If you’ve got infrequent or irregular cycles, then you might have PCOS. Precisely What is Polycystic Ovary Syndrome? Way back in the 1950’s, a pair of gynecologist doctors coined the expression “Stein-Leventhal Syndrome.” They noticed that a metabolic and endocrine phenomenon happened in a group of women with specific traits.
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These girls had infrequent and irregular menses, obesity, infertility, diabetes, cardiovascular disease, hypertension, and polycystic appearing ovaries. It’s estimated that almost 10 percent of women of all nationalities and races have this syndrome. The basis of this is an endocrine disorder in which there is an imbalance of estrogen and testosterone. Men have a great deal of testosterone and minimum estrogen whereas girls generally have a good deal of estrogen and minimal testosterone.
In women with PCOS, there is an excess production of testosterone that causes male like traits to happen. This hyperandrogenism contributes to increase muscle density and hypertension, obesity, diabetes, excessive hair growth, male pattern baldness, hyperlipidemia, deepening of the voice, acne, and increase risk of cardiovascular disease. PCOS is a diagnosis of exclusion.
To put it differently, there’s absolutely no particular test or set of tests that a gynecologist can use to diagnose PCOS. Rather it’s based almost exclusively based on history and physical examination. The one absolute requirement is to have less than normal frequency of your menstrual cycle. Most women with PCOS begin as teens with fewer than normal intervals. If you have less than 10 cycles in a year you probably have at least some amount of PCOS.
The less frequent your period, is the more likely to have anovulation, which is when the ovary fails to discharge an egg in mid-cycle. Therefore you have less opportunities to conceive. Infrequent menses is absolutely the most important part of diagnosis, but other tests may contain an estrogen level, testosterone level, LH:FSH ratio, (Luteinizing Hormone to Follicle Stimulating Hormone of 3:1 exceptionally suggests an abnormality), TSH or Thyroid Stimulating Hormone, Prolactin levels, fasting blood glucose, insulin levels, and a transvaginal ultrasound.
Treatment is usually divided, at least by me, into 2 paths. If you’re NOT wanting to conceive then most women benefit from therapy with oral contraceptives. I like to use Yasmin or Yaz since they feature drospirinone and are more anti-androgenic than other progestins. To put it differently, they help block the effects of testosterone.
Spironolactone is a potassium sparing diuretic which helps to excrete testosterone and could also be used. Neither should be used in pregnancy. On the other hand, if you’re wanting to conceive, then Clomiphene citrate or another ovulation induction medication is used to help increase the probability of conception. Additionally, many gynecologists will prescribe one of three diabetic drugs to help normalize your cycle.
Losing only 5-10percent of you body weight can significantly improve you chance of conception and will surely reduce your risks of diabetes, cardiovascular disease, hypertension, hyperlipidemia, and enhance your overall health. Weight reduction also reduces insulin and for that reason the total production of testosterone in the ovaries. To sum up, if you have fewer than regular intervals, you might have PCOS. The fantastic thing is that with appropriate medical treatment the huge majority of women can overcome infertility and have a baby.