Opportunity to have healthy offspring, rejoice in every step of the baby, grow and develop with him - these are the plans of many women. However, there may not always be obvious obstacles in the way of translating these desires into reality., associated with abnormalities and diseases of the female reproductive system. Modern realities give rise to many stressful situations., that affect the functioning of our organs. A number of diseases are associated with the malfunctioning of the endocrine glands., as well as impaired metabolism. The course of these diseases varies greatly., someone knows about them and compensates in various ways, and someone thinks about it only after a long period of infertility.
Today we will talk about one of these diseases - polycystic ovary syndrome.. An expert will help us deal with its features FAN - gynecologist, head of the Gynecology Center, oncology, Reproductive and Aesthetic Medicine Clinical Hospital "Medsi" in Otradnoe, to. m. n., Head of the Department of Laser Treatment Methods Ekaterina Jumanova.
What is polycystic ovaries and why does it occur??
polycystic ovaries or, in other words, Stein-Leventhal syndrome and polycystic ovary syndrome (abbreviated as PCOS), by rough estimate, can be found in about one in ten women. How does this disease occur?, still not clear, one of the versions is to pass it on by inheritance. Polycystic can be divided into primary, which is found in young women, and secondary - middle-aged ladies already suffer from it.
According to doctors, there are certain factors, that can cause polycystic disease: infections, transferred during childhood, poorly treated inflammation of the reproductive system, intoxication, as well as trauma and stress. Since this disease is still more common in women of reproductive age, then the question arises of maintaining the ability to bear children, restoration of health and the use of the most modern methods of diagnosis and treatment.
“Polycystic ovary syndrome is a gynecological disease, found in women of reproductive age, most often in case of inability to conceive, i.e. endocrine infertility. With this syndrome, there is an overgrowth of benign tissues inside the gonads and ovaries.. Parents, especially mothers of teenage girls, should be attentive to menstrual irregularities in girls and, in case of repeated failures, consult a doctor., strongly recommended by Ekaterina Zhumanova.
How to identify PCOS?
The process of diagnosing the syndrome consists of several stages., at the first, the doctor will ask the patient to describe in detail the history of the occurrence of unpleasant symptoms. Genetic predisposition is taken into account, to be specified, which of the close relatives had polycystic disease. Next, you need to study the hormonal profile - the level of insulin, glucose. Body mass index must be calculated, as well as an ultrasound examination of the pelvic organs. During the consultation, the gynecologist will prescribe, at what time of the cycle you need to undergo certain diagnostic procedures.
Ultrasound is a mandatory step for suspected PCOS. If pathologies are found in the ovarian region, the doctor during the examination sees, At first, change in the size of these organs, and secondly, the number of follicles is normal or above normal. To conclude, the patient will be prescribed more than one ultrasound procedure, and three at the beginning of the cycle, middle and second half.
How to understand, What does a woman have PCOS? Are there any outward signs of illness??
The following manifestations may be characteristic of the clinical picture of polycystic:
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menstrual disorders, cycle may be too long or, conversely, short; copious or scanty discharge compared to normal; the interval between periods can be so long, what is amenorrhea;
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there is hair growth on the back of the body, life, chest and chin;
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body weight increased, (if you measure the index, then it will be more 30);
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stretch marks appear on the thighs, stretch marks;
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hair falling out more than usual, nails become brittle;
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blackheads appear clearly on the skin.
How is polycystic ovaries treated?? Is it possible to treat PCOS with folk remedies?
The sooner the disease is detected, the more optimistic the prognosis for recovery. With polycystic disease, the price of health is the ability to become pregnant and have a baby, so neglected disease leads to infertility.
Cases cured of polycystosis, the so-called favorable response of the appendages when using folk methods, known. The principles of alternative treatment are diet and sports load. Most often, doctors recommend taking hormonal drugs and vitamins in parallel..
We list some methods of treating the syndrome from specialized specialists:
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if the patient has, obviously, overweight, she is advised to monitor nutrition and increase physical activity, that is, to normalize the fat balance;
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the identified imbalance of hormonal levels should be compensated by oral contraceptives;
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remove the anti-androgenic effect;
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correct insulin levels with special drugs, eg, metformin;
Medical treatment does not always achieve the desired results., Therefore, the doctor may suggest that the patient resort to surgery, the main purpose of which is laparoscopy and ovarian drilling.
Ekaterina Zhumanova emphasizes the importance of observing the rules of sexual hygiene, especially in case of genetic predisposition to polycystic disease:
“We cannot count on the prevention of this disease., but it is in our power to detect and treat infectious diseases in time and consult a doctor at the first external symptoms..
Can polycystic ovaries be associated with psychosomatics?
Since polycystic is a change in the ovaries, then the psychosomatic nature of the syndrome is associated with such concepts, like a woman's creation, female self-esteem, pregnancy and childbirth. With this diagnosis, a psychosomatic specialist will draw your attention to the fact, how comfortable do you feel in a woman's body, How is your feminine identity manifested?. Modern society delegates functions that are not quite traditional for the female role to a woman., therefore, a cyst on the ovary can symbolize the desire to equalize rights with a man. Some experts in the field of psychosomatics interpret polycystic disease as a "doubt" of the female reproductive system.: does this body belong to the female gender??
Another psychological cause of the syndrome is the fear of getting pregnant., fear of being in a situation of helplessness, after all, during the period of bearing a child, a woman really needs third-party support. The reproductive system is signaled to stop producing viable eggs, which mature in the ovaries, therefore, with such a dysfunction in the patient's body, an excess of male hormones can be observed. The good news is, that today the psychosomatics of polycystic disease is well studied and an experienced specialist will definitely identify the psychological origin of this disease and offer treatment.
Women's Success Stories, cured of polycystic disease
Positive experience of patients of the Gynecology Center, oncology, Reproductive and Aesthetic Medicine Clinical Hospital No. 1 "Medsi" in Otradnoye will help you tune in to a positive outcome in the treatment of polycystic disease. Girls and women who come to the clinic can count on a full cycle of medical supervision - from receiving consultations from various specialists to observation in the postoperative period, if surgical treatment is necessary.
As mentioned above, according to research in our country and abroad, polycystic ovary syndrome occurs in approximately 6-9% women of childbearing age. With a disturbed menstrual cycle, the frequency of patients with PCOS ranges from 50% and to 90%. Women come to the clinic with great hope to restore their reproductive health and receive highly qualified assistance here.. Medsi's practice shows, that even the most difficult situations with PCOS can be resolved.
Svetlana's story
patient Svetlana, age 32 of the year, Married, pregnancy does not occur within 5,5 years in the absence of contraception and regular sexual activity. Both spouses are checked at the same time, since the marriage is the first and there is no experience of having children. Examination of the reproductive organs of the husband, no deviations were found, spermogram within the normal range. After detailed questioning, it turned out, that the woman had constant delays in menstruation, sometimes up 60 days, and this is the situation with 14 years. Over the past four years, the patient has gained approximately 30 kg, body mass index showed 31 with proper diet. At the same time, external changes also took place.: acne rashes on the face, hair on the face and around the nipples. Regular visits to the beautician eliminated excess hair for a short time. Thorough diagnostics - blood test for hormones, insulin and vitamin D, Pelvic ultrasound and more, - showed elevated levels of androgens, low estrogen levels and fairly high insulin. Vitamin D in the body was also not enough.
Ultrasound results in the first phase of the cycle, sixth day, double ovarian enlargement, and the thickness of the endometrium 14 the day did not correspond to the phase of the cycle. Ovulation did not occur due to the absence of a dominant follicle. Diagnosed with primary infertility, polycystic ovary syndrome, hyperandrogenism, oligoanovulation.
Since the patient had an imbalance of adipose tissue in the body, she was advised to review her diet and physical activity regimen. Medical treatment included hormonal therapy for three months to restore the hormonal imbalance, a drug to lower insulin - metformin and a drug that eliminates vitamin D deficiency - aquadetrim.
After three months of therapy under the supervision of doctors, the woman was able to lose weight by 15 kg. Stopped hair growth on the face and chest, cleared skin on the face. Ovulation after discontinuation of hormone therapy, Unfortunately, did not come, and after a meeting of doctors, the patient was offered laparoscopy - drilling of both ovaries. Surgery has paid off: after a couple of months the patient became pregnant. The entire period of the long-awaited pregnancy, the woman was observed by the specialists of the center. Today the couple is raising a healthy boy.
This example clearly demonstrates the coordinated work of a whole team of doctors., without the interaction and coordinated actions of which it is impossible to recreate a complete picture of the disease and offer optimal treatment. The whole chain of actions - from diagnosis by an outpatient doctor to the work of gynecologists and surgeons - helped to achieve a successful result.. Beyond the human factor, the policy of the medical institution is also very important in terms of equipping specialists with the most modern equipment and the use of advanced techniques, including, and "fast track" (fast-track) in surgery, as well as the mandatory training of personnel in these techniques and the general high level of competence of doctors.
Author: Daria Samohvalova; Gynecologist Ekaterina Jumanova
