Polycystic ovary syndrome
Polycystic ovary syndrome (PCOS) is the most common endocrinological disorder that affects women of reproductive age from early girlhood, entering puberty until the age of 50. It is characterized by irregular menstruation with an excess of male hormones (androgens) that can cause increased body hair, acne or hair loss.
In 70% to 90% of situations, the background of this syndrome is insulin resistance, which can lead to the development of type 2 diabetes.
Women with polycystic ovary syndrome have difficulty getting pregnant, so special treatments are needed, ranging from ovulation stimulation with drugs to ectopic insemination. Furthermore, when we talk about reproduction, they have significantly more frequent spontaneous abortions and repeated spontaneous abortions.
PCOS is a severe endocrinological problem and requires that the gynaecologist and endocrinologist monitor the health of the patient with this diagnosis throughout her life.
Predisposition to PCOS
In addition to genetic predispositions, this endocrinopathy is more common in children of overweight mothers, obese children, and children with low birth weight due to rapid weight gain in juvenilehood, with premature adrenal function (pubic hair before 8 years of age ).
Treatment of infertility in women with PCOS
Throughout the treatment of infertile couples to achieve ovulation in women with PCOS, we recommend:
- weight loss
- ovulation stimulation
Ovulation stimulation in PCOS patients must be very professional and careful because of the high risk of ovarian hyperstimulation.
Gynaecological Endocrinology and PCOS
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