How does Polycystic Ovary Syndrome occur?
The two ovaries in the female body develop a mature egg that is available for fertilization during a menstrual period. This egg completes its development and maturation in a fluid-filled sac called a follicle. In Polycystic Ovary Syndrome, many eggs try to mature at the same time, but they cannot do it. After all, there are many eggs, but none of them are capable of developing and fertilizing. In the ultrasound examination, the ovaries are seen in the form of many sacs containing immature eggs, that is, many cysts.
In which cases should Polycystic Ovary Syndrome be suspected?
Approximately 20% of women who apply to IVF centers with the aim of having children have ovulation problems. The leading cause of ovulation problems is a condition called Polycystic Ovary Syndrome. Especially if a woman has irregular menstruation, there is an increase in hair growth and her weight is above normal, this syndrome should be strongly suspected and the situation should be clarified by performing the necessary examinations, ultrasounds and tests.
What is the cause of Polycystic Ovary Syndrome?
It is thought that the hormone “insulin”, which regulates carbohydrate metabolism, is also effective in the development mechanism of the disease. Because these patients are also overweight people. Being overweight causes insulin resistance. The development of insulin resistance may be one of the triggering causes of Polycystic Ovary Syndrome.
How is the disease treated?
While planning the treatment, first of all, these patients should be ensured to reach their ideal weight under the supervision of a dietitian. If necessary, “metformin” drug therapy, which is used in diabetics to break insulin resistance, can be used in this period. As a result of medical treatment and weight loss, significant improvement in menstruation can occur, and pregnancy can sometimes occur spontaneously after the ovulation problem disappears. However, if menstrual irregularity continues after these procedures, drugs that stimulate ovulation and hormone injections can be applied. As a result of these follow-ups, it is tried to create pregnancy by suggesting normal intercourse from the eggs developed or by the vaccination method. If pregnancy is not achieved after 3-4 times of follow-up and vaccination, it is recommended to switch to in vitro fertilization method.
Can Polycystic Ovary Syndrome show itself with a different character?
Sometimes, the appearance of the ovaries can be seen as Polycystic Ovary Syndrome in the ultrasound examination. This should not be confused with true Polycystic Ovary Syndrome. Menstruation may be regular, excess weight and hair growth may not increase, but as a result of the ultrasound examination, it can be stated that the ovaries have a polycystic appearance. In such cases, if pregnancy does not occur despite 1 year of unprotected regular intercourse, a center should be consulted.
What is recommended for women with Polycystic Ovary Syndrome?
Women with Polycystic Ovary Syndrome are advised not to leave gynecological follow-ups after pregnancy and to continue annual examinations. In these patients, the development of some diseases, especially diabetes, may occur in advanced ages. To prevent this, excessive weight gain should be prevented and regular menstruation should be ensured with medications if necessary.