Polycystic ovarian syndrome



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.

Since polycystic ovarian syndrome affect many organs of the manifestations of the syndrome persists after the termination of the ovaries after menopause (natural fading of the ovaries at the age of 50-51 years). For example, the increased growth of hair even worse after menopause. These metabolic disorders such as obesity, high cholesterol, diabetes, come to the fore with age in women with polycystic ovarian syndrome.

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