Polycystic ovary syndrome (PCOS) affects approximately 10 million women worldwide.
health problem, which is the most common cause of menstrual irregularity, especially between the ages of 20 and 30.
is the problem. Due to a hormonal disorder, women have physical, psychological and
causes many biological problems. In addition, children of reproductive age
The most common condition that causes difficulty in owning (infertility) is again
is PCOS. In PCOS, androgen (male hormone) levels are increased, insulin resistance
developed, progesterone hormone levels decreased.
Diagnosis is made by three criteria called ESHRE criteria.
ESHRE CRITERIA
Oligo-anovulation: common in patients with PCOS during each menstrual period.
no spawning. Since there is no ovulation, these people take 45 days or longer breaks.
they menstruate with.
Clinical or biochemical findings of hyperandogenism: Male hormones
It is generally high in women. In some patients, male hormones
Even at normal levels, there may still be complaints of hair growth and acne.
Visualization of classical polycystic ovaries on ultrasound and exclusion of other causes
(E.g. congenital adrenal hyperplasia, adrenal adenoma, Cushing’s syndrome)
SYMPTOMS OF POLYCYSTIC OVER SYNDROME
* Menstrual irregularities: Menstrual cycles often last longer than 6 weeks. per year
have eight or fewer menstrual cycles. Irregular bleeding, prolonged bleeding, excessive bleeding
A large amount of menstrual bleeding and spotting are seen between menstruation.
*Hirsutismus (abnormal hair growth): male on the face, arms, back, chest and abdomen
type of hair growth or hair loss
* Cysts in the ovaries: In women with polycystic ovary syndrome, intraovarian wall
Many sacs filled with fluid are covered with cysts. This finding, some researchers
It is called pearl string or pearl necklace by
*Weight gain: Obesity is a serious problem in half of women with PCOS.
* Skin lubrication: Oily skin and acne formation are common. Moreover
dandruff occurs on the scalp.
*Hairing: Male pattern excessive hair growth and baldness can be seen. face, chest, abdomen
male pattern hair loss in the forehead with excessive hair growth on the hand and feet
is seen.
* Infertility: Most of the patients have difficulties in conceiving a child. Most of the time
Treatment with ovulation-stimulating drugs is required. Appropriate treatment under doctor’s supervision
Pregnancy can mostly be achieved with these approaches.
TREATMENT IN POLYCYSTIC OVER SYNDROME
There is no clear cure for polycystic ovary syndrome, treatment depends on what the patient aims for.
arranged accordingly. While some patients want to have a baby, some are primarily menstrual.
He wants to solve hormonal problems such as irregularity, hair growth and skin oiliness.
Although the patient does not complain about his symptoms, PCOS is a condition that needs to be treated.
is the case. Because the long-lasting disordered hormone picture, heart disease, diabetes and uterine
carries serious risks such as cancer.
Losing excess weight and eating a healthy balanced diet can significantly reduce symptoms.
can fix it. 5% of body weight, regular ovulation and conception
provides improvement.
– If the patient has no idea about pregnancy, birth control pills are usually first used.
is an option. Thanks to birth control pills, menstruation is regulated, acne and abnormal
There is improvement in hair growth symptoms. Abnormal thickening of the lining of the uterus
Birth control pills are also effective in prevention.
-Cosmetic solutions for acne and hair growth problems; creams, acne medications,
methods such as laser and electrolysis can be applied.
– Medicines that provide ovulation are used in patients who want to have children.
Pregnancy results with treatment are quite satisfactory.
Metformin therapy may be beneficial, especially in patients with insulin resistance. metformin
It lowers blood sugar levels and helps in weight loss.
PCOS and INFERTILITY
. Polycystic ovary syndrome is the most common infertility but treatable
one of the reasons.
Patients with PCOS usually do not ovulate. That’s why it increases ovulation
treatments are recommended for couples who want to have children. First under the supervision of a doctor
ovulation treatment with clomiphene, if no response, clomiphene + metformin
(diabetes) treatment should be tried.
FSH hormone (gonadotropin) treatment in patients who do not respond to these
passable.
