Polycystic ovary syndrome, or, as is often seen in the reports of specialists, for short,
PCOS - poses a very common hormonal disorder. Included in all races and nationalities, and often referred to the percentage of 10% representation of this disorder in women during the reproductive age (16 to 40 years). A leading cause of infertility.
The commonest symptoms of this disorder are overweight, but even thin people can have
PCOS, irregular ovulation (menstrual) and signs of increased secretion of male hormones (increased body hair and acne on the face and body).
Although the cause of the disorder is unknown, it is known that there is a predisposition to developing diabetes, and the presence of insulin resistance and obesity.
Although infertility is not present in all individuals with PCOS get pregnant there are problems with the largest percentage of people. It is therefore very important, if there is PCOS diagnosis, treatment taken in time to guard the ovarian tissue to create eggs, and if the pregnancy is planned, therapy should be aimed at stimulating ovulation.
Treatment depends on the age of the patient and her desire for pregnancy. If it is a young person who does not want to have children, the main therapy is to reduce body weight, if overweight, receiving oral contraceptives to prevent formation of new cysts in the ovaries.
Wanted pregnancy is achieved by discontinuation of oral contraceptives, usually in the first three months after stopping the drugs. If therapy is not regular, the greater the chance that the pregnancy fails. If a person is obese, the combination of diet and drugs that increase the sensitivity of cells to insulin action (metformin), and after the establishment of approximately normal weight, ovulation stimulation medicine (clomiphene) in 26% pacijantinja leads to pregnancy.
If after three months of stimulation of ovulation no pregnancy, treatment is different, and ovulation is achieved by giving hormone injections.
The old way of treating infertility in PCOS involves an operation that aims to create a so-called. wedge resection, which removes the thickened membrane of the ovary. This intervention should be the last resort to achieve the desired pregnancy, ie. proposed only if the above methods were unsuccessful.