Polycystic Ovary Syndrome (PCOS)

Women of child bearing age may have many reproductive diseases and conditions and occurrence of any one of these diseases or symptoms may severely affect their capacity to conceive and deliver a child. One of the most common reproductive diseases is Polycystic Ovary Syndrome (PCOS), which occurs in almost 10% of child bearing women population.  This common health problem has the capacity to affect adversely z woman’s monthly menstrual cycle, her fertility stages, hormonal levels, blood circulation, physical appearance and status of the heart.

A woman who has the problem of polycystic ovarian syndrome tends to display three prominent characteristics like:

• Abnormally higher levels of male hormones called androgens,

• An absence of menstrual cycle or irregular occurrences of monthly cycles.

• Presence of small cysts on the ovary and these cysts tend to get filled with fluids over a period of time.

Note: No one really knows why this problem occurs in almost 10% of child bearing women. However experts tend to believe that genetic parameters may play an important role in causing this disorder. On the other hand, other researchers believe that presence of a large quantity of insulin may lead to secretion of excessive quantities of androgens. More androgen in the blood means increased acne breakouts, abnormal weight gain and ovulation disorders.

Basically, a woman with Polycystic Ovary Syndrome (PCOS) will have magnified problems in her ovary’s capacity to produce enough hormones that is needed to make the eggs in the ovary fully mature. All ovarian eggs may start to grow and produce fluids, but none of them grown large enough to participate in the conception activity. They remain in the ovary as a small cysts and the all important progesterone is never made in full quantities. As a result, she will have very irregular periods of menstrual cycles. Due to excessive production of male hormones, the ovulation process will be suppressed further.

As of now, there are no fixed tests to confirm the presence of Polycystic Ovarian Syndrome in women. Your physician may combine together a series of different tests like vaginal ultrasound or screening to find out the presence of this symptom. If a woman doesn’t undergo regular monthly periods, her uterine lining may become abnormally thicker, which may probably indicate the incidence of this condition.

Some of the more common symptoms of Polycystic Ovarian Syndrome (PCOS) are:

• Infrequent/missed menstrual periods or total absence of periods,

• Occurrence of irregular bleeding,

• Non-ovulation of eggs and subsequent failure to conceive,

• Abnormal growth of hair on unwanted places like face, chest, stomach, back and thumbs,

• Oily skin with increased breakout of acne,

• Periodical pain in pelvic area,

• Unusual weight gain and obesity,

• Possible occurrence of diabetes and high cholesterol levels,

• Snoring and irregular sleeping pattern

There is no known cure for Polycystic Ovarian Syndrome (PCOS) and hence this symptom must be managed by a series of drugs and other treatment methods.

Here are some of the basic treatment procedures that are used to manage this symptom:

• Birth control pills:  If you do not want to get pregnant, then you can opt for birth control pills that have the ability to regularize your menstrual cycle and reduce the production of male hormones. However, as you stop taking these pills, you’ll start facing the same problem of irregular menstrual cycles. It is advisable to take a pill that has copious amount of female hormones like progesterone.

• Diabetes drugs: Diabetes drug can help reduce PCOS symptoms, as it can lower the abnormal production of testosterone in your body.  

• Drugs for Fertility: Lack of fertility in women is essentially due to reduced ovulation of eggs. The main fertility problem for women with PCOS is the lack of ovulation. Several fertility medications like Clomiphene and Gonadotropins are prescribed by your physician to help your body to stimulate production of fertile eggs. However, prescribing such drugs may even induce increased risks for multiple births; In vitro fertilization is a procedure that is recommended to prevent occurrence of giving birth to couplets or triplets. Recently formulated drug like Metformin is known to make women to ovulate even with very low doses of drug.

• Surgical procedures: A new surgical procedure called “ovarian drilling” can be used to induce ovulation in women with Polycystic Ovary Syndrome (PCOS). An instrument called laparoscope is inserted just below the navel through a small incision. Once the tool is inserted inside, a small puncture is made onto the surface of the ovary. This action will lower male hormone production and help with increased ovulation.

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