in addition to weight gain, hair growth throughout the body, such as a woman's disease is the formation of acne, which can cause many complaints. The problem of inability to have children is often observed in women who have this disease due to disruption of the ovulation pattern due to cysts formed in the ovaries. A large number of cysts in the ovaries disrupt the hormonal structure, causing pubescence and the formation of acne. This disease, which negatively affects the quality of life and appearance by disrupting the external appearance, is a type of disease that brings with it psychological problems and must be treated.
Is a serious disorder if left untreated for a long period of polycystic ovary syndrome, fatty liver, diabetes, hypertension, metabolic syndrome, infertility, depression and anxiety disorders, hypertension, sleep apnea, such as many important can cause problems. For this reason, it is necessary to start the treatment process immediately in people with this disease to ensure rapid weight loss and control hormone levels.
Symptoms of Polycystic Ovary Syndrome
Although the disease mostly does not give symptoms in the initial period, it begins to manifest itself with a number of symptoms as the process progresses. Although the symptoms vary depending on the person, the common symptoms seen in most women can be listed as follows:
* Menstrual irregularity
* Weight gain
* bleeding that Decays between 2 menstrual cycles
* Weight gain
* Inability to have children
* Acne on the face and back
* Thickening of the voice
* Growth, reduction and tenderness in the breasts
* Hair loss
* Blemishes on the skin
The symptoms mentioned above are common symptoms of polycystic ovary syndrome, and the most common known symptom is menstrual irregularity. Especially in young girls aged 13-19 years, the disease, which manifests itself in the form of inability to menstruate after a few cycles of the first menstruation, excessive hair growth and acne, can also occur at an older age.
What causes Polycystic Ovary Syndrome?
Although the cause of polycystic ovary syndrome is not exactly known, it is known that genetic and environmental factors are effective in its occurrence. Familial predisposition plays an important role in the occurrence of the disease. Individuals with a family history of polycystic ovary are quite likely to develop this disease compared to other individuals. In addition, obesity is among the factors that pave the way for the formation of this disease. Excess weight and the resulting insulin resistance cause hyperinsulinemia (an increase in the level of the hormone insulin in the blood), which in turn increases the synthesis of the hormone androgen in the body. As a result, the balance of sex hormones in the body is disturbed, ovulation disorders and the problem of inability to ovulate, called anovulation, arise. With the disruption of the ovulation pattern, the formation of cysts in the ovaries is observed, and this condition progresses, leading to the appearance of a picture of polycystic ovary syndrome.
One of the causes of PCOS disease is exposure to a number of harmful chemicals. Some pesticides, dioxins, phytoestrogens, BPA, Bisphenol A, a number of chemicals such as DBP, affect the hormone production process in the body, which can lead to disruption of hormonal balance. For this reason, it is believed that exposure to such chemicals increases the likelihood of many diseases, including polycystic ovary syndrome.
How is Polycystic Ovary Syndrome diagnosed?
Diagnosis in polycystic ovary syndrome; clinical findings, radiological images and the patient's history are examined in detail. In patients with one or more of the problems such as earlier or late menstruation, amenorrhea, deepening of the voice, hair growth, excessive hair loss, ovaries and uterus are accompanied by pelvic or vaginal ultrasonography is examined in detail. As a result of the blood test to be performed on the 3rd day of menstruation, the hormone levels can be measured and the disease can be diagnosed in the light of all these diagnostic tests. In individuals with the disease, especially in hormone testing, it is observed that the levels of the hormones FSH and LH, which regulate the ovulation cycle, are outside the normal range, the level of the hormone estrogen is low, and the levels of the male hormone are higher than normal. In cases where the ratio of the hormone level that provides ovulation to the level of the hormone that enlarges the egg is 3 and above, it can also be assumed that the patient has polycystic ovary syndrome. Ultrasonography is also of great importance in the diagnosis and follow-up of the disease.
The main reason for the lack of ovulation (anovulation) in PCOS disease is that the eggs accumulate and cyst on the ovarian wall, unable to develop as they should due to impaired hormone levels. On ultrasound, it is often observed that one ovary or both ovaries have a multicystic appearance. In order for the diagnosis of the disease to be made, it is enough for a single ovary to have this appearance. As a result of all diagnostic tests performed, the severity of the disease in individuals diagnosed with PCOS should be leveled as mild, moderate or severe, and the subsequent follow-up and treatment of the patient should be planned taking into account the severity of the disease.
What are the treatment methods for Polycystic Ovary Syndrome?
Treatment of polycystic ovary is planned individually by an endocrinologist and an obstetrics and gynecology doctor. In the treatment process, in addition to fighting the disease, different treatment methods are used to eliminate secondary problems caused by the disease. First of all, antiandrogen drug treatments can be used to reduce the level of male (androgen) hormones that are above normal in the bloodstream. Reducing insulin resistance by ensuring that the person reaches the ideal weight with a polycystic ovary syndrome diet specific to the person to be prepared by a dietitian is one of the most important treatment principles in improving the course of the disease. If the patient already has insulin resistance, it is very important to reduce the sugar and insulin hormone levels in the blood to normal using oral antidiabetic agents in order to correct the hormone levels in the patient.
In order to ensure menstrual regularity and prevent problems such as hair loss (hirsutism) and acne caused by the disease, birth control pills are often used. This method of treatment also contributes to the prevention of excessive thickening of the endometrium, the inner layer of the uterus, and various diseases that may occur accordingly. Since polycystic ovary syndrome and hair loss are also related problems, vitamin and mineral supplements, shampoos with natural ingredients and hair October techniques can be used when necessary. Antibiotics and acne creams for the resulting acne problem, laser hair removal techniques can be used for the problem of hair loss. In people who want to have a child, in addition to the appropriate treatments to be applied for the disease, some drug treatments can be applied to ensure egg development. The treatment to be applied to the patient should be planned individually by the physician in a way that is completely in accordance with the complications that develop in the patient, the stage of the disease, the secondary problems caused by it and the general structure of the patient.
As with many diseases, early identification and treatment of polycystic ovary syndrome of the disease and the stage of the disease be made in accordance with the plan to halt the disease progression of the disease problems that will lead to measures to be taken in preventing person is very important. Questions such as can I get pregnant with polycystic ovary syndrome, is this disease an obstacle to having a child, are the questions that confuse patients the most. It should be remembered that it is possible to completely control this disease as a result of a correct treatment process, especially in people who want to have children, and in this way infertility can be prevented. In the light of the information given above, if you are also suffering from PCOS or if you are thinking about the possibility that you may have this disease, you can immediately contact a health facility to have the necessary diagnostic tests and improve your quality of life by starting your treatment process immediately.