Polycystic ovarian syndrome (PCOS) - is the most unexplained and
complicated of all the problems faced by the gynecologist-endocrinologist in
their practice. Firstly, because themselves polycystic ovaries is not a disease
but a syndrome, that is a set of various disorders and diseases, even from
dysfunction of the ovaries to diabetes and cancer of the uterus. Moreover, all
this in the same patient. Also with polycystic ovaries may be infertility,
miscarriage, obesity, acne and excessive hair growth on male type.
Symptoms of
Polycystic Ovarian
Since the
symptoms of polycystic ovarian syndrome very different for different
patients, the gynecologist-endocrinologist decided to take into account only
the main diagnoses:
·
ovarian dysfunction (rare menstruation, prolonged absence of
menstruation (amenorrhea) and / or uterine bleeding;
·
infertility (inability to get pregnant) because of ovarian
dysfunction (lack of ovulation);
·
increased hair growth on the face, chest, abdomen, back -
hirsutism;
·
oily skin acne on the face;
·
enlarged ovaries with thickened walls and small cysts;
·
weight gain or obesity, usually with the deposition of fat on the
abdomen (central obesity), and then - all that accompanies it:
·
elevated blood insulin levels, glucose deregulation, or type 2
diabetes;
·
elevated levels of cholesterol and other harmful fatty particles
in the blood (e.g., triglycerides);
·
high blood pressure;
·
dark brown patches on the skin of the neck, the elbows under the
breasts or inner thighs.
·
anxiety and depression because of the appearance and / or
infertility;
You must have to know that this list is not
infertility.
Attention! If you are diagnosed with polycystic
ovarian syndrome and said that you do not ever be able to get pregnant, it is not
so!
Many women who
have polycystic ovarian syndrome infertility, however, have other problems
remain.
Cause of
polycystic ovarian syndrome
Until now,
the exact cause of polycystic ovarian syndrome is not known. In the development
of PCOS plays the role of a number of factors.
·
Genetic (congenital) cause of polycystic ovarian syndrome
It is
fashionable to explain all diseases genetic damage. As before - all diseases of
the nerves were now all diseases of the genes. Of course it is the other
extreme, and it is not. Genetic (congenital) causes - this is only one of the
possible causes. There is a tendency transmission inherited polycystic ovaries.
Mothers and relatives of the sisters of women with PCOS often have symptoms of
PCOS.
·
A pancreatic hormone insulin can cause of polycystic ovarian
syndrome
There is another mysterious factor - pancreatic
hormone insulin. When it raised PCOS. The main work of insulin - to control
blood sugar levels and monitor the conversion of food into energy to maintain
daily activities and reserves in the form of fat. That is why insulin is
closely related with obesity. It was found that insulin not only plays a role
in the development of diabetes. Most women with polycystic ovarian syndrome
have a problem with insulin: this hormone or too much, or it is not working
properly. If polycystic ovarian syndrome (PCOS) is an excess of insulin
increases the production of male hormones. Hence, the main symptoms of
polycystic ovarian syndrome porous oily skin, acne on the face and back,
excessive hair growth on male type, tendency to weight gain۔
For
treatment of polycystic ovarian syndrome go to the gynecologist
Ovarian
dysfunction and infertility in women with polycystic ovaries - the main reason
for treatment to the gynecologist-endocrinologist. In order to explain why in polycystic
ovarian syndrome (PCOS) ovaries are not working properly and can be sterility,
it is necessary to conduct a short lesson on the normal operation of the
ovaries.
Ovaries -
two small, almond-shaped glands located on either side of the uterus. The
ovaries have follicles - tiny sacs that contain the egg inside. Each month,
under the influence of many well-established hormone about 20 follicles begin
to ripen, but only one is fully matured, and the others shrink. As it grew
follicle is filled with liquid. Once the egg is mature, ovulation - rupture of
the follicle and release of an egg from it. Then, the egg travels through the
fallopian tube, and there is going its meeting with the sperm and fertilization
.
In women
with polycystic ovarian syndrome (PCOS) maturation process of eggs broken. This
is because the broken relationships in the hormones. No main condition -
cyclical, well-established work of the whole control system, since the brain.
Therefore, the ovaries do not produce the hormones necessary for the full
maturation of follicles, and they stop in their development. It's like if you
plant the seed in the ground, it is already at a height of 1-2 cm seedlings can
already see what will go into growth, and some die. With PCOS, most die. The
follicles may begin to grow and accumulate liquid inside, but no one fully
matures. Some follicles may well remain in the form of small cysts. Because
there is a mature egg, there is no ovulation, and the second phase of the
menstrual cycle and hormone progesterone. Without progesterone menstruation either
absent or rare. There is a vicious circle. If polycystic ovarian syndrome in an increased amount of male
hormones are produced that disrupt ovulation, preventing the eggs grow and cause
thickening of the outer shell of the ovary. Polycystic ovarian syndrome ovulation
cannot happen yet because their outer shell becomes very thick and dense, and
the follicle is simply not strong enough to break it, I went to the egg.
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