is the main reason why this post is here. She chanced to go through my blog and started wondering if she had PCOS because in her words “3 of the symptoms do match”. To be honest I was taken aback and also thought how many women who are TTC (trying to conceive) might get a skewed perception by reading through the symptoms. So I thought, it would do more good to have a post on clarifying that point.

So here goes the list of points to consider before thinking that you might have PCOS too:

1. Acne: Don’t go thinking  “Am I PCOS?” if you got a pimple because you have your periods around the corner or if you had an exciting evening and went to bed forgetting to take your make up off. Trust me, PCOS acne is far worse than that, there is no reason why that pimple would come and that too in groups (instead of that cute single pimple on the cheek) and most importantly never take the name of leaving your face whatever you do about it. Having a pimple or two is not an acne issue.
2. Facial Hair: Most of the girls have small and very fine hair in the upper lip and lower lip regions and they are not visible and are definitely not an eye sore even if it is not removed. If you have PCOS, and if you are one of the unlucky few like me to have this symptom, the hair in these areas are not the fine cat hairs. They are dark and thick and the it is truly agonizing that it must be removed regularly to go out without embarrassment.
3. Mood Swings: It is absolutely normal if you have mood swings just 2 days before the periods or sometimes during ovulation too (around the mid of your regular cycle). These are not the mood swings that I am talking about in the symptoms. Ask yourself if you ever felt depressed so much that you started crying for no reason at all?? Had you ever had the experience of being so happy in the morning and going to bed crying in the night? That's the mood swing I am talking about. In my case, sometime I get depressed for no reason at all and later stay sad the whole day getting only negative waves.
4. Irregular Cycle: Some girls think their cycles are getting irregular when they miss an odd period or if they cycle started a week earlier (for ex: anxiety can cause an early period) once in a blue moon. FYI, those are not at all symptoms of PCOS! In PCOS condition, one would have lesser than 8 periods in an year with no/very less cramps and very little bleeding or have more than 15 periods in an year bleeding as if thats never going to stop ever.

You can find an excellent PCOS self test questionnaire here. If you have serious doubts, you could try filling this questionnaire up. But the best thing to do is to visit a doctor. Never come to conclusions on your own and don’t get medication ideas from your PCOS friends. A qualified doctor is the only person who can say if you do/don’t have PCOS and even if you conclude that you have PCOS from the self-test questionnaire, don’t do any self medication because the treatment for this may also differ based on your need (like TTC, not sexually active or sexually active but not planning to conceive) and based on your differing symptoms (few may not be insulin resistant as in the case of 70% of PCOS women and may not need diabetic drug).

For most of us with PCOS, one of the most frequently heard taunt is “Do something about your weight”. Yeah, even I have heard that. What I hate most about PCOS is that all its symptoms are physical – meaning they catch the eye and being overweight is one of them. Try whatever you might, the extra pounds don’t want to leave you at all.. So today is going to be a post on obesity.

How are PCOS and Obesity related?

Would you believe that even experts are confused on this part? They are still wondering “Which came first – Chicken or the Egg?” Yeah, nobody is still clear if obesity leads to PCOS or if PCOS causes obesity. But over 50% of the women with PCOS are Obese. It is also important to remember that the “PCOS Theorem”  applies here too that is, one can still have PCOS and not obese (like me).

PCOS Theorem: If you have PCOS, you can either have cysts in ovaries or not have them, you can either be overweight or be underweight, you may or may not have acne, you may have excess facial hair or body hair or both or in lucky cases none, you may have more than 12 periods in an year or none at all, your periods bleeding would be just one pad volume or you might receive award from the sanitary pad company for maximum usage, and you may or may not have fertility problems. In a nutshell, PCOS is a world of fuzzy uncertainties

What causes this Obesity in PCOS?

Insulin resistance is the culprit behind the Obesity. Almost 70% of PCOS women are insulin resistant which means the glucose metabolism does not happen how it should actually be. The level of blood sugar is high and pancreas keeps secreting more and more insulin to nullify this and as a result, the body stops responding to the insulin and glucose starts building up as fat. This is something serious because the effects does not stop with Obesity, it makes us more susceptible to diabetes at an younger age and in some cases gestational diabetes during pregnancy. Not just that, according to Samuel S. Thatcher, MD, PhD, F.A.C.O.G., USA, Director, The Center For Applied Reproductive Science, “obese individuals have greater risk of hypertension, high blood pressure, diabetes, cancer, stroke, gall bladder disease, and uterine cancer” (are there any more diseases in the world that he has missed to mention here???)

Does losing weight help?

Yes, it definitely does. Though it may be unclear if obesity does cause PCOS, but it is a proven fact that obesity exacerbates the PCOS condition and its symptoms. Studies have proven than reducing 10% of the body weight can be very effective in regulating the menstrual cycle and the ovulation. If you get lucky, reducing weight can eventually reduce the androgen levels and relieve you of some of the embarrassing symptom like acne and facial hair. Doctors agree that reducing weight makes infertility treatment to be more effective. So put that cake down and start gym-ing today!