Polycystic ovaries is a serious gynecological disease that threatens a woman with infertility if she does not turn to a doctor for help in time. The disease is characterized by the development of many small and large cysts on the surface and inside the ovary itself. Polycystic ovaries are caused by the development of hormonal pathology.
CAUSES OF POLYCYSTIC DISEASE
There is no definite reason why women develop polycystic ovaries. Doctors identify several of the most likely causes:
Chronic diseases of internal organs.
Chronic gynecological diseases.
Disorders of the endocrine system.
Infectious and viral diseases. Angina is a greater risk for a woman.
Prolonged stressful situation.
Genetic predisposition.
Irregular sex life.
All these reasons cause the development of bubbles filled with fluid of different caliber – that is, cysts both on the surface and inside the ovary itself (two). When formed, cysts interfere with the development of a normal follicle, and therefore the egg does not mature, ovulation does not occur. This is how anovulatory menstrual cycles appear, during which pregnancy is impossible. The further without treatment, the more anovulatory cycles prevail over fertile cycles.
When identifying the causes of polycystic disease, a comprehensive examination should be carried out, because often there is no specific cause causing pathology, more often the disease causes a complex of causes and provoking factors.
SYMPTOMS OF POLYCYSTIC
Polycystic is a disease that does not have a classical clinical picture, and therefore, the diagnosis of polycystic in the early stages can be very difficult. At the initial stages of the disease, the patient may be concerned about unclear pain in the ovaries (lower abdomen), unexplained mood swings – since with polycystic fibrosis, uncontrolled production of male sex hormones can develop in a woman’s body. The woman becomes more aggressive, irritable.
As the pathological process develops, more typical clinical signs appear:
Weight gain, up to obesity.
Systematic violations of the menstrual cycle – both a decrease in discharge and an increase in comparison with the usual amount of discharge during menstruation.
An increase in the amount of hair is hirsutism.
Pathological skin changes – the development of acne.
Moreover, some patients may complain of uncharacteristic spotting in the middle of the cycle, taking into account the fact that none had been observed before, as well as unpleasant or even painful sensations during sexual intercourse.
Other patients complain that the pain syndrome develops closer to the beginning of menstruation, becomes more pronounced than before.
DIAGNOSIS OF POLYCYSTIC OVARIES
Often, the diagnosis of this disease causes difficulties for the gynecologist. Sometimes, in order for the diagnosis of such a disease to be carried out faster and better, gynecologists advise keeping records of basal body temperature for 2-3, preferably 6 cycles before visiting a doctor. Thus, the doctor can estimate the percentage of anovulatory cycles, as well as the possible predominance over fertile ones.
The thing is that during ovulation, the basal temperature becomes above 37 degrees, it is this increase in temperature by 1-2 degrees that indicates that ovulation was.
In addition to the basal temperature, an ultrasound examination of the ovaries should be performed. The study should be done at different periods of the menstrual cycle in order to see the clinical picture in dynamics.
Also, when diagnosing polycystic ovaries, the patient needs to undergo a laboratory examination, during which, with the development of the disease, it will be found that the level of progesterone is pathologically reduced, and testosterone is increased.
Based on all the data obtained, a woman can be diagnosed with polycystic ovaries.
TREATMENT OF POLYCYSTIC
The treatment of polycystic fibrosis, as well as its diagnosis, should be approached comprehensively. Modern medicine is ready to offer both conservative and surgical treatment. As a rule, surgical methods are resorted to only if it is impossible to apply drug therapy or if it is ineffective.
Conservative treatment includes taking hormonal drugs that stabilize and suppress the production of male sex hormones. Drugs that stimulate ovulation are also prescribed.
With surgical intervention, laparoscopy is resorted to, which is able to temporarily restore the functioning of the ovaries.
