Polycystic ovary syndrome (PCOS) is one of the most common causes of female infertility, but doctors say that PCOS is not a disease. It cannot be cured, but it can be fought. What is it then? PCOS is a condition in which the ovaries are surrounded by a dense shell of unripe ova. In this case, the ovary cannot produce a dominant follicle, and therefore anovulatory cycles are constantly observed in a woman. And without ovulation, pregnancy is impossible, so in this case we can talk about infertility.
Note that the ovaries are not working properly, a doctor can do with an ultrasound examination of the pelvic organs, however, ultrasound alone cannot diagnose PCOS. The reasons for its occurrence lie very deeply, and therefore, before the verdict is issued, the doctor must prescribe several more types of examinations that will confirm or refute the diagnosis.
With polycystic ovary:
- A woman in 90% of cases is overweight and androgenic type of figure - fat
is deposited in the abdomen and becomes like a kind of lifebuoy. - The woman is tormented by greasy skin, increased oiliness of the head, accelerated hair growth on the legs, pubis and armpits, sweating.
- One manifestation of PCOS is irregular cycles or the absence of menstruation at all.
- There is no ovulation, pregnancy does not occur.
In order to confirm the diagnosis and understand how to treat PCOS, you need to know the level of certain hormones in the blood. The direction for the delivery of certain tests will be given by the doctor. As a rule, they donate blood to prolactin, LH and FSH, TSH, progesterone and androgens. A deviation in the testimony will indicate the malfunctioning of specific organs and will allow you to prescribe the correct treatment. So, for example, if the ratio of
LH and FSH
hormones is more than 2.5, the doctor may prescribe Metformin or Siofor. With increased indications of TSH, the endocrinologist will show you to drink the medicine "L-thyroxine".
Is progesterone low, which may also be characteristic of PCOS? This is corrected by the use of Dufaston. Stimulation of ovulation can also be prescribed, during which several follicles matures immediately and the ability to conceive increases significantly. However, such manipulations are not recommended for more than six times in a lifetime, since the ovaries are greatly depleted when taking drugs.
However, the first thing that is advised to women who plan to have children is to lose weight. It is important to normalize your diet, minimize the use of sugar and carbohydrates, and lead an active lifestyle. All this will lead to weight loss, fat will go away, and with it a dense membrane on the ovaries, which interferes with the maturation of follicles and ovulation.
If conservative treatment does not lead to the desired result after the allotted amount of time, surgery is prescribed in the form of laparoscopy. This operation is carried out by experienced surgeons who, through small holes in the abdomen with special small scissors, remove the dense shell or make a resection of the ovaries. As a rule, after laparoscopy, ovulation is restored, and the possibility of becoming pregnant in the coming year increases significantly.