PCOS (polycystic ovary syndrome)
PCOS is a common hormonal disorder in women. Diagnosis; It is diagnosed by the presence of 12 or more follicles of 2-9 mm in diameter in the ovaries, high levels of male hormone (acne, male pattern hair loss, male pattern hair loss) and the presence of both signs of low menstruation or amenorrhea.
Many theories have been developed to explain the cause of PCOS. Today, the most emphasized theory is insulin resistance and increased insulin levels. 50-70% of the patients are obese, and 30-50% of them are of normal weight or underweight.
PCOS may occur with reproductive disorders such as menstrual disorders, infertility, miscarriage, gestational diabetes, and preeclampsia. Genetic transmission is still controversial.
The most important cause of infertility in PCOS is ovulation disorder. In these patients, hyperinsulinism prevents ovulation due to high LH (lactogenic hormone) and low FSH (follicle stimulating hormone). In addition, high LH levels can also be the cause of low.
Obesity in PCOS also carries the risk of cardiovascular disease. Long-term consequences of the syndrome are diabetes, hypertension, uterine cancer, coronary artery disease, and disorders in the lipid profile.
The aim of the treatment is to protect the uterus from increased hormonal harmful effects, to correct menstrual disorders, ovulation and infertility problems, to correct problems such as excessive hair growth, acne, adiposity, and to provide protection from the long-term metabolic and cardiovascular consequences of the disease.

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