Friday, October 16, 2020

Polycystic ovary syndrome (PCOS)

 A hormonal disorder causing enlarged ovaries with small cysts on the outer edges.

The cause of polycystic ovary syndrome isn’t well understood, but may involve a combination of genetic and environmental factors. Polycystic ovary syndrome (PCOS) is a hormonal disorder common among women of reproductive age. Women with PCOS may have infrequent or prolonged menstrual periods or excess male hormone (androgen) levels. The ovaries may develop numerous small collections of fluid (follicles) and fail to regularly release eggs.

Way to examine polycystic ovary syndrome :-

A pelvic exam. The doctor may visually and manually inspects your reproductive organs for masses, growths or other abnormalities.

Blood tests. Your blood may be analysed to measure hormone levels. This testing can exclude possible causes of menstrual abnormalities or androgen excess that mimics PCOS. You might have additional blood testing to measure glucose tolerance and fasting cholesterol and triglyceride levels.

An ultrasound. Your doctor checks the appearance of your ovaries and the thickness of the lining of your uterus. A wandlike device transducer is placed in your vagina (transvaginal ultrasound). The transducer emits sound waves that are translated into images on a computer screen.

The 3 main features of PCOS are Or symptoms for PCOS:-

  • Irregular periods – which means your ovaries do not regularly release eggs (ovulation)
  • Excess androgen – high levels of “male” hormones in your body, which may cause physical signs such as excess facial or body hair
  • Polycystic ovaries – your ovaries become enlarged and contain many fluid-filled sacs (follicles) that surround the eggs (but despite the name, you do not actually have cysts if you have PCOS)
If you have at least 2 of these features, you may be diagnosed with PCOS.

Common signs and symptoms of PCOS include the following:

  • Menstrual disorders: PCOS mostly produces oligomenorrhea (fewer than nine menstrual periods in a year) or amenorrhea (no menstrual periods for three or more consecutive months), but other types of menstrual disorders may also occur.
  • Infertility: This generally results directly from chronic anovulation (lack of ovulation).
  • High levels of masculinizing hormones: Known as hyperandrogenism, the most common signs are acne and hirsutism (male pattern of hair growth, such as on the chin or chest), but it may produce hypermenorrhea (heavy and prolonged menstrual periods), androgenic alopecia (increased hair thinning or diffuse hair loss), or other symptoms. Approximately three-quarters of women with PCOS have evidence of hyperandrogenemia.
  • Metabolic syndrome: This appears as a tendency towards central obesity and other symptoms associated with insulin resistance. Serum insulin, insulin resistance, and homocysteine levels are higher in women with PCOS.
  • PCOS can be a genetic problem that means if your ancestors are dealing with PCOS you may can deal with it.

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