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.