What is Polycystic Ovary Syndrome ?
Polycystic Ovarian Syndrome is also termed Stein-Leventhal syndrome.
Polycystic ovarian syndrome is really a disorder that is quite difficult to diagnose as the symptoms could possibly be so similar to other concerns, but it is quite common since it affects between all 5 and ten percent of most women of child-bearing age group. The symptoms of polycystic ovarian malady (PCOS) usually incorporate anovulation, irregular menstruation, hirsutism ( extreme hair growth, especially in the eye ), acne, infertility, darkened areas of the skin, obesity and the presence involving multiple cysts (fluid-filled sacs) within the ovaries.
The diagnosis of PCOS is done firstly by simply physical examination. An extensive medical history of the affected person is required. The physical examination is normally the pelvic examination where the dimensions of the ovaries tend to be determined. This is as well as a visual examination of skin, that is for pimple, hirsutism and darkened aspects of the skin. The next step is this diagnostic procedure is often blood tests where by tests are done with the levels of luteinizing hormone, the extra estrogen, follicle stimulating hormone, androgens, glucose and blood insulin. A glucose-tolerance test are often done. Another test out the doctor may obtain is an ultrasound examination of the ovaries to determine the configuration of the ovaries.
The management of PCOS is primarily aimed at the correction of anovulation, restoring standard menstrual periods, increasing fertility, eliminationg hirsutism and acne and preventing long term complications due to high insulin,blood fat and estrogen levels. The treating PCOS can include several of the following : fat loss, hormonal therapy, non-hormonal substance therapy or medical procedures.
Weight loss:
In the over weight patients with Polycystic ovary syndrome a weight loss of 5% through diet and exercise may normalise ovulation and also menstruation and bring back fertility.
Hormonal Medications:
Low dose common contraceptive pills are employed in those women together with PCOS who want to stay clear of pregnancy. The use of low-dose mouth contraceptives can regulate menstruation and correct heavy uterine bleeding. Hirsutism may also be increased but this may extend to a year to happen. Girls who wish to fall expecting a baby the drug associated with preference is clomiphene citrate. Clomiphene is used to help induce ovulation and is very effective and has a 70% effectiveness but the problem is the incident of multiple having a baby. In 20-25% of women who don’t respond to clomiphene citrate other medicines are used that can stimulate the follicular development as well as induce ovulation. One of the other difficulties that women with PCOS experience is the riskly they run of having endometrial cancer due to the deficiency of endometrial shedding. For this reason this drug medroxyprogesterone is administered to the first ten days of each one month.
Non-hormonal Drug Treatment:
The particular steroid hormone dexamethasone could be used to trigger ovulation.
Spironolactone, Flutamide and metformin is needed for hirsutism.
Acne might be treated with antibiotics, antiandrogens along with drugs like retinoic acids or vitamin A derivatives.
Surgical Treatment.
Surgical treatment can be used when the drug method failed. A procedure referred to as a wedge resection is performed. Your wedge resection is when a portion of the ovary and some from the ovarian cysts are taken out either via a laparoscope as well as abdominal incision. One more procedure that may be done is laparoscopic ovarian.
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