Syndrome of polycystic ovaries

Syndrome is called set of symptoms. That is, symptoms of some disease which develop or in a certain sequence, or at the same time are defined. It is important that all of them are shown in pathological process. As a rule, the sum of clinical signs is characteristic at many diseases. Therefore the syndrome is taken out as a separate nosological form. At the same time diseases as their reasons or absolutely different, or are unknown, as are not specified in a case with a syndrome of polycystic ovaries which was described for the first time by scientific Matte and Levental. Afterwards, proceeding from a pathoanatomical picture, this syndrome was designated as a sclerocystosis of ovaries. Today the World Health Organization finally fixed the term – the syndrome of polycystic ovaries recommended for doctors of the whole world. Besides, in connection with improvement of diagnosis of diseases, the reason of development of a similar state is already known now.

Development of a syndrome of polycystic ovaries, treatment

The main problem which promotes development of a polycystosis of ovaries is insulin resistance. This state at which cells and fabrics lose ability to digestion of glucose. At the same time the amount of insulin first remains sufficient. Then its products are reduced by a pancreas owing to exhaustion. At shutdown of receptors to insulin sensitivity of fabrics to adrenocorticotropic hormone which starts the mechanism of production of glucose in an organism increases. For the bodies suffering from a lack of glucose, the similar measure is compensatory. But, the increased emission of adrenocorticotropic hormone stimulates production of luteinizing hormone. And it, in turn, influences tissues of ovaries that leads to the increased synthesis of men's hormones. The appeared follicles do not turn into ova, and the syndrome of polycystic ovaries which treatment is directed to induction of an ovulation forms.

Methods of treatment of a polycystosis of ovaries:

• Surgical;
• Metabolic;
• Hormonal.

The first method of treatment of a syndrome of polycystic ovaries was surgical. Was considered that the reinforced cover of an ovary does not allow an ovum to go beyond its limits. Therefore the ovary tissue resection method was offered. Konusoobrazno was cut out ovary tissue with big capture of a cover and smaller – stromas of body. As a rule, after similar intervention progesterone synthesis – the main hormone of pregnancy without which the ovulation is impossible sharply increases.

Today operational treatment of a syndrome of polycystic ovaries is considered a last resort when all other methods do not bring a positive take. Modern operations are made by means of a laparosokop, with removal much of smaller amount of tissue of ovary (ovarian drilling). Nevertheless, it is even necessary to abstain from such operations as surgical intervention strengthens metabolic disturbances. Besides, the high risk of cardiovascular diseases after a resection of ovaries is noted. After similar intervention there is a loss of an ovarian reserve that, inevitably, involves a premature climax.

Metabolic therapy of a syndrome of polycystic ovaries is directed to increase in sensitivity of cells and body tissues to insulin. Drugs which promote absorption of glucose from blood are used, slow down production of own carbohydrates in a liver and slow down absorption of glucose in a stomach. These are guanyl guanidines which are used at treatment of a diabetes mellitus of the second type.

Hormonal treatment is made for the purpose of decrease in development of androgens and stimulation of release of an ovum. Certainly, the last aim is pursued in fight against infertility.

Syndrome of polycystic ovaries and pregnancy

As lack of an ovulation is caused by the low level of progesterone – the main hormone of pregnancy, conception at a syndrome of polycystic ovaries is impossible, and pregnancy does not occur even in the presence of monthly bloody allocations which in fact periods are not.

On ultrasonography the increased ovaries decide on the "necklace" consisting of many follicles, but without the main thing (dominant) which turns into an ovum. When as a result of hormonal or metabolic therapy the ovum after all is formed, all other follicles from "necklace" are fallen down and go to a reserve.

Therefore when treatment is effective, this is not about a syndrome of polycystic ovaries, and pregnancy develops on the known mechanism. Any factors, but only not a condition of follicles in ovaries can appear the reason of threat of an abortion.

Pregnancy occurs after reception of a siofor (Metforminum) within half a year. Or after the caused ovulation which stimulation is categorically contraindicated more than three months in a row. Further impact on tissues of an ovary does not render necessary effect, but increases risk of oncological process.

Syndrome of polycystic ovaries, treatment by folk remedies

As a rule, traditional medicine pursues a definite purpose therefore treatment by nonconventional or traditional means at a syndrome of polycystic ovaries is directed to fight against infertility and the uterine bleedings caused by hyperplastic processes of an endometria.

Vitex, or Avraamovo a tree, stimulates production of progesterone, thereby, causes an ovulation. Broth or spirit infusion from fruits of vitex is recommended to be accepted daily within three months. However in practice, the ovulation occurs in the next cycle.

At a syndrome of polycystic ovaries, treatment by folk remedies which improve work of a liver contributes to metabolism normalization.