Polycystic ovary disease - treatment without the use of hormonal agents. Is it possible to completely cure polycystic ovary disease

Violation of the follicle maturation process adversely affects the reproductive function of a woman.

How is polycystic ovary disease treated?

How to combine medication with physiotherapy?

Are there any benefits from using folk remedies? Answers in the article.

The polyendocrine complex of negative symptoms develops against the background of autoimmune disorders, endocrine pathologies, hormonal disruptions, and problems with the functioning of the pituitary gland.

Women need to be more careful about the health of the reproductive system if there are close relatives with type 2 diabetes, obesity, arterial hypertension in the family.

Polycystic ovary syndrome (PCOS) affects the hypothalamus, pituitary gland, pancreas, adrenal cortex and target organs: the uterus, ovaries. The ovulation process is impaired, analyzes show excessive production of male hormones, decreased production of female hormones.

On ultrasound, doctors reveal an increase in the ovaries, inside which there are multiple follicles, the diameter of which varies from 2 to 9 mm. In the normal course of the menstrual cycle after ovulation, unnecessary follicles undergo a reverse development, with polycystic or other disorders of the reproductive system, the process proceeds with deviations.

What if the doctor made a diagnosis? It is necessary to contact a specialist who will prescribe a course of hormonal drugs that restore the normal level of hormones in the body, or he will conduct another successful treatment.

Read about large ovarian cystomas.

See what antibiotics you need to drink for ovarian inflammation.

Causes

Violation of the stages of physiological development of follicles provoke:

congenital pathology against the background of health problems in a pregnant woman, with insufficient intake of nutrients by the fetus due to the poor diet of the expectant mother;
deviations in the development of the organs of the reproductive system during puberty;
endocrine pathologies;
malfunctioning of the thyroid gland, hypothalamus, adrenal cortex, pituitary gland;
inflammatory processes in the organs of the female genital area (development of a secondary form of the disease).

Symptoms of polycystic disease

It is worth contacting a gynecologist and endocrinologist if the following signs appear:

menstruation became irregular, discharge became scarce or abundant, soreness appeared;
the fat content of the skin and hair has increased, an accumulation of abscesses, white acne is observed on the face and body, symptomatic therapy does not give a lasting result;
in the lower abdomen with polycystic ovaries, dysfunctions of the reproductive system, pulling pains periodically disturb;
measurement of basal temperature throughout the cycle shows: the values practically do not change, there is no characteristic jump on days 13-17, which indicates the absence of ovulation;
hair is actively falling out;
over a short period, the weight has increased by 10 or more kilograms, it is difficult to stabilize the body weight;
pregnancy does not occur, although the couple is not using contraception;
on the face, abdomen, chest, hair growth is more active.

Effective treatments

PCOS requires a comprehensive examination, the use of several elements of therapy.

When confirming the diagnosis of polycystic ovary disease, you need to find a high-level clinic and experienced doctors: only with adequate therapy can the problem be dealt with.

How to cure polycystic ovary disease? A clear treatment regimen is developed by a gynecologist, it is necessary to connect an endocrinologist and a neurologist.

It is important to take into account the individual characteristics of the organism, to find out the probable causes of deviations in polycystic ovaries. Doctors should explain that it takes time and a woman's active participation in the therapy process to eliminate PCOS to normalize the reproductive system. For maximum effect, not only drugs are used, but also folk remedies.

The main stages of treatment:

Decrease in body weight, stabilization of indicators at the optimal level. Until this condition is met, taking medications does not give the desired result.
Taking hormonal drugs to correct disorders. With the low effectiveness of oral contraceptives, formulations are prescribed to reduce insulin resistance.
Stimulation of the ovulation process to normalize reproductive function.

With a low efficiency of conservative treatment of polycystic ovaries, laparoscopy is prescribed - a low-traumatic endoscopic operation to remove multiple follicles.

Diet for polycystic

When stabilizing body weight, it is important to reduce the calorie content of the diet to 1800-2000 calories per day. Be sure to get "slow" carbohydrates, vegetable fats, proteins. Fasting is a bad option for losing weight, it is better to arrange fasting days twice a week.

Polycystic ovary illustration

Doctors recommend getting more fiber and vitamins from fruits, vegetables, nuts, dairy products, vegetable oils, especially olive and flaxseed, cereals, light vegetable soups. A useful product for losing weight and maintaining optimal body weight is turkey meat: it is richer in vitamins and minerals than chicken and is more easily absorbed by the body.

It is important to limit the menu:

pickles;
marinades;
hot seasonings;
ready-made sauces and ketchups;
canned food;
fatty meat and fish;
refractory fats;
offal;
strong black tea and coffee;
fatty dairy products;
red meat;
packaged fruit juices;
butter;
sweet soda;
confectionery;
baking;
mayonnaise;
chocolate;
sugar;
fried foods;
smoked meats;
salt (up to 3-5 g per day).

Drinking regimen is a prerequisite for stabilizing body weight and proper metabolism.

When treating polycystic ovary disease, you need to receive clean water, juices, fruit drinks, green tea, compotes, milk, and other types of liquid - up to two liters per day. Mineral water without gas is useful: the attending physician selects the optimal type.

Physiotherapy

Procedures for polycystic ovaries do not directly affect hormonal levels, but have a beneficial effect on metabolic processes, neuro-reflex regulation, blood circulation in the pelvis, and activate fat burning to stabilize body weight. Physiotherapy methods give a calming and anti-inflammatory effect, activate the organs responsible for the production of hormones.

Effective methods of influence:

galvanophoresis with lidase and vitamin B 1;
paraffin applications;
electrophoresis;
mud therapy;
laser therapy;
magnetotherapy;
coniferous, sea, sodium chloride baths;
circular shower or Charcot shower.

Drug treatment

After stabilizing body weight, doctors prescribe a set of drugs:

Hormone therapy to normalize the menstrual cycle. A woman takes combined forms of oral contraceptives without androgenic action. Effective names for polycystic ovary: Janine, Marvelon. With a pronounced influence of male sex hormones, another type of drug is prescribed - antiandrogen Diane-35;
Preparations for stimulating ovulation. Also to enhance the effect of the use of hormonal formulations in violation of the reproductive system. A common treatment regimen for polycystic ovaries is the use of the drug Clomiphene (5-19 day of the cycle), in the second phase, Dufaston tablets are prescribed for ten days;
Vitamin therapy. It is important to support the body, strengthen the defenses, normalize nervous regulation, and improve the condition of the vascular wall. Tocopherol has a positive effect on the production of female hormones, ascorbic acid is a powerful antioxidant, B vitamins are indispensable for the normal functioning of the central nervous system and peripheral nervous system;
Drugs for the treatment of diabetes mellitus. Including diabetes, often developing against the background of polycystic ovary syndrome, malfunctions of the reproductive system. Effective agents: Pioglitazone, Metformin;
Eflornithine hydrochloride. A drug that inhibits cell growth and the production of polyamines. After 1.5-2 months of application, the rate of hair growth in inappropriate places decreases;
Flutamide drug. It has a pronounced antiandrogenic effect. The course of therapy for problems with the functioning of the reproductive system with the use of NSAIDs is designed for 6 months.

How to treat polycystic ovary disease with folk remedies and at home?

Decoctions of medicinal herbs complement drug treatment and physiotherapy, but phytopreparations cannot replace hormonal pills. Before taking formulations with phytoestrogens, it is important to consult an endocrinologist and gynecologist, to get the approval of doctors.

To normalize metabolic processes, several folk remedies are used:

freshly squeezed burdock juice;
decoction of a red brush;
juice from fresh viburnum berries;
tincture of peony;
a decoction of basil leaves;
alcoholic tincture of boron uterus;
infusion of licorice root naked.

With PCOS syndrome, you need to know how to treat polycystic ovary disease in each specific woman.

It is important to take into account the state of the nervous and endocrine regulation, to assess the degree of damage to the reproductive system. The combination of a complex of drugs with a diet, folk remedies, physiotherapy provides in most cases a positive result, restoration of the physiological development of follicles.

Video on the topic

Increase.

Polycystic syndrome is a very serious disease that causes malfunctioning of the ovaries, pituitary gland and adrenal glands. The classic version of such a disease has a large set of manifestations, which are manifested in pathological changes occurring in the ovaries, the appearance of excess weight, hormonal imbalance, and insulin resistance.

As a result, if you do not start treating such a pathology, then it will lead to infertility, to a change in the menstrual cycle, the appearance of diabetes, as well as many other problems. This raises the question, is it possible to cure polycystic ovary disease?

How is the treatment carried out?

There are several ways in which polycystic disease can be treated. These are:

Medication;
Surgical;
Conservative.

However, it should be understood that it is not possible to completely cure such a pathology, even using complex methods, especially if the treatment is started out of time. However, if the initial cause of the disease is identified, and then various methods of therapy are used, it is likely that the woman will return to her previous condition, as well as the possibility of conceiving a child.

Due to the fact that the main reason for the development of such an anomaly is a violation of the hormonal balance, this factor will be treated, first of all. For this, a course of hormone intake is prescribed. Based on the individual characteristics of each woman, a scheme for receiving such funds is also selected.

There are a myriad of different hormonal medications, made in pill form, for oral use. They are often used as a contraceptive, but in case of menstrual problems, certain of these drugs can be used conservatively. Moreover, such therapy is possible only if it was prescribed by a gynecologist. "I treat myself" options can be unhealthy.

Basically, PCOS is treated with contraceptive pills only for those women who no longer plan to have children in their lives. It should be understood that such means do not eliminate the very cause of the disease, but normalize the hormonal background, due to which the menstrual cycle is also restored. When the use of such funds is stopped, all the symptoms of the pathology return. That is why it is important to direct the main efforts precisely to the fight against the root cause.

Operative treatment

First of all, prescribing surgical treatment options occurs when drug treatment options have proven ineffective. In addition, another indication for starting treatment in this way is ovarian tissue hyperplasia. Today, only in rare cases, surgery is performed in the traditional way to treat such a pathology, due to serious complications, which are the adhesive process.

Laparoscopy

A modern minimally invasive operation using a laparoscope is often performed. In this case, the direct and complete removal of polycystic formations is carried out. For this, various techniques can be used, beginning with microresection and electrocoagulation, and ending with such types of surgical intervention as ovarian electropuncture.

The latter option has many positive aspects. So, during the operation, adhesions will be removed, and the procedure itself is low-traumatic, due to which there is a quick rehabilitation (about 1 day).

Often there is also a partial removal of the tissues of the ovary itself (partial resection is performed). However, if you do not carry out conservative treatment aimed at eliminating hormonal imbalance, the disease may recur again.

Other treatment factors

Equally important components of treatment for polycystic ovary disease are healthy eating, giving up bad habits, and eliminating excess weight. As for the latter factor, according to statistics, overweight women are much more likely to develop this disease. And in the case of a decrease in the amount of adipose tissue, there is a significant improvement in the condition. To understand how "healthy" your weight is, you can do the usual BMI calculations, where weight changes in relation to height.

BMI calculations

Such a disease can be cured in any case only partially, for which it is necessary to lose weight, exercise regularly, and also eat a balanced diet. So, the diet should include a large amount of vegetables and fruits, as well as lean fish and chicken. In the course of treatment, the doctor often refers the woman to a nutritionist who will help to formulate the diet more correctly. Read about polycystic disease during pregnancy in this article.

Major complications

Complications of pregnancy: 1. Gestational diabetes 2. Hypertensive disorders	There are no official guidelines or recommendations. Measuring fasting glucose during the first trimester. Monitor blood pressure and possibly uterine circulation during the second trimester.
Glucose Tolerance Disorders	75 g OGTT (at the beginning of the study) in women with PCOS in the presence of the following factors: - BMI> 30 kg / m2 and / or - Waist circumference> 80 cm and / or - Acanthosis and / or - Type 2 diabetes in a family history and / or - History of gestational diabetes mellitus. Menstrual irregularities and hyperandrogenism.
Risk of cardiovascular disease	In women with PCOS at any age, the following is performed: - Measurement of the waist circumference. - Measurement of blood pressure. - Study of the lipid profile. - Analysis of physical activity. - Nutrition analysis. Survey on the presence of tobacco addiction.
Endometrial cancer	Ultrasound or endometrial biopsy in women with prolonged amenorrhea. At least four progesterone tests for endometrial hyperplasia.

Have you ever suffered from cyst problems? Judging by the fact that you are now reading this text, problems still bother you. And you know well what it is:

Intense, sudden pain
Pain due to physical exertion
Bad and restless sleep
New sores that do not allow to live in peace

Perhaps it is more correct to treat not the effect, but the cause? The chief gynecologist of Russia tells how to do this as efficiently as possible ...

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How to cure polycystic ovary disease

Infertility is a disease familiar to many families. Increasingly, difficulties with conception occur in young girls, and the reason for this is polycystic ovary syndrome. With this disease, many small cysts are formed on the paired glands - unruptured follicles. Normal ovulation does not occur in the body, which means that there is no sexually mature egg cell necessary for conception. That is why information on how to treat polycystic ovary disease is needed by many women in reproductive age.

Treatment with drugs of various groups

In order to treat polycystic ovary disease, properly selected hormonal agents are needed. Many women are afraid to take hormone-based pills. There is an opinion that in the process of such treatment it is possible to gain considerable weight, however, if the drug is purchased on the recommendation of the attending physician, the unwanted side effects will be minimal. It is advisable to continue conservative therapy for 6 months. In the absence of the desired result, a different way of solving the problem is chosen.

To eliminate cystic formations from the affected ovaries, hormones and their antagonists are successfully used. In accordance with the violation of the hormonal background, the doctor can choose drugs that stimulate the maturation and release of the egg. In other cases, therapy with antiandrogenic agents, oral contraceptives, progesterone or dexamethasone is necessary. If necessary, other hormone-containing medications are selected for the woman.

Drugs that have the effect of lowering blood sugar levels help cure polycystic disease.

The most promising drug in this regard today is the drug "Metmorphin". The need to supplement the main therapy with hypoglycemic agents is due to their ability to increase tissue resistance to the protein hormone of the pancreas - insulin. In the course of treatment, the level of insulin concentration in the blood decreases, which means that its negative effect on the appendages also decreases.

The restoration of a healthy hormonal background is impossible without sufficient supply of vitamins and minerals to the body. To regulate the functional ability of the gonads, patients with fertility problems are prescribed vitamin complexes. In case of polycystic ovary syndrome, special attention should be paid to the intake of vitamins B, C and E. A good therapeutic effect can be achieved by taking Myo-inositol - a nutraceutical, which is included in some vitamin and mineral complexes, for example, Vitrum Beauty.

If, during the diagnosis of polycystic disease, it turned out that the pathology is accompanied by an insufficiency of the thyroid gland, it is necessary to correct this condition with the help of exogenous L-thyroxine in a dosage selected by a gynecologist-endocrinologist.

Despite the measures taken, ovulation may not occur without medication. In order to induce it, clostilbegit or tamoxifen is used approximately in the middle of the cycle.

When pregnancy occurs, hormone therapy is canceled, since successful conception means that the patient has recovered

Is surgery always necessary?

It happens that polycystic ovary syndrome is not the only gynecological disease diagnosed in a woman. Examination can show that there is an active growth and thickening of the epithelium lining the uterus. In such a situation, surgical intervention is necessary. The operation is also performed for women who do not have positive results of conservative therapy.

The level of development of modern medicine makes it possible to treat pathologies of the gynecological sphere with low-traumatic intervention. This method of access to the focus of the disease is called laparoscopic. During the operation, the surgeon can not only eliminate the identified disease, but also diagnose other possible pathological processes. The elimination of the accumulation of cysts from the surface of the ovaries is carried out by the method of wedge-shaped resection. Such an intervention involves partial removal or cauterization of the affected epithelium of the appendages.

The result of laparoscopy in this case is a decrease in the production of male sex hormones and, as a result, the restoration of normal ovulation. This effect, however, is short-lived. After 1–3 years, many patients experience a relapse of polycystic ovary syndrome. Families wishing to have children are advised to plan for conception in the first 6 months after wedge resection. It is during this period that the probability of pregnancy is highest.

Will traditional medicine help?

Polycystic Ovary Syndrome is a medical condition that has virtually no symptoms. That is why many women believe that you can get rid of the disorder quickly enough using only recipes for herbal decoctions and tinctures. PCOS is a serious hormonal disorder that is fraught with infertility, so the approach to treatment must be competent. Any adjustments to therapy must be agreed with your doctor. It is not recommended to start taking herbal medicines without specialist approval.

Traditional medicine recipes in the treatment of polycystic disease can be used for the following purposes:

to strengthen the body's immune defenses;
to activate the function of the liver and thyroid gland;
to cleanse the body of toxins.

It will not be possible to completely restore the health of the ovaries with folk remedies, because the pathogenesis of the disease is based on hormonal imbalance.

Patients diagnosed with polycystic disease are advised to increase physical activity

What should be the diet?

It will be possible to normalize fertility in women suffering from polycystic ovary syndrome if normal metabolism and hormonal synthesis are restored. Due to metabolic disorders, PCOS is often accompanied by obesity, so diet therapy is an important point in eliminating polycystic disease.

If problems with reproductive function are caused by many cysts on the appendages, you should eat foods with the lowest glycemic index. Those that are not quickly absorbed by the body and do not provoke a sharp jump in blood sugar levels.

The food must be made fractional. It is recommended that you reduce your usual serving size, but increase the number of meals up to 5 or 6 times a day. The total caloric content of the diet during the treatment of polycystic disease should vary between 1200 - 1800 kcal. During the day, food should be built as follows:

have a hearty breakfast, preferably no later than 1 hour after waking up;
have a snack between your morning meal and lunch (arrange lunch);
eat the first and second courses at lunchtime;
as dinner (3 or 4 hours after lunch), choose easily digestible foods;
have a little snack an hour before going to bed (do not fall asleep on an empty stomach).

In order to permanently get rid of the formation of cysts on the ovaries, it is necessary not only to maintain normal hormonal levels in the body, but also to monitor your lifestyle. In women with ovarian cysts, liver and kidney dysfunction is often revealed, so it is recommended to remove foods with a high percentage of animal fats from the diet.

Such an unbalanced diet contributes to an increase in the level of cholesterol in the blood, and also provokes the production of androgens, which is undesirable in PCOS. As a heat treatment, it is better to choose stewing or steaming; it is recommended to refuse fried foods. There are some limitations to successful home therapy for polycystic disease.

bakery products made from premium flour;
starchy foods (such as potatoes and semolina);
animal fats, including butter;
milk chocolate;
Foods high in sugar, such as jams and creamy desserts
refined oils;
food prepared with the addition of trans fats (chips, etc.);
alcoholic and caffeinated drinks;
conservation and sausages;
spices, hot sauces and spices.

Weight loss in women with PCOS should be monitored by a nutritionist. Fasting with such a disease is categorically contraindicated.

Can PCOS be prevented?

Polycystic disease is a disease that both appears and is not cured in one day. Many girls go to the doctor only when their attempts to become happy parents are unsuccessful. In order for the question of whether it is possible to cure polycystic ovary disease in an advanced stage, does not become relevant, it is recommended to visit a gynecologist at least once every 12 months. From the moment of the onset of the first menstrual bleeding (menarche), it is also necessary to monitor the health of the teenage girl. Such a measure will make it possible to identify a violation at the early stages of its development, when it is much easier to treat the disease.

Women who are not planning to become a mother need to use contraception to avoid unwanted pregnancy and abortion. In addition, inflammatory processes in the genitourinary system that can lead to ovarian dysfunction should be eliminated in time.

Summary

In order to cure polycystic ovary disease, an integrated approach is required. It is impossible to achieve tangible results with herbal medicine alone. The main emphasis in the treatment of the syndrome is placed on hormonal drugs, which the doctor should select, based on the results of the patient's analyzes.

izbavsa.ru

Treatment of polycystic ovary disease in Moscow near the Baumanskaya metro station - Central Administrative District

With the development of polycystic ovary syndrome, many small cysts appear, the ovaries enlarge, and their normal work becomes impossible. With this kind of violation, our doctors who have been diagnosing and treating this disease for many years will provide you with professional assistance in the treatment of PCOS. The clinic has excellent diagnostic and treatment equipment of the European class.

Protect delicate women's health. Our experienced doctors are always happy to come to your aid!

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Diagnostics and treatment in the clinic

Our experts will establish that you have polycystic ovary disease by conducting a number of studies in the clinic:

A general plan to determine the nature of hair growth, the normal functioning of the skin. The doctor will also palpate the abdomen.
Examination in a gynecological chair (abdominal-vaginal). Examination reveals that the ovaries are denser and larger in size.
An ultrasound of the pelvic organs is performed to assess the size of the ovaries, the degree of compaction, and the presence of cysts. The use of ultrasound with dopplerometry will determine how much blood flow is increased in the ovarian zone.
MRI of the ovaries is prescribed to exclude malignant neoplasms.
Tests for hormones are taken to determine the level of androgens - male hormones.
The study of the amount of lipids is necessary to assess the quality of lipid metabolism.
Revealing the amount of insulin is used to assess carbohydrate metabolism.

It is also possible to diagnose polycystic ovaries using laparoscopic techniques.

Doctors will treat the syndrome conservatively or surgically, depending on the combination and severity of its symptoms.

With conservative therapy, our doctors will select for you individually hormonal drugs that will stimulate ovulation, as well as oral contraceptives with antiandrogenic properties. These substances will help regulate the cycle, reduce the level of hair growth, and improve the condition of the facial skin. In addition, the doctor will tell you which diet will help the drug treatment to be effective.

However, if conservative techniques do not give the desired effect, you will be prescribed surgery in the clinic to eliminate PCOS. We use minimally invasive laparoscopic surgery in the clinic, in which the affected part of the ovary is removed or cauterized, which leads to the normalization of ovulation and a decrease in the production of androgens. With laparoscopic access, there are no skin incisions; the doctor gains access to the ovaries with special instruments through small punctures. The laparoscopic method is characterized by safety, a very low risk of complications.

The main thing about polycystic ovary

Due to the appearance in the ovaries of numerous small cysts, ovulation does not occur, and menstruation becomes irregular.

Doctors call the causes of the disease the excess of the norm of male hormones, as well as insulin.

PCOS symptoms can already occur in adolescent girls. Sometimes polycystic disease does not manifest itself at all and is found only when a woman wants to become pregnant, but conception does not occur.

The main signs of the disease:

Irregular periods: they can be delayed, absent for months, or they can happen two to three times a month.
Unusual menses, either very scanty or very profuse.
Non-standard duration of menstruation: either they are very short or very long.
Excess body weight, obesity.
Excessive hair growth of the face and body.
Acne on the face, oily skin.

How to get rid of polycystic ovary disease?

Polycystic ovary disease in the language of professionals is called Stein-Leventhal syndrome or ovarian sclerocystic disease. But the essence of the disease does not change from the name of the disease. Polycystic ovary disease is understood as a disease of the hormonal (endocrine) system, in which the ovaries enlarge and cavities grow in them in the form of small bubbles filled with liquid.

According to statistics, about 5-10% of women who have not reached menopause suffer from polycystic ovary disease. The real figure may be much higher, since many potential patients do not seek medical help and do not even suspect that they have this pathology.

A bit of physiology

In every woman, during the menstrual cycle, such small bubbles (follicles) are formed in the ovaries. Under normal physiological conditions, in the middle of the menstrual cycle, when ovulation occurs (rupture of the follicle and the release of the egg), only one egg is released from one follicle. Other follicles "overripe", age and cease to exist. And with polycystic ovaries, the egg does not mature, ovulation does not occur. The follicles do not rupture, but instead their cavity fills with fluid to form small cysts. As a result, the ovaries increase in size by 2-4 times. Polycystic ovary disease develops with increased production (formation) in the ovaries of male sex hormones (androgens), which should normally be produced in very small quantities. Why it happens?

Causes of polycystic

Oddly enough, polycystic disease does not have one clear and precise cause. Quite often, polycystic ovary disease occurs in Cushing's syndrome, adrenal and ovarian tumors. But these are only diseases that contribute to the development of polycystic disease. But there is no consensus on the occurrence of polycystic disease as an independent disease. But it is known that with polycystic ovary, there is a reduced sensitivity of the body to insulin, a hormone involved in the regulation of blood sugar levels. Knowing this, scientists suggest that high levels of insulin in the blood leads to the fact that the ovaries are overproduction of male sex hormones (androgens).

How is polycystic ovary disease manifested?

The first signs of the disease can appear at any age. But often polycystic disease develops around the age of 30. This is the average age of "onset" of polycystic disease. It can also occur during puberty. And if this happens, then the woman discovers a delay or absence of menstruation.

Patients with polycystic ovary disease are often overweight. They are characterized by male-type hair growth: the appearance of hair on the face, chest. The appearance of patients with polycystic disease is quite specific: oily skin, acne on the body, thinning hair or male pattern baldness, fat deposition at the waist. A symptom of the disease is heavy menstrual bleeding - long and painful: they can be irregular, absent for some time. The cardiovascular system reacts to a malfunction in the hormonal sphere by increasing blood pressure. However, most often, patients with such a diagnosis go to a doctor's appointment due to infertility, which is also a consequence of the disease.

Since the regulation of insulin in the blood is impaired, patients may have manifestations of diabetes: fullness, increased urination, chronic skin infections, candidiasis (vaginal thrush).

How to recognize polycystic disease?

The correct diagnosis can be made with a combination of clinical symptoms (increased male pattern of hair growth, menstrual irregularities, etc.), hormone test results (blood test for androgens, insulin, etc.) and additional diagnostic methods. Additional studies that allow to establish a diagnosis of polycystic ovary disease include ultrasound. With the help of ultrasound, the doctor is quite capable of diagnosing polycystic disease. But in most cases, you still need to use a combination of all of the above data.

What can polycystic ovary disease lead to?

Polycystic ovary disease increases the risk of various diseases. It is believed that after menopause, the symptoms of polycystic disease may disappear. And on the one hand, this is really so: the primary symptomatology disappears, but at the same time other diseases "generated" by polycystic disease appear. Such diseases include:

1. Diabetes mellitus type 2. Very often (up to 50%) diabetes mellitus develops in women who have reached menopause and have polycystic ovary disease in their "arsenal".

2. Hypercholesterolemia (high cholesterol level). With an increase in the level of androgens in the blood, especially testosterone, the level of low-density lipoproteins (the most dangerous form of cholesterol) also increases, and this increases the risk of cardiovascular diseases (heart attacks, strokes).

3. One of the terrible consequences of polycystic ovary is endometrial (uterine) cancer. The development of uterine cancer is due to the fact that with this disease regular ovulation does not occur, and the endometrium (the inner surface of the uterus) thickens, "grows". And the excessive proliferation of the lining of the uterus increases the risk of developing cancer.

Can you fight polycystic disease yourself?

If the diagnosis of polycystic ovary is confirmed, then the patient can do something to improve her health on her own. For example, following a diet will help normalize insulin and cholesterol levels, as well as reduce weight. And in combination with physical activity, these preventive measures can have a beneficial effect on reproductive function, that is, the patient will have a chance to become pregnant.

What help can a doctor offer?

Polycystic disease can be treated conservatively (drug therapy) and surgically. Conservative therapy for polycystic ovary disease involves the use of hormonal drugs that stimulate follicular growth and lead to ovulation. The effectiveness of drug treatment reaches 50%. In the course of such treatment, oral contraceptives are often used, which, first of all, leads to the elimination of the symptoms of the disease (increased hairiness, acne, etc.). These drugs have antiandrogenic properties, that is, they block the action of male sex hormones. They are taken for several months (2-3 months). During this period, ovulation is restored and the chance of pregnancy increases. If this technique does not give positive results, ovulation is stimulated: under ultrasound control, the patient receives special hormones in the first phase of the menstrual cycle, followed by the use of drugs that stimulate ovulation. The course of treatment takes 4-6 months.

If the patient with polycystic ovary is overweight, weight loss measures will be required. Sometimes, with a decrease in body weight, ovulation is restored on its own.

Surgical treatment of polycystic ovary in 90% of cases allows to achieve ovulation and in 70% of cases - pregnancy. The essence of surgical treatment is to remove the part of the ovary that produces male sex hormones (androgens), which subsequently leads to the restoration of connections between regulatory centers in the brain and ovaries. The effectiveness of such operations is obvious, but the effect is short-lived: the ovary is quickly restored. Therefore, the patient is advised to become pregnant within 4–5 months after surgery.

Among the operations for the treatment of polycystic disease, wedge-shaped resection (removal of a part of the ovary) is common, which allows ovulation to be restored in 85% of cases, and laparoscopic electrocoagulation of the ovaries ("incisions" are made on the ovary using electrodes), a more gentle operation that reduces the risk of adhesions in the small pelvis and subsequent infertility.

Treatment of polycystic disease begins with conservative (drug) therapy, and if there is no effect within 4-6 months, they resort to surgical intervention.

After the operation, the effect of hormone therapy increases, and the chances of getting pregnant increase significantly.

Timely diagnosis and proper treatment of polycystic ovary disease reduce the risk of complications (diabetes, cardiovascular disease) and, importantly, increase the likelihood of pregnancy.

zoj.kz

2018 Blog about women's health.

If a woman's hormonal background is disturbed due to problems with the work of the pituitary gland and the synthesis of a number of hormones, and instead of female hormones, male hormones begin to be synthesized in greater quantities.

In this case, polycystic ovary syndrome occurs. In this case, the affected ovaries greatly increase, the follicles are filled with fluid. This is due to a violation of the normal course of the menstrual cycle. When the hormonal background is disturbed, the follicles do not receive a message to the exit from the ovary, which makes them swell directly in the organ. This leads to the fact that the follicles swell and pass into the cyst stage. How is polycystic ovary disease treated?

Polycystic ovary disease: symptoms and treatment

Symptoms of polycystic ovary syndrome:

Increased insulin levels in the blood.
The appearance of thick, dark hair on the chest, abdomen, face, legs, and arms.
A sharp increase in weight by 10 or more kilograms.
Fat deposits accumulate at the waist.
Skin problems (acne, oily skin, stretch marks).
Hair becomes thin, possibly baldness.
Hypertension.
Irregular menstruation with little or too much bloody discharge.
Chronic thrush.
Kidney problems (frequent or rare urination).
Inability to have children due to lack of ovulation.

If several points coincide, then it is imperative to undergo diagnostics and contact your attending gynecologist.

How is polycystic ovary syndrome diagnosed?

Enlarged ovaries can be seen on ultrasound.
Taking tests for hormones shows the level of male hormones in the body.
A blood test for glucose levels shows possible deviations. Often, polycystic ovary disease "goes in pairs" together with diabetes mellitus.
When examined by a gynecologist or endocrinologist, doctors may note abnormalities in body weight, hairline, and skin condition.
Keeping a menstrual calendar can show that there is an irregularity. Should alert the regular flow of menstruation lasting 2-4 days.

Polycystic ovary disease: treatment

The danger of this syndrome is that the condition of the body, the appearance, and the threat of female infertility are sharply deteriorating. In addition, polycystic disease rarely occurs on its own, most often it is the background for a more serious disease, for example, diabetes mellitus, endometrial cancer and atherosclerosis.

Drug treatment

In order to resume the action of female hormones, oral contraceptives and synthetic substitutes for estrogens, progesterones are prescribed. These methods will help resume your normal menstrual cycle.
To combat excess hair growth, hormonal drugs can be prescribed, which will attack male hormones, preventing them from affecting the body. In addition, the doctor will help you choose medications and hair removal measures.
Treatment for skin problems is medication, which reduces the secretion of sebum. For a cosmetic effect, a point application of anti-inflammatory ointments is prescribed.
To normalize the process of insulin consumption and production, separate treatment is also prescribed. The result of taking medications: weight loss, reduction of male hormones, improvement of skin condition, normalization of blood pressure and others.
In the case of female infertility, drugs and injections are prescribed to start ovulation processes in the reproductive system.
The operation is prescribed if the patient wants to become pregnant. This method involves cauterizing the ovaries with a laser. In this case, the follicles, the egg cell restore their properties to mature and prepare for fertilization.

Polycystic ovary disease: treatment with folk remedies

At the pharmacy, you can buy special herbal preparations, from which decoctions and tinctures are made. Such treatment lasts 2-3 months.
Peppermint can be used to reduce androgens. Mint tinctures, mint tea can be drunk without restriction (within reason). To quickly achieve the desired effect, you need to brew mint along with milk thistle and take one glass twice a day.
Nettle extract will help reduce the external signs of the disease.
Licorice root will help improve the condition of the body, lower cholesterol levels, normalize blood pressure, and suppress the effect of testosterone. The infusion from this plant is made as follows: 1 tbsp. a spoonful of dry substrate is poured into 1 tbsp. spoon of boiling water and leave to brew for about 1 hour. Apply once a day for 1.5 months, and then give the body a rest.
Another method is to replace the consumption of black tea with green. This biologically active component (natural green tea) helps to normalize female hormonal levels.

Eliminate sugar and salt in any form from the diet.
Eliminate fatty foods due to the possibility of atherosclerosis.
Go to proper nutrition and urgently reduce weight to normal. Weight loss should not be achieved with the help of diets "minus 20 kg in 3 days", but a gradual decrease in calorie intake, the transition to vegetables and fruits.
Eliminate alcohol, spices, sauces and gravies.
Go for 5-6 meals a day.
Taking vitamins and minerals through food or supplements.

Polycystic ovary disease: treatment, reviews

With this syndrome, you need to seek help from specialists and do not postpone it. Drug treatment in combination with traditional medicine gives results within 3 months, but if there are no shifts, then surgical intervention is prescribed. Naturally, "nutrition" with pills does not solve the problem of excess weight so dramatically, and therefore it is necessary to make a correction of the menu and lifestyle.

What is polycystic ovary disease and how is it treated? Polycystic ovary syndrome (PCOS) refers to diseases of the female hormonal system. Due to a malfunction in this system, women experience a violation of the menstrual cycle and a failure in the maturation of eggs. Only the right therapy can cure such an ailment. You can take advantage of the achievements of modern medicine and supplement the treatment of polycystic ovary with folk remedies.

Home treatment for PCOS

Traditional medicine has accumulated over its centuries-old history a large number of medical recipes that can get rid of various gynecological problems, including cure.

The following plants and herbs are considered the most effective for polycystic disease:

licorice;
boron uterus;
red brush;
mint;
horsetail;
basil;
oregano;
stinging nettle;
marin root.

Before you treat polycystic ovary disease with folk remedies, you need to know in what form the plant materials are used. Mostly used infusions, decoctions with herbs. They are used as drinks, compresses or soaked in tampons for internal use.

Essential home remedies for PCOS:

Medical compress.

Pour a dessert spoon of soda slaked with 9% vinegar into a three-liter jar, add a glass of vodka, fill the jar with warm boiled water. All are mixed. In the resulting product, a cotton cloth is moistened and a compress is made on the abdomen at night. You need to keep it all night. Treatment of polycystic ovary disease is carried out for 14 days. Then a break is taken for a month and, if necessary, the course is repeated. But it is strictly forbidden to use such compresses in the presence of tumors.

Remedy with a mummy.

Pour 3 tablespoons of warm water into a plate and put 10 grams of mummy. After 60 minutes, the mummy should swell and it must be stirred until a homogeneous consistency is achieved. In such a tool, a tampon should be soaked and inserted into the vagina overnight. The course of therapy is no more than 10 days.

Borovaya uterus.

This herb is considered one of the most effective used to restore women's health. Borovaya uterus with polycystic ovaries is well combined with other drugs, and treatment courses can be carried out for a long time.

To prepare an alcoholic infusion, it is necessary to pour 100 grams of borax uterus with half a liter of vodka, remove for infusion in a dark place for 7 days. You need to use the resulting drug three times a day, half a teaspoon.

With another version of the infusion, you need to pour a tablespoon of medicinal herb with 200 milliliters of boiling water, let it stand for a couple of hours. The resulting medicine should be drunk within one day.

Red brush.

The red brush can be used simultaneously with the boron uterus for polycystic ovary disease to double the healing effect.

To prepare an infusion from a red brush for PCOS, you need to pour 100 grams of the plant with half a liter of vodka, mix everything well and remove for a week in a dark place. The resulting tincture should be consumed in a teaspoon three times a day.

You can choose another option for therapy with this tool. Pour boiling water (200 ml) into a dessert spoon of a red brush and leave for 60 minutes. They take the medicine three times a day.

Sage.

This herb is effective in helping to normalize the menstrual cycle. A teaspoon of herbs is poured into a glass of boiling water and tea is drunk in one day, dividing into 3 servings.

Dandelion.

A decoction from this plant has healing properties. To treat polycystic ovary disease with dandelion tea, you need to dry the root and grind it into powder. Then pour a liter of water, heat over medium heat for half an hour, then extinguish the fire and insist the medicine for another hour. Take the resulting product twice a day before meals, a quarter of a tablespoon.

Nettle root.

Plant materials are brewed like tea and drunk twice a day. You can add mint or honey to your nettle tea. A decoction of nettle reduces the level of testosterone production, thereby restoring the hormonal balance of the female body.

Walnut syrup.

Polycystic ovary disease is often treated with alcohol-based nut syrup. It is prepared as follows: 50 pieces of unripe walnuts are cut, put in a jar, covered with 500 grams of granulated sugar and half a liter of ethyl alcohol or vodka is added. The container is tightly corked, removed to infuse for two weeks in a dry and dark place. Shake the product every three days. Take the resulting product in a teaspoon several times a day, diluting with water.

Basil.

The spice has anti-inflammatory properties and is used in the treatment of PCOS. 2 tablespoons of the leaves are boiled with a glass of boiling water and heated over a fire. Cool, filter and drink half a glass twice a day.

Flax seeds.

The seeds help restore the normal balance of female hormones. The menstrual cycle will recover over time, and ovulation will occur regularly. Flaxseed and flaxseed oil should be taken with food.

Before treating polycystic ovaries with alternative medicine, you should consult your doctor, as even the seemingly harmless herbs can have an undesirable effect.

It should be remembered that alternative treatment is quite long. The therapy is carried out in several courses of 3 weeks, making an interval of one week between courses. The most effective treatment is considered, which lasts more than six months.

Complex therapy

Traditional medicine recipes must be used in conjunction with hormone treatment for polycystic ovary disease and a specific diet.

Nutrition for polycystic disease should be aimed at losing weight, replenishing vitamin deficiencies, and stimulating the normal synthesis of hormones. You should eat foods with a glycemic index below 50. These are pears, apples, citrus fruits, cucumbers, cabbage, tomatoes, cereals, fermented milk products, lean fish and meat.

Strong tea, coffee, alcohol, bacon, spreads should be reduced or completely excluded from the diet, as they overload the liver. Limit the use of sweets and simple carbohydrates, fats should be consumed less than 20 grams per day, proteins - no more than 80 grams.

During treatment, you should improve your emotional background and psychological state. The normal synthesis of hormones depends on this. With the help of herbal teas with chamomile, mint, lemon balm and honey, you can relax and restore the nervous system.

With the permission of the doctor, regular physical therapy is possible, which is very useful for polycystic disease. Charcot shower, phyto baths, massage, hydromassage and a visit to the pool help a lot.

In the treatment of PCOS, oral contraceptives are most often prescribed, which are chosen depending on the clinical manifestations of the disease. But it is worth knowing that such drugs for polycystic disease create an artificial hormonal background, but at the same time they do not treat the pathology. As soon as a woman stops taking oral contraceptives, the menstrual cycle becomes disordered again.

The advantage of such drugs is to reduce the production of their own androgens and estrogens. This means that the risk of getting hyperplasia, polyps, and malignant tumors is significantly reduced. But to achieve this result, you need to take them for several years.

Danger of illness and the possibility of getting pregnant

PCOS is a serious pathology, the clinical manifestations of which are changes in the state of the ovaries, imbalance of sex hormones, insulin resistance, and weight gain. It is worth knowing what is the danger of polycystic ovary , if left untreated. With a prolonged course, the disease can threaten infertility, type 2 diabetes mellitus, ovulation and menstrual disorders.

How are polycystic ovary disease and pregnancy related? 20% of women who experience infertility have PCOS. With this disease, the maturation of eggs is disrupted, therefore the possibility of their fertilization is reduced, there is a high risk of termination of pregnancy in the early stages.

In the presence of polycystic disease, medications are used that:

normalize the menstrual cycle;
regulate blood sugar levels;
fight infertility.

The IVF program for polycystic ovary disease helps women become pregnant, as drug therapy is carried out aimed at stimulating ovulation. Most often, pathology is found in women who cannot conceive a child for a long time.

The IVF program includes the following tools:

drugs to lower blood glucose;

Since insulin resistance invariably occurs with polycystic disease, it is necessary to deal with the problem with the help of physical activity, adherence to a diet. If this does not help and blood sugar rises above normal, drugs are prescribed that increase the sensitivity of cells to their own insulin. The most effective and safe drug for polycystic disease is Metformin, aka Siofor. Regular intake of the medication leads to regression of the disease, as a result of which the menstrual cycle spontaneously normalizes. Metformin with polycystic ovary in various dosages is capable of having an estrogenic or antiestrogenic effect, therefore, the dosage should be determined exclusively by the doctor.

If the patient is over 30 years old, is overweight, has a reduced level of estrogen in the blood, then she is prescribed Metformin, which helps to stimulate ovulation.

Long-term use of Siofor in polycystic disease promotes the disappearance of acne, stabilizes the menstrual cycle.

gonadotropins - hormones that are necessary to stimulate cell maturation, restore ovulation;

Clomiphene citrate is effective in women under 30 years of age with menstrual irregularities for no more than 5 years and with a short period of infertility. In this case, ovulation is restored in half of the patients, but pregnancy occurs in 25% of cases.

For treatment, antiandrogenic drugs are used, such as Dienogest, Spironolactone, Cyprotene acetate, which eliminate the causes of PCOS.

These are the main PCOS treatment regimens that enable women to become pregnant.

Is it possible to cure polycystic ovary disease completely and permanently, is it curable at all? This question remains open and rather acute. Of course, a lot of hormonal drugs have been created that restore the disturbed balance. But many of them have very strong side effects, so the patient may suffer more from them than from the polycystic disease itself.

Polycystic ovary disease is a pathology that doctors are still studying and developing new treatment regimens. Do not self-medicate, as even the most recommended folk remedies have side effects and can aggravate the situation. Only complex therapy will help a woman prevent the unpleasant consequences of PCOS and become pregnant.

Instructions

In healthy women of childbearing age, follicles form in the ovaries during the menstrual cycle. During ovulation, an egg is released from one of them, and the rest of the follicles overripe and cease to function. With polycystic ovaries, the egg does not mature, the follicles do not rupture (ovulation), and they fill with fluid, forming cysts. In this case, the ovaries can increase in size up to 5 times.

The reasons for the development of polycystic disease are not fully understood, but it is known that the onset of the disease is associated with excessive production of insulin by the pancreas. In turn, this causes excess production of androgens - male sex hormones, which leads to hormonal imbalances. Hereditary predisposition also plays an important role.

The manifestations of polycystic ovary disease can appear at any age. If the disease begins during the formation of menstrual function, there is a prolonged absence of the first menstruation, an irregular monthly cycle, heavy bleeding. Also worried about oily skin and hair, the presence of acne, without visible weight may increase by 12-15 kg.

If the disease develops in adulthood, the main clinical sign is a violation of the menstrual cycle, when the interval between two periods can be more than 35 days, a woman cannot become pregnant and bear a child. Since the level of androgens is increased, male-type hair growth appears - on the chest, back, face, limbs, but this symptom may not be in all patients. It is also characterized by weight gain, localization of fat deposits in the waist area, male pattern baldness.

Some women are worried about aching pain in the pelvic region, darkening of the skin on the inner thighs, under the mammary glands, in the groin. By the age of 45-50, half of women with polycystic ovary disease develop type 2 diabetes mellitus, have elevated cholesterol levels, and all patients have an increased risk of developing endometrial cancer (the inner lining of the uterus).

To confirm the diagnosis of polycystic ovary disease, the doctor prescribes an ultrasound of the ovaries, a complete blood count, and a blood test for androgen, sugar and cholesterol levels. Treatment directly depends on the severity of symptoms and the level of male sex hormones, the goal of treatment is to achieve maturation and release of eggs. For this, hormonal drugs are used that stimulate ovulation and make it possible to achieve its regularity in 70% of women, and the ability to get pregnant - in 40%.

Also, drugs are used that regulate the work of the pituitary gland, under their action, the size of the ovary decreases. Subsequently, hormonal drugs are prescribed to stimulate ovulation. This treatment regimen restores ovulation by 95%, and the ability to get pregnant up to 65%.

In some cases, birth control pills are used to induce regular menses. There are contraceptives that contain small amounts of antiandrogen, a substance that blocks the action of male sex hormones. They allow you to get rid of excess hair growth, oily skin and acne. Sometimes surgical treatment is carried out by the laparoscopic method - from resection of the ovary to burning tissue with current.

Causes

Symptoms of polycystic disease

Effective treatments

Diet for polycystic

Physiotherapy

Drug treatment

How to treat polycystic ovary disease with folk remedies and at home?

Video on the topic

How is the treatment carried out?

Operative treatment

Other treatment factors

How to cure polycystic ovary disease

Treatment with drugs of various groups

Is surgery always necessary?

Will traditional medicine help?

What should be the diet?

Can PCOS be prevented?

Summary

Treatment of polycystic ovary disease in Moscow near the Baumanskaya metro station - Central Administrative District

Diagnostics and treatment in the clinic

The main thing about polycystic ovary

The main signs of the disease:

Popular questions

How to get rid of polycystic ovary disease?

A bit of physiology

Causes of polycystic

How is polycystic ovary disease manifested?

How to recognize polycystic disease?

What can polycystic ovary disease lead to?

Can you fight polycystic disease yourself?

What help can a doctor offer?

Polycystic ovary disease: symptoms and treatment

How is polycystic ovary syndrome diagnosed?

Polycystic ovary disease: treatment

Drug treatment

Polycystic ovary disease: treatment with folk remedies

Polycystic ovary disease: treatment, reviews

Home treatment for PCOS

Complex therapy

Danger of illness and the possibility of getting pregnant