Polycystic ovarian syndrome: EXPERT’S ANSWERS TO IMPORTANT QUESTIONS
Prophylaxis of polycystosis:
Polycystic ovary: FAQ
Polycystic ovary syndrome or polycystic – nowadays found in every fifth woman in the world, as evidenced by numerous scientific studies. PCOS is a large-scale and multifaceted problem that causes many difficulties to its “possessor” and can lead to violations of the monthly cycle, miscarriage or infertility, increases the risk of developing tumors of genital organs, type 2 diabetes and cardiovascular diseases. Nevertheless, you should not despair. Polycystic is not a sentence, but an excuse to take care of your health, – says the doctor obstetrician-gynecologist, gynecologist-endocrinologist, doctor of medical sciences, professor Bill Bailey.
Therapy PCOS requires an individual and integrated approach, so those methods and schemes that have approached a friend or were found on the Internet, you can only do harm. Consult a doctor: polycystic ovary syndrome can be successfully treated!
WHAT IS Polycystic ovarian syndrome? Does this disease affect the ovaries only?
Polycystic ovary syndrome is considered a polyendocrine complex of symptoms. The prefix “poly-” means “a lot”, “a lot”. In this disease, several organs of the endocrine system, plus so-called target organs – those organs that are most affected by the hormonal processes occurring in the female body. In the pathological processes of PCOS, the pituitary and hypothalamus, the ovaries, the adrenal cortex and even the pancreas are used as the insulin producing organ. About polycystosis, if the woman is confirmed to have excessive secretion of male sex hormones, ovulation is rare or absent, polycystic ovaries (enlarged ovaries with multiple follicles 2-9 mm in diameter) are observed on ultrasound. Any two of these signs give grounds to put the patient’s diagnosis of “polycystic ovary syndrome”.
In a normal monthly cycle, the ovary develops follicles containing eggs. Closer to ovulation, one of them grows and breaks, the egg leaves it and can be fertilized. The remaining follicles undergo the reverse development. In PCOS, the process of normal follicular maturation is disrupted for various reasons, which leads to a typical ultrasound pattern, a disruption in the cycle of menstruation and the inability to conceive. The term “polycystic ovary”, rather, is of a historical nature, and does not reflect the essence of the disease: in polycystic ovary does not contain cysts as such, on ultrasound the doctor sees multiple follicles that do not go through further stages of their physiological development.
Polycystic ovarian syndrome CAN HAPPEN ONLY ONCE?
The picture described is the classic characteristics of PCOS, accepted in the world practice. Other complex signs are also possible: for example, even if there are no signs of polycystosis on ultrasound, hyperandrogenism (an excess of male hormones) in combination with the absence of ovulation can also talk about a syndrome of polycystic ovaries. Moreover, polycystic ovulation can occur, it is one of the forms of PCOS, but if there are hyperandrogenias and ultrasound signs of polycystosis, we can make such a diagnosis. Therefore, we speak of the multiplicity of this disease, its individuality – hence the name “syndrome”, as a complex of symptoms that manifest themselves in different combinations.
SPECIFIC SYMPTOMS OF Polycystic syndrome:
Disorders of the menstrual cycle: absence of menstrual cycles, irregularity, abundance and soreness, less often – presence of intermenstrual bleeding or bleeding;
- Growth of hair on chest, abdomen, face;
- Fat deposition mainly in the waist and abdomen;
- Hair loss on the head;
- Increased fat content of the skin, hair, the appearance of acne.
All this may indicate endocrine disorders, which may be signs of polycystic ovary syndrome.
HIGH LEVEL OF MALE HORMONES – FREQUENT PHENOMENON IN PCOS?
Yes, hyperandrogenism is common, with too much testosterone and androstenedione – male hormones – produced in the body. This may be due to genetic features, impaired functions of the hypothalamus and pituitary, even hormone-producing neoplasms. Therefore, if hyperandrogenism is confirmed, we always look for the cause, exclude or confirm, including polycystic ovary syndrome. But, if it was previously believed that hyperandrogenism is an obligatory factor, today the diagnosis of PCOS is increasingly being made with the normal level of male hormones, when the main determining signs are the absence of ovulation and ultrasound signs of polycystosis.
Is it true that the Symptoms can be attributed to a single weight?
Polycystic ovary syndrome is often found in women with impaired metabolism, metabolic syndrome, insulin resistance, obesity and obesity.