The Role of Body Weight In the Polycystic Ovarian Syndrome Treatment
In women with PCOS in combination with obesity, an important step in polycystic ovarian syndrome treatment
is to reduce body weight to normal values. In some cases, even after
normalization of weight disappear, all the symptoms of polycystic
ovaries: is set a regular menstrual cycle, appears ovulation, which
makes it possible to become pregnant.
The mechanism of the
therapeutic effect of weight loss in case of polycystic ovary syndrome
is as follows: adipose tissue is the place where is forming additional
amounts of androgens (male sex hormones) and estrogen, which are already
produced in abundance in the ovaries of PCOS patients. Reduced fat mass
in some cases leads to the normalization of hormone levels in the blood
and may contribute to recovery.
Plan for weight loss is
recommended to be discussed with your doctor, nutritionist, or
endocrinologist, who will help create an optimal diet. Women with PCOS
are not recommended to fast for losing weight, as during starvation the
body breaks down proteins. The basic principles of diet in polycystic
ovary are: restriction of carbohydrates (sugar, flour, and sweet), salt,
fat, excessive amounts of water. An important condition for weight loss
is physical activity - jogging, gymnastics, swimming, etc.
Polycystic Ovarian Syndrome Treatment With The Help Of Medicine
If
during the examination in women with polycystic ovaries were found
insulin resistance (a condition where the body's cells do not respond to
insulin) or diabetes, the preferred polycystic ovarian syndrome
treatment is the use of metformin. Metformin improves glucose
utilization in the tissues of the body, normalizing its level in the
blood, and reduces appetite, and perhaps helps to regulate the menstrual
cycle in women with polycystic ovary syndrome. Doses of Metformin are
individual and should be determined by the attending physician. Duration
of polycystic ovarian syndrome treatment usually ranges from 3 to 6
months.
If a woman with polycystic ovarian syndrome is not
planning a pregnancy in the near future, the focus during the treatment
is given to the elimination of symptoms caused by increased levels of
male sex hormones (oily skin, acne, hair growth in male pattern, etc.).
See Treatment of seborrhea, acne treatment.
The majority of women
with hirsutism (hair growth, male pattern), the normalization of body
weight helps to reduce hair growth, however, if the normal weight of
hirsutism persists, I recommend taking anti-androgens - drugs that block
androgens (male sex hormones).
Flutamide - a drug that blocks the
action of androgens, leading to the disappearance of hirsutism, oily
skin and acne. Duration of drug treatment ranges from 3 to 6 months.
Dose and duration of treatment is determined by your doctor. During
treatment, it is recommended to periodically check liver function.
Spironolactone
- a drug that reduces the formation of androgens, as well as blocking
their action on the tissues of the body. As a rule, for the treatment of
hirsutism spironolactone takes for 6 months or more. Doses of drugs and
duration of admission are determined by your doctor. Keep reading for
more options for polycystic ovarian syndrome treatment.
The basic
principles of ovarian cyst treatment when there is infertility in women
is the normalization of weight and the appointment of Metformin in the
presence of disorders of carbohydrate metabolism (insulin resistance).
The ineffectiveness of the measures carried out ovulation - hormonal
therapy, which helps release the egg from the ovary.
Stimulation
of ovulation is clomiphene citrate medication that is prescribed a woman
with 5 to 9 days of the menstrual cycle (when the ovary is determined
by the largest (dominant) follicle with the egg).
Doses are
determined by the attending physician clomiphene, the ineffectiveness
(lack of ovulation) increase the dose of medication. To determine the
efficacy clomiphene uses the measurement of basal body temperature and
ultrasound diagnostics. The main criterion for the effectiveness of
polycystic ovarian syndrome treatment is the presence of ovulation.
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