What is Polycystic Ovary Syndrome ?
Polycystic Ovarian Syndrome is also named Stein-Leventhal syndrome.
Polycystic ovarian syndrome is usually a disorder that is very difficult to diagnose as the symptoms could be so similar to other conditions, but it is quite common because it affects between a few and ten percent of all women of child-bearing grow older. The symptoms of polycystic ovarian symptoms (PCOS) usually contain anovulation, irregular menstruation, hirsutism ( excessive hair growth, especially in the face area ), acne, infertility, dark areas of the skin, morbid obesity and the presence associated with multiple cysts (fluid-filled sacs) about the ovaries.
The diagnosis of Polycystic ovary syndrome is done firstly through physical examination. A total medical history of the individual is required. The actual physical examination is normally a pelvic examination where the height and width of the ovaries are determined. This is then a visual examination of your skin, that is for zits, hirsutism and darkened regions of the skin. The next step is your diagnostic procedure is generally blood tests in which tests are done to the levels of luteinizing hormone, excess estrogen, follicle stimulating hormonal agent, androgens, glucose and insulin. A glucose-tolerance test can be done. Another analyze the doctor may get is an ultrasound examination on the ovaries to determine the shape and size of the ovaries.
The treatment of PCOS is largely aimed at the static correction of anovulation, restoring typical menstrual periods, bettering fertility, eliminationg hirsutism and pimple and preventing future complications due to excessive insulin,blood lipid and estrogen levels. Treating PCOS can include a number of of the following : weight reduction, hormonal therapy, non-hormonal medicine therapy or surgical treatment.
Weight loss:
In the overweight patients with PCOS a weight loss of 5% by way of diet and exercise may normalise ovulation as well as menstruation and recover fertility.
Hormonal Medications:
Low dose dental contraceptive pills are found in those women along with PCOS who want to stay away from pregnancy. The use of low-dose dental contraceptives can determine menstruation and correct major uterine bleeding. Hirsutism may also be improved upon but this may require a year to happen. Ladies who wish to fall expectant the drug of preference is clomiphene citrate. Clomiphene is used to be able to induce ovulation and is effective and has a 70% rate of success but the problem is the incidence of multiple pregnancy. In 20-25% of women who do not respond to clomiphene citrate other prescription medication is used that can encourage the follicular development and induce ovulation. One of the other concerns that women with PCOS experience is the dangerous they run of getting endometrial cancer due to the not enough endometrial shedding. For this reason your drug medroxyprogesterone is administered for your first ten days of every month.
Non-hormonal Drug Treatment:
The actual steroid hormone dexamethasone enable you to trigger ovulation.
Spironolactone, Flutamide and metformin is utilized for hirsutism.
Acne may be treated with antibiotics, antiandrogens and also other drugs like retinoic fatty acids or vitamin A derivatives.
Surgical Treatment.
Surgical treatment is needed when the drug approach failed. A procedure termed as a wedge resection is performed. The particular wedge resection is when a part of the ovary and some on the ovarian cysts are removed either via a laparoscope or even an abdominal incision. An additional procedure that may be accomplished is laparoscopic ovarian.
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