Polycystic and not ovarian bags
A disease in the ovaries causes a defect in ovulation due to a defect in the hormones.
Sometimes accompanied by other symptoms (such as menstrual cycle disorder, weight gain, coarse hair, acne in different areas of the woman’s body, and lack of head hair) are called PCOS. Sometimes he has no symptoms and is accidentally discovered when the patient is examined for another reason.
It is very varied and differs from country to country and from race to ethnicity. In general, it is about a quarter to one third of women.
The real causes are not known and it is believed that there is a genetic nature of the disease (frequent in some families and relatives). Begin in adolescence where there is a rapid increase in weight and rapid hormonal changes.
There may be some role for insulin receptors and some medications (such as epilepsy) may cause symptoms.
Very variable and the disease can be detected by accident.
Balsonar: The presence of 10 eggs and each of them less than 10 mm in the vicinity of the ovary (such as pearl beads) and the ovary is enlarged one and a half to three times and increase ovarian tissue in the middle.
1 – menstrual cycle disorder: interruption or spacing of cycles.
2 – weak ovulation: causes delayed pregnancy and infertility.
3. Weight gain: Body mass index (BMI) is more than 30. Weight gain is concentrated in the trunk, which causes body fat disturbance.
4 – the appearance of rough hair in different areas of the woman’s body, including the chin and the mustache area
Abdomen and chest due to male hormone disorder.
5 – increase acne, especially the face and back and become fatty skin.
6 – Repeated abortion (abortion) due to high hormone LH.
7. There may be high blood pressure and diabetes.
Hormonal changes are not fully known but there is an increase in insulin hormone in many patients. This hormone is released from the pancreas (pancreas) and attaches to the cell wall and carries sugar from the blood into the cell and to benefit from it. In polycystic ovaries, it is incapable of what preceded, which incites the malignant to continue to secretion, which raises the rate of blood.
This affects the ovaries in the disruption of their response to hormonal signals from the brain and stimulate the growth of oocytes, causing premature oocytes to stop growing. It also affects the increased secretion of the male hormone from the ovaries and increases the response of its body cells.
Diagnosis: Not difficult.
Symptoms
Laboratory tests
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- Higher LH relative to FSH is more important
- Insulin is high although blood sugar is normal
- Elevated male hormone Testosterone
- High milk hormone when only some
- Elevation of female hormones E1, E2
- Low sex hormone receptors
- Sometimes thyroid hormone disorder
3 – examination of abdominal or vaginal sonar and prefer vaginal examination to its high accuracy, contrary to examination abdominal ventricle (error high).
The disease can not be cured but the symptoms that bother the patient can be treated more.
The most important treatment is weight loss and sports.
1 – menstrual disorder: pills or progesterone pills and metformin pills at a suitable dose for weight.
2 – coarse hair: anti-hormone pills for a period of not less than 6-9 months and the symptoms come back immediately after stopping the pills and have side effects of prolonged use and therefore we recommend other methods of hair removal, especially laser.
3 – Weight gain: according to the severity of the disease. Both of these things lead to each other as weight gain is associated with hormonal disorder and this leads to tics and vice versa as hormonal disorders can be the cause of weight gain. Therefore, we recommend diet and exercise programs to lose weight.
Infertility:
- Drug therapy:
- Metformin pills, which help to regulate the hormones and reduce the severity of the disease and increase the response of the ovaries of stimulant treatments and reduce the risk of irritation of ovaries when activated with drugs and reduce the projection of pregnancy in the first three months of pregnancy. It should be maintained for at least 3 months and during the months at the beginning of pregnancy.
- Drugs that induce ovulation either in the form of pills or needles and require control of the ovaries and determine the days of ovulation and dates of the sexual relationship and this makes the pregnancy rate almost twice the normal ratio.
- Surgical treatment:
- By performing a perforation of the ovaries through the endoscope and its success rate is high.
Diabetes: Preferably periodic examination of blood sugar.
2 – Cancer lining (cavity) of the uterus: preferably periodic examination of the thickness and shape of the lining of the uterus.
3. Hypertension: Regular blood pressure measurement is preferred.
4 – increase fat: preferably periodic measurement and treatment because it may cause some diseases of the heart and arteries.