An ovarian disease with genetic predisposition Polycystic Over Syndrome , the most common hormonal disorder in all organ systems, not only in women's diseases. The cause is unknown PCOS , typically occurring in young girls and usually during adolescence.
Professor Dr. Hakan Yaralı gave the following information about the Polycystic Ovarian Syndrome seen in every 5 females:
Beware of these 3 criteria for PCOS diagnosis!
According to the Rotterdam criteria, the diagnosis of Polycystic Ovarian Syndrome is made by determining at least two of the following three criteria.
1. Sparse ovulation or no ovulation
2. Too much male hormone
3. The appearance of more than 12 antral follicles 2-9 mm in diameter in the ovaries (Polikistik Overlook)
Apart from these three important symptoms, acne increase, skin lubrication, hair loss and obesity are among other important statements of PCOS!
Anti-adogens (drugs that suppress male hormones) should be used in the treatment of these skin changes. The drugs used in this context are birth control pills, Aldakton (Spironolactone) and other antiandrogens.
Regulation of menstruation is a second advantage of using contraceptive pills as well as increasing hairiness. Although aldakton is actually a diuretic, it is an effective drug in the context of an increase in hair growth. Increased fever medical treatment should not be done at child-seeking times; because the drugs to be used are either ovulation supplements or drugs that should not be used in pregnancy.
Women with PCOS are more at risk of diabetes!
Women with Polycystic Ovary Syndrome have some increased metabolic risks in the long term. In these cases, the risk of diabetes at the age of 40 and after is definitely increasing compared to non-PCOS cases. Progressive female age, excess weight and presence of diabetes in family members of one degree degree constitute additional risk factors for the development of diabetes.
In these patients there is about 40% secret sugar, and in 6-8% the frequency of apparent sugar (type 2 diabetes). In addition, though not necessarily, the risks of hypertension (high blood pressure) and coronary heart disease are also increasing.
Control the most important step weight in the treatment!
Research shows that obesity is increasing rapidly in women in Turkey. Obesity is also a common problem in women with Polycystic Ovarian Syndrome. However, in women with Polycystic Ovarian Syndrome, weight gain is developing as male type weight gain. To determine what type of obesity is being measured around the abdomen; If the circumference of the abdomen is 88 cm beyond the umbilicus, the male type is defined as obesity.
The most important and primary step in the treatment of the patient is control and weight loss. Unfortunately, success in weight loss in practice is often limited. At weight, the success key is the patient's willingness to be in complete harmony, professional support from a dietary expert, and proper exercise program.
Patients can have children with developing treatments!
Patients with PCOS can experience difficulties in pregnancy due to ovulation. For this reason, initial treatment is to restore egg laying. Assistive methods for this; weight gain if there is an excess weight, and stimulation and vaccination of laying by pill or daily needle therapy.
While weight gain increases the sensitivity of medications we will use in treatment, it is also very important to remove the dangers that excess calories may have in pregnancy. If pregnancy can not be achieved in this way, infant IVF treatment can be applied.
Patients with PCOS are the easiest patients in the treatment of IVF infants!
Patients with PCOS who need to undergo IVF are the easiest group of patients to conceive. Because in these patients the ovarian reserve, ie the number of eggs obtained after ovarian stimulation, is quite good and the pregnancy rates are higher according to the other cases due to the infertile infertility. At the same time, the probability of obtaining an embryo free from the transferred embryo-embryos in this group of patients is much higher.
In recent studies we have published in a reputable magazine abroad, the pregnancy rate is only 44% in case of menstrual infertility cases only, the pregnancy rate is 59,6% in patients who have only Polycystic Over view but not ovulation problem, this rate is 66% in PCOS patients. Because of this, patients with PCOS have the chance of becoming pregnant with pill or daily needle therapy + vaccination without even needing IVF treatment. We would like to reiterate that even if IVF is necessary, it is a very effective struggle and that pregnancy rates are quite good.
It should be borne in mind, however, that the selection of the appropriate protocol and the application of the lowest dose appropriate for PCOS patients is of paramount importance. Uncontrolled structured stimulation for IVF can pose a risk of over stimulation syndrome, which can lead to serious health problems that threaten even life.
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