Polycystic ovarian syndrome is a condition in which the ovaries do not work properly. If we do not deal with this problem, then in the future it will affect the hormonal background, the ability to give birth to a child, appearance and health of a woman. The theme of our today's article is "Polycystic ovary: treatment, drugs."
This disease is usually noted: a high level of testosterone (a clear sign may be excessive hair on the body or face (hirsutism), thinning of the hair on the head), the absence or irregularity of menstruation (delay of 3 weeks to 6 months), inability to conceive, obesity or excess body weight, oily acne (acne).
Ovaries are female sex glands. Each month, in one of the two ovaries, the process of egg maturation takes turns. Each egg is located in the follicle - a bubble filled with liquid. The process of rupture of the follicle and the release of the egg is called ovulation. With polycystic ovum does not ripen, the follicle does not burst, but cysts like "grape bunch" are formed. These cysts are benign and with proper treatment disappear.
It is very difficult to name the exact cause of the development of polycystic ovary. On the development of the disease can affect the transferred viral diseases, chronic inflammation of the tonsils, stressful situations, violation of the level of insulin hormone, responsible for the absorption of sugar in the body. It is impossible not to note the importance of the genetically inherited factor. To confirm the diagnosis, the doctor prescribes a comprehensive examination of the patient. First of all, the blood on the thyroid hormone (TTG), the pituitary hormone (prolactin), sex hormones (LH, FSH, STH), hormones of the adrenal glands (cortisol, testosterone), pancreas hormone (insulin) are examined. Ultrasound can be used to make sure that the ovaries are crocheted and cysts are present, and the uterine examination can detect an increased thickness of the endometrium, which is caused by irregular menstruation.
If in the analysis the level of one of the hormones goes beyond the norm, then a second analysis is carried out and so up to 3 times. Elevated prolactin indicates a disruption of the pituitary gland. Depending on the numbers and symptoms, the doctor prescribes magnetic resonance imaging (MRI) of the pituitary gland, which allows to detect the presence or absence of prolactinoma.
Treatment with the drug " Dostinex " in precisely selected dosages gives a significant decrease in prolactin in a short time and normalizes the menstrual cycle. The level of the thyroid hormone can also be adjusted by a doctor-selected thyrostatic medication.
But before the doctor prescribes medication, the woman will have to listen to certain tips. Basically, they are associated with lifestyle changes, weight normalization, balanced nutrition. A woman will need to reduce the consumption of refined carbohydrates (sweets, pastries, potatoes, etc.). It is shown to include in the diet whole-grain foods, fruits, vegetables, lean meat. Regular should be physical exercises, matched with age and constitution. All this will help reduce blood glucose levels, improve the body's use of insulin, normalize the level of hormones in the body. Even 10% weight loss can make the menstrual cycle more regular.
Stress can only worsen the symptoms of polycystosis, so you need to find ways to achieve positive emotions. Excess hair can be controlled using creams for depilation or discoloration, shaving, waxing. Laser hair removal or electrolysis can give a more lasting result, but should be done by qualified specialists.
Drug therapy refers to the appointment of combined oral contraceptives ( Diane35) , to reduce testosterone levels, reduce acne and excess hair. The drug Metformin reduces the level of insulin in the blood, thereby reducing the level of testosterone.
To normalize ovulation use Clomifene - the first drug of choice, is used for most patients. If clomiphene is ineffective, metformin may be prescribed, but at a lower dosage. Gonadotropins are also used, they cost more and increase the risk of multiple pregnancies (twins, triplets).
Another option is in vitro fertilization (IVF). This method gives you a good chance to get pregnant and better supervise the birth of twins. But, IVF is quite expensive, and there is no 100% guarantee for the first fertilization.
Operative intervention is appointed only when all methods of drug treatment have been unsuccessfully used. With the help of laparoscopy, the doctor makes small incisions on the ovaries. This operation can lead to a decrease in testosterone levels and help with ovulation. Now you know what polycystic ovary is: treatment, drugs. Do not self-medicate! Think about the continuation of the family!
Be healthy! Take care of yourself!