Syndrome is a collection of symptoms
. That is determined by the signs of certain diseases that develop or in sequence or simultaneously
. It is important that they all occur in the pathological process
. Typically, the amount of clinical signs is a characteristic of many diseases
. Therefore syndrome imposed as a separate nosological form
. It does not indicate the disease, either because their causes are completely different or unknown, as is the case with polycystic ovary syndrome, which was first described by scientists Stein and Leventhal
. Subsequently, based on the pattern of pathology, the syndrome has been identified as sclerocysticum
. To date, the World Health Organization finally enshrined the term - polycystic ovary syndrome, recommended for physicians all over the world
. Moreover, due to the improved diagnosis, currently already known cause of this condition
The development of polycystic ovary syndrome, treatment
The main problem, which contributes to the development of polycystic ovaries is insulin
. This is a condition in which cells and tissues lose the ability to assimilate glucose
. Thus the amount of insulin initially remains sufficient
. Then, its production by the pancreas is reduced due to exhaustion
. If you turn off the insulin receptors increases the sensitivity of tissues to adrenocorticotropic hormone, which triggers the production of glucose in the body
. For the authorities, suffering from a lack of glucose, such a measure is compensatory
. However, an increased release of adrenocorticotropic hormone stimulates the production of luteinizing hormone
. And it, in turn, affects the ovarian tissue, leading to increased synthesis of male hormones
. Appeared follicles never turn into eggs and formed polycystic ovary syndrome, treatment is aimed at induction of ovulation
Methods of treatment of polycystic ovaries:
The first treatment of polycystic ovary syndrome was surgical. It was believed that the thickened walls of the ovary does not allow the egg to go beyond it. Therefore, we proposed a method of resection of ovarian tissue. Cone-shaped ovary tissue was cut with a large seizure of the shell and lower - body stroma. Typically, after such intervention dramatically increases the synthesis of progesterone - the main hormone of pregnancy, which is impossible without ovulation.
Today, surgical treatment of polycystic ovary syndrome is considered a last resort when all other methods do not bring a positive result. Modern operations are performed using laparosokopa, with the removal of far fewer ovarian tissue (ovarian Drilling). Nevertheless, even from such operations should refrain as surgery enhances metabolic disorders. In addition, there is a high risk of cardiovascular disease after resection of the ovaries. After such an intervention is a loss of ovarian reserve, which inevitably entails a premature menopause.
Metabolic therapy for polycystic ovary syndrome is aimed at increasing the sensitivity of cells and tissues of the body to insulin. Uses drugs that promote the absorption of glucose from the blood, inhibit the production of its own carbohydrates in the liver and inhibit glucose absorption in the stomach. This biguanides are used in the treatment of diabetes type.
Hormone treatment is performed to reduce the production of androgens and the stimulation of the release of the egg. Of course, the final goal is pursued in the fight against infertility.
Polycystic ovary syndrome and pregnancy
Since the absence of ovulation due to low progesterone - the main hormone of pregnancy, it is impossible to conceive in polycystic ovary syndrome and pregnancy does not occur even in the presence of monthly bleeding, which in fact are not menstruation.
On US defined enlargement of the ovaries with the "necklace", which consists of many follicles, but without major (dominant), which is converted into an egg. As a result of hormonal or metabolic therapy egg Still, all of the remaining follicles "Necklaces" fallen down and go into the reserve.
Therefore, when the treatment is effective, it is not about polycystic ovary syndrome and pregnancy develops the known mechanism. The cause of threatened abortion may be any factor, but not the state of follicles in the ovaries.
Pregnancy occurs after taking siofora (metformin) for six months. Or after induced ovulation, which stimulated more than three consecutive months is absolutely contraindicated. A further effect on the ovarian tissue does not have the desired effect, but increases the risk of cancer process.
Polycystic ovary syndrome, treatment of folk remedies
As a rule, traditional medicine has a specific goal, so treatment unconventional or conventional means in polycystic ovary syndrome is aimed at combating infertility and uterine bleeding caused by endometrial hyperplasia.
Vitex, or chaste tree, stimulates the production of progesterone, thereby triggers ovulation. A decoction or alcohol tincture of the fruits of Vitex is recommended to be taken daily for three months. However, in practice, in the near ovulation cycle occurs.
In polycystic ovary syndrome, treatment of folk remedies that improve liver function, helps to normalize metabolism.