Polycystic ovaries with androgenic syndrome. Mucosa Compositum - a homeopathic medicine with a large spectrum of action Which homeopathic medicine treats

Mucosa Compositum is a multi-component homeopathic medicine with regenerating, immunomodulating, detoxifying, mucolytic, secretory, anti-inflammatory properties. Plant extracts, extracts of animal organs and the mineral components of the drug strengthen the immune system, help restore the mucous membranes of the whole body - from the eyes to the gastrointestinal tract.

Description of the dosage form

You can buy a medicine in the form of ampoules with a clear liquid in a cardboard box, which is used both for internal use and for injections. In one box you can find 5 (5x1), 10 (5x2) or 100 (5x20) ampoules of 2.2 ml.

They dispense prescription medication. For Mucosa compositum, the price depends on the pricing policy of the pharmacy chain: 5 pieces of 2.2 ml can be purchased for 950-1555 rubles, 100 of the same pieces - for 13,997 rubles. The manufacturer Biologische Heilmittel Heel GmbH has set the shelf life of the drug at 5 years. Room temperature (up to 25 degrees) is suitable for storage without access to direct sunlight and children.

Composition and pharmacological features

For the drug Mucosa compositum, the instructions for use present it as an anti-inflammatory, regenerating, hemostatic agent. It strengthens the defenses, relieves spasms.

The multivariate possibilities of the drug are due to its unique composition, which includes active components of various origins, each of which, when used in combination, enhances the capabilities of other ingredients of the formula.

Among the basic components:

• Extracts from the mucous tissues of pigs, normalizing the epithelium of internal organs and systems - the gastrointestinal tract, the conjunctiva of the eye, nose, bile ducts, and the respiratory system;
• Extract of the gastric chamber of pigs, accelerating the treatment of gastrointestinal ulcers, alleviating the condition of gastritis and heartburn;
• A component based on the pancreas of a pig - used to treat diabetes, pancreopathy, dysbacteriosis, duodenitis, enteritis, gastrocardiac syndrome, cachexia;
• Demoiselle - active in sore throat, inflammation (digestive tract, respiratory system, excretory organs, accompanied by fever;
• Semekarpus - treats intestinal dysfunction, depressive states, mental overwork, damage to the inner lining of the gastrointestinal tract;
• Vomiting root, stopping asthma attacks, bronchitis and inflammation with bleeding;
• Oxygen, which relieves the symptoms of acute gastritis, diarrhea, damage to the gastrointestinal mucosa, severe stomatitis, hepatopathy;
• Chilibukha - is used to treat cholecystitis, with liver dysfunction, defecation rhythm disturbances, deterioration in mood and sleep quality, relieves a feeling of heaviness in the stomach, works as an antispasmodic;
• Hellebore - added to treat collapse caused by gastrointestinal disorders, severe stomatitis, abdominal infections, defecation rhythm disturbances, gastroenteritis (acute form).

There are also other ingredients in the composition in the form of lumbago, hydrastis, kondurango, momordica, mandrake, ceanotus, phosphorus, silver nitrate, creosol, sulfur, guaiacol, potassium dichromate, sodium oxaloacetate, suruku snake venom, nosode of Escherichia coli.

Indications for use

Mucosa compositum in ampoules is a medicine for a wide range of applications. Among his testimonies:

• Infections and inflammation of the mucosa;
• Ulcers and erosion of the gastrointestinal tract;
• Colitis, gastritis, duodenitis, enteritis and other diseases of the digestive tract;
• Overwork (mental, muscular, mental);
• Avitaminosis;
• Gardnelosis;
• Cystitis, urethritis, pyelitis;
• Bronchitis, silicosis, bronchial asthma;
• Joint diseases (arthritis, dry type arthrosis);
• Conjunctivitis (as a result of infection).

The drug is prescribed for the treatment of the mucous membrane of not only the gastrointestinal tract or genitourinary organs, but also the conjunctiva of the eyes. It is effective in the treatment of bacterial vaginosis, Mucosa compositum is used for polycystic ovaries.

In addition, the medication is used to prepare for and after surgical interventions (in order to enhance tissue regeneration).

Recommendations for treatment with Mucosa Compositum
Babies up to a year are prescribed 0.36 ml of medication. From one to three years, ¼ of the ampoule (0.55 ml) is prescribed, from three to six - ½ of the ampoule (1.1 ml). Patients over six years of age receive the adult dose of 1 ampoule (2.2 ml).

The standard schedule for taking the medicine is 1-3 times a week. Usually the solution is injected under the skin or injected into the muscle. For intravenous use, there must be additional arguments. In case of serious exacerbations, the medication can be used daily (for 2-3 days).

When taken orally, the drug must be diluted in 10-30 ml of water to drink the solution per day.

On average, the course of therapy lasts 2-4 weeks, depending on the type and complexity of the disease, age, comorbidities, and the body's response to the medication.

Contraindications and side effects

In addition to hypersensitivity to the ingredients of the formula, the drug has no contraindications. There are no restrictions during pregnancy, as well as during lactation, but this issue should be decided by the doctor individually, especially in the first trimester of pregnancy.

Undesirable effects of such therapy are relatively rare. Sometimes, against the background of the use of Mucosa compositum, an allergic reaction develops in the form of rashes on the skin with individual immunity to phenol. In such cases, you should stop the course of treatment and consult a doctor.

Cases of drug overdose have not been recorded.

Drug interaction

The drug is compatible with other drugs that are prescribed for such indications. In one syringe, Mucosa compositum can only be mixed with drugs from the same German pharmaceutical company Biologische Heilmittel Heel GmbH.

What can replace Mucosa Compositum

Mucosa compositum is used not only as a monotherapy, but also in complex treatment with other homeopathic medicines. For example, in the treatment of erosions, inflammations, duodenal ulcers, the drug is alternated with Momordica compositum. As adjuvants that complement the capabilities of Mucosa Compositum, in the treatment of pancreatitis, cholecystitis, diseases of the biliary tract, compositums Gepar, Coenzyme, Ubiquinone are used.

There are practically no contraindications for Mucosa compositum, but if necessary, the doctor will select analogs similar in pharmacological effects - Aconite, Petroleum, Salvia, Palladium.

What do patients think of the drug?

About Mucosa compositum reviews on the forums are mostly positive. Users rate it as an effective medicine used to treat inflammation of the mucous membrane of different localization and support their barrier capabilities. The effect of the drug is mild, gradual, it is not necessary to count on an instant effect, but the result of the treatment is fixed for a long time.

What it is?

Polycystic ovaries is a violation of the normal functions of the ovaries in combination with cystic degeneration. The disease can be found under a different name - polycystic ovary syndrome - a more capacious definition, as it combines several symptoms that form this pathology.

In the medical literature, there are other definitions: ovarian sclerocystosis (due to sclerotic changes in the ovarian capsule) or Stein-Levintal syndrome (according to the names of the authors who first described this syndrome).

Causes of the development of polycystic ovaries

It is currently impossible to name the exact causes that contribute to the development of polycystic ovaries. The disease is a syndrome in which changes are found in several organs of the endocrine system: pancreas, adrenal glands, ovaries, pituitary gland and hypothalamus.

The main value is given to the hormone - insulin, produced by the pancreas. Often, women with polycystic ovaries have male-type obesity. Adipose tissue is insensitive to insulin and the pancreas is forced to produce the hormone in large volumes.

Insulin stimulates the ovaries to produce androgens, which leads to a violation of the main function of the ovaries - to produce an egg capable of fertilization.

Also, the development of polycystic ovaries can occur with disorders in the hypothalamic-pituitary system. This system regulates the production of follicle-stimulating and luteinizing hormones (FSH and LH), which promote the growth and development of follicles in the ovary and the onset of ovulation.

The concentration of hormones should be in a certain ratio, with an increase in the amount of LH, the ovaries produce male sex hormones, which inhibits ovulation.

During puberty, hormonal disruptions can occur, then the girl's adrenal glands begin to produce more androgens than necessary. This inhibits the normal functioning of the ovaries.

Particular attention is paid to the hereditary factor. Although there is no 100% certainty in this, nevertheless, in families where close relatives of a woman suffered from polycystic disease, the risk of the disease is very high.

With aggravated heredity in the family, girls who have entered puberty should be carefully examined. With early diagnosis of the syndrome, the chances of recovery are much greater.

Signs and symptoms of polycystic ovaries

Symptoms of polycystic ovaries are very diverse and may resemble manifestations of other diseases. A feature is the fact that the presence of all the symptoms at once is not at all necessary for one woman.

Signs of polycystic ovaries may be invisible for many years. Most often, a woman learns about her diagnosis only at the moment when she plans to become a mother.

The main symptom of polycystic ovaries that makes you see a doctor is the inability to become pregnant.

The most common such causes and additional symptoms of polycystic ovaries:

1. The menstrual cycle is unstable. Violations begin to appear from the moment of the onset of menstruation: an irregular cycle with meager periods or vice versa, with prolonged bleeding.

Often, menstruation may be completely absent for several months. Due to hormonal imbalance, the endometrium of the uterus increases in thickness, but monthly rejection does not occur or occurs with a delay.

2.

3. Increase in body weight. The sign is unstable, but is noted in many women. Obesity is typical of the "apple" type - the bulk of the fat is located in the abdomen and waist.

Obesity is associated with excessive production of insulin - insulin increases appetite, a constant feeling of hunger does not leave a woman. Due to a sharp increase in weight, stretch marks (stretch marks) appear on the skin of the body.

4. The appearance is changing. The appearance of acne on the skin is noted, the hair and skin are of a greasy type, oily dandruff is often detected. Girls and women find increased hairiness on the body in the genital area, on the legs.

Above the upper lip, the so-called female antennae make their way. On the head, on the contrary, focal hair loss (alopecia) can occur with the formation of bald patches. These changes indicate an increased production of male hormones.

5. It is marked by increased pigmentation of the skin on the back, in the armpits.

6. On the part of the nervous system, irritability, drowsiness, mood swings, i.e., signs resembling PMS, can be observed.

Can you get pregnant with polycystic ovaries?

At first glance, the phenomenon is unrealistic. But it's not. With timely treatment and compliance with preventive measures, a long-awaited pregnancy can occur.

A woman needs to learn to be patient, not to violate the plan of action prescribed by the doctor. It may take months or even years, but the result is worth it.

The treatment is aimed at the maturation of a full-fledged egg and its exit towards spermatozoa for a long-awaited meeting and the birth of a new life.

Throughout pregnancy and at the time of childbirth, a woman is under the close attention of doctors. It should be remembered that the very fact of pregnancy is not the result. With polycystic ovaries, pregnancy can end unsuccessfully - the risk of miscarriages, fetal fading and premature birth in women with this diagnosis is several times higher.

There is also a high risk of exacerbation of extragenital diseases. Especially often in pregnant women with polycystic diabetes develops.

Diagnosis of polycystic ovary syndrome

Diagnosis of polycystic ovaries is a complex process. This is a whole complex of studies on the basis of which a diagnosis is made or refuted.

• The main criterion is infertility, due to rare ovulation or their complete absence. Women unsuccessfully attempt to get pregnant, years go by, but pregnancy does not occur.


• The second important indicator is the quantitative determination of female and male sex hormones in the blood serum. Clinically, signs of an increase in androgens may not always appear, while in a laboratory study, their increase may be detected. It is also necessary to pass tests for glucose and cholesterol.
• With a two-handed examination, the gynecologist can feel the enlarged ovaries, dense to the touch.
• Ultrasound will help to see the structure of the ovaries. The doctor reveals the following ultrasound signs: the ovaries are enlarged, small follicles are visualized along the periphery of each, in an amount of more than 10 pieces.
• Sometimes a laparoscopy may be done. This examination is carried out using a laparoscope device, which is inserted through a small hole in the abdominal wall. The laparoscope is able to examine the appearance of the ovaries: they are enlarged, their surface is covered with a white capsule, there are no signs of egg release on the surface of the capsule (point breaks). Laparoscopy allows you to take a piece of tissue for histological examination during the study, and is also one of the methods for treating polycystic ovaries.

The diagnosis is made only on a combination of several signs (infertility, an increase in androgens and associated symptoms are considered the main ones).

None of the signs in a single manifestation can confirm the disease.

Treatment of polycystic ovaries, drugs

Conservative treatment methods:

Operational treatment:

1. Minimally invasive surgery - laparoscopy. With the help of a laparoscope, a thick capsule of the modified ovaries is incised to facilitate the release of eggs.
2. Sometimes surgery is performed to remove part of the affected ovary. This is the most extreme measure and has recently been carried out less and less.

Complications of polycystic ovaries

In addition to the inability to conceive, PCOS has long-term complications.

1. Uterine cancer. Irregular periods or prolonged absence contribute to the fact that the inner lining of the uterus (endometrium) gradually thickens, since its monthly desquamation does not occur. Endometrial cells first change their size and shape (hyperplasia), and then can degenerate into malignant ones.
2. The development of obesity and diabetes mellitus due to insulin resistance of the body.
3. Diseases of the heart and blood vessels due to high cholesterol levels (heart attacks and strokes).

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What is the reason for the development of the disease?

Medical opinion regarding the cause of polycystic is ambiguous. Studies have shown that the lack of sensitivity of body tissues to insulin, which is responsible for regulating blood glucose levels, is the primary reason for the development of pathology. The ovaries of a woman suffering from polycystic produce a disproportionate amount of male hormones. For this reason, the female body is not able to process the excess amount of insulin.

Doctors managed to identify a number of the most likely provocateurs of the disease:

• stressful state;
• frequent colds;
• heredity;
• hormonal disorders;
• prolonged angina.

The disease can overtake a woman even at the slightest change in climate. Among the causes of the development of polycystic disease, some ailments of other organs are also considered. We are talking about the pituitary gland, thyroid gland, hypothalamus, adrenal glands.

Symptoms of polycystic ovaries

How does polycystic disease manifest itself? The symptoms and causes of the disease are interrelated. The clinical picture in this case is very diverse.

The patient has:

• Disruptions in the menstrual cycle. There are delays of 6 months or more, scanty, abundant discharge.
• Infertility. There is no ovulation (the process of rupture of the follicle and the maturation of the egg does not end with its release outside the ovary).
• Weight gain. Excess adipose tissue accumulates in the abdomen (according to the male principle).
• Hirsutism. Hair on the body and face actively grows, a bald patch appears on the top of the head.


• Acne, oily skin.
• Acanthosis. Darkening is formed in the area of ​​\u200b\u200bthe armpits, under the chest. Stretch marks appear on the body.
• Roughening of the voice.
• Pain in the lower abdomen. Characterized by aching pain against the background of squeezing the organs by the ovaries or due to excessive production of prostaglandins.
• Hyperinsulinemia is an excess of insulin in the blood.
• Enlargement of the ovaries in size. On palpation, swollen, compacted, sometimes painful ovaries are determined.
• Endometrial hyperplasia is an overgrowth of the uterine mucosa.

Diagnostic measures

How is PCOS diagnosed? Symptoms of the disease are paramount guidelines for the diagnosis. Doctors make the final verdict only after additional studies.

1. Ultrasound examination of the pelvic organs. Ultrasound makes it possible to assess the size of the ovaries, to refute / confirm the presence of cysts. In the case of the development of the disease, the specialist observes a thickening of the tunica albuginea, the growth of the uterine mucosa.
2. Hormone check. We are talking about the level of FSH and LH. The ratio of indicators within 3:1, respectively, indicates the presence of polycystic disease. An excess of testosterone, in some cases prolactin, is revealed. In the urine there is a high concentration of androgen. Reduced progesterone during the second phase of the cycle.
3. Blood chemistry. An increased content of glucose in the blood is revealed, the index of fats, cholesterol goes off scale.
4. Curettage of the uterine cavity. The procedure is performed for dysfunctional uterine bleeding.

General principles for the treatment of the disease

Is it possible to say unequivocally how to cure polycystic? Treatment of pathology is complex and includes:

• dietary compliance (reducing the amount of carbohydrates in the diet, reducing the calorie content of food, focusing on protein and frequency of meals);
• elimination of metabolic disorders;
• use of oral contraceptives;
• stimulation of ovulation if a woman wants to become pregnant;
• maintaining an active lifestyle.

Conservative treatment method

Polycystic is an ailment, the cure of which is 50% dependent on hormonal drugs. This approach ensures the full maturation of the follicle, followed by ovulation. Rarely, there is a need to take antiandrogenic oral contraceptives, the effect of which lasts for two to three months.

To establish the menstrual cycle, synthetic analogues of progesterone, the female hormone, are prescribed. Anti-androgen-containing drugs can also be attributed to the class of such drugs. Blocks the effects of male sex hormones spironolactone. If there is a problem of excess weight, drugs aimed at burning fat are mandatory for use.

In the case of therapeutic methods for the treatment of polycystic, one should not hope for a quick result.

Surgery to help

When conservative medicine fails, specialists turn to surgery. Surgery for polycystic ovaries involves:

• removal of part of the ovary;
• destruction of certain areas of the ovary;
• maintaining the process of androgen synthesis.

After the operation, the probability of cycle recovery is 90%, and the possibility of pregnancy is about 70%. The disadvantage of surgery for polycystosis is a short-term result that lasts only 4-5 months.

In medicine, 2 types of such operations are known:

• wedge resection;
• laparoscopic electrocoagulation.

With successful surgical treatment, experts advise switching to hormonal therapy. Such an integrated approach provides a guaranteed deliverance from the unfortunate disease.

Nutrition for polycystic

Often the development of the disease occurs against the background of overweight of the patient. In this case, it makes sense to go on a diet. A woman's diet and the number of calories consumed are individual and are calculated by a nutritionist.

Among the general principles of nutrition for polycystic ovaries are:

1. Reducing the calorie content of food consumed.
2. Limiting carbohydrate intake (sugar, cereals, pasta, bread, etc.).
3. Adding to the diet of foods containing protein (meat, seafood, eggs, cottage cheese, etc.).
4. Eating small meals 5-6 times a day.
5. Inclusion in the diet of fruits and vegetables between meals.
6. Availability of unloading days during the month.

How about physical activity?

Polycystic is a disease that does not exclude physical activity, on the contrary, exercises at a moderate pace will only help a woman get in shape and return to her former life.

Fitness, aerobics, swimming in combination with proper nutrition will allow you to adjust the weight. It will be sufficient to do 2-3 times a week. However, you should be prepared for the need for constant physical activity even after losing extra pounds. Only an active lifestyle and a healthy diet as a habit guarantee the further absence of hormonal problems.

Traditional medicine to help

Is it possible to defeat polycystic disease with the help of alternative medicine? Folk remedies can speed up the process of a woman's recovery if used in combination with other methods of treatment.

Usually, compresses and tampons (external), as well as infusions and decoctions, are used as folk remedies for illness. Below are some of the effective "grandmother's" recipes.

1. Tampons with mummy. Pour mumiyo in the amount of 150 grams with 3 dessert spoons of warm water. After swelling of the main component, mix the mixture. A tampon formed from a bandage is placed in the composition and inserted into the vagina before a night's sleep. The course of treatment is 10 days. Procedures are not resorted to during menstruation.
2. Soda compress. In a three-liter jar, mix a glass of vodka, 1 dessert spoon of soda (slaked with 9% vinegar) and boiled water (for the remainder). Dip a cotton cloth into the resulting mixture and apply to the lower abdomen. We do a compress before going to bed. We repeat the procedure for 2 weeks. After 3 weeks, repeat the course. With tumors, such compresses are contraindicated.
3. Decoction of licorice. Pour licorice in the amount of 1 dessert spoon with a glass of boiling water and insist for 3 hours, filter. We drink regularly on an empty stomach in a glass.
4. Dandelion tea. Grind one small root of the plant into powder. We distribute the resulting dry tea into paper bags of 2 grams. We brew one packet per medium cup of boiling water, drink once a day 30 minutes before a meal.
5. Tincture from boron uterus. Grass in the amount of one dessert spoon pour a glass of boiling water, insist for 2 hours. We drink the entire amount of the resulting tincture during the day.

With polycystic, alternative methods of treatment can be used, but before taking such a medicine, you should consult a doctor.

Possible complications and prognosis

In the absence of appropriate treatment, polycystic disease can cause:

• diabetes;
• miscarriage;
• fibrocystic mastopathy;
• hyperplasia;
• endometrial cancer;
• increased risk of myocardial infarction, stroke, hypertension.

Polycystic is a disease that has a favorable prognosis. Timely and high-quality treatment leads to the restoration of the ability of a representative of the weaker half of society to conceive and bear a fetus in 75-90% of cases.

Polycystic and pregnancy

What threatens pregnancy polycystic? The symptoms and treatment of the disease cannot be considered favorable for the growth and development of the fetus, but the disease cannot be called a sentence. Very rarely, a woman suffers from polycystic disease during pregnancy, because polycystic disease itself depresses reproductive function.

Among the possible problems that a woman in a position with polycystic ovaries may encounter are the following:

• problems with bearing;
• risk of miscarriage;
• the threat of fetal fading;
• the threat of premature birth (in the later stages);
• gestational diabetes;
• high blood pressure;
• changes in body weight;
• an increase in the level of androgen in the blood.

In such situations, the observing doctor prescribes appropriate medications. In any case, a woman has a chance to endure and give birth to a healthy baby.

As you can see, we are talking about a rather serious disease that can cost a woman the opportunity to become a mother. How to protect yourself and not find out what polycystic is? Patient reviews only confirm the need for regular visits to the doctor for a routine examination. By identifying the disease at an early stage of its development, you increase your own chances for a favorable outcome.

Take care of your own health!

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Patients with polycystic ovary syndrome who suffer from insulin resistance are prescribed a diet based on the glycemic index, which involves reducing the consumption of "fast" carbohydrates. They contain easily digestible sugars, which, when they enter the small intestine, are instantly absorbed and provoke an increase in blood glucose. For women with PCOS, the low-carbohydrate Atkins diet is recommended. It provides for the rejection of sugar, starch, white flour and confectionery. It is also not recommended to eat potatoes, white bread, crackers, breadcrumbs and ordinary crackers, jam, honey, puddings, etc.

Dairy products that patients may eat do not have to be low in fat. The fact is that unsaturated and saturated dietary fats, consumed in moderation, are not harmful to the body. Women who are on a low-carbohydrate diet are advised not to consume cereals, pearl barley, rice, millet, and corn flakes. For the period of treatment, you should refrain from tropical fruits, candied fruits, coconut milk and canned fruits. You are allowed to eat apples. It imposes a taboo on sweet and carbonated drinks, factory juices and nectars, as well as alcohol, but freshly squeezed juices can be consumed in any quantities.

From time to time, you can afford durum wheat pasta, grapefruit, dark chocolate, fruit bread, cheese pie, a slice of pizza, savory pastries, new potatoes, kiwi, gooseberries, corn, pomegranate and tangerines.

In parallel, some experts recommend using Dr. Peter's diet, which was created taking into account blood types. According to the author of this diet, in people with the same blood group, some products, causing a slowdown or disruption of the synchrony of metabolic processes, contribute to the accumulation of body fat. They, in the treatment of polycystic ovaries, would be wiser to exclude from your diet.

In addition to impaired reproductive function, polycystic ovaries sooner or later can provoke the development of gestational diabetes, arterial hypertension and lead to significant weight gain. Women with PCOS have an increased risk of developing coronary heart failure, peripheral vascular disease, clogged arteries and vein thrombosis, myocardial infarction, and stroke. Those patients who are on long-term hormone therapy should be wary of the development of mastopathy, endometriosis, breast cancer and cervical cancer.

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Polycystic ovaries: what is it?

Polycystic ovaries is a change in the anatomy and function of the ovaries against the background of impaired ovarian metabolism (steroidogenesis). The disease is associated with impaired estrogen synthesis and folliculogenesis and increased androgen production, which leads to the formation of multiple small cysts on the surface of the ovaries (the result of the inability of the egg to leave the follicle) and infertility.

The disease can be found under a different name - polycystic ovary syndrome - a more capacious definition, as it combines several symptoms that form this pathology.

The female ovaries perform two important functions, without which the normal functioning of the reproductive system is impossible:

• The endocrine function is responsible for the normal production of progesterone and estrogens, which, in turn, prepare the inner layer of the uterus for the attachment of the ovum in the event of pregnancy.
• The degenerative function is responsible for the growth and development of the follicles, from which the egg is subsequently released.

The size of the ovary depends on the age and phase of the menstrual cycle. The right one is usually larger and heavier than the left. Ovaries of normal size can usually be palpated during examination only in thin women.

What happens during illness?

1. During the menstrual cycle, many follicles form in a healthy gonad.
2. In the middle of a normal cycle, a mature follicle ruptures, from which an egg is released into the fallopian tube (ovulation), while other follicles are resorbed.
3. But ovulation does not occur with polycystic disease, since the egg inside the dominant follicle does not mature, and all follicles are filled with fluid, transforming into small cysts.

Classification

The disease is conditionally divided into two forms, depending on the primacy of the pathology:

• primary PCOS, or true polycystic disease, which has other names - "Polycystic ovary disease" (PCOS)", "Sclerocystic ovaries", "Stein-Leventhal Syndrome";
• secondary polycystic, which is the result of disorders that are different in the initial mechanism.

There are three types of polycystic:

With ovarian clinical form	the phenomena of ovarian dysfunction predominate, i.e. the ovaries themselves "do not respond" to hormonal stimulation against the background of a relatively normal level and ratio of sex hormones in the blood.
With an adrenal form	symptoms come to the fore, indicating a violation of the normal ratio of androgens and estrogens in the blood. This is accompanied by the appearance of hirsutism, acne, often - fullness, excessive sweating.
With diencephalic clinical form	expressed symptoms indicating a dysfunction of the endocrine system at the diencephalic level.

Causes

Science learned about polycystic ovaries more than 100 years ago, but so far, due to the fact that this pathology is characterized by multiple manifestations, its etiology and pathogenesis have not yet been fully studied.

Studies show that PCOS affects 5 to 10% of all women of childbearing age, regardless of race or nationality.

The following factors predispose to the development of the disease:

• genetic predisposition;
• excess body weight;
• constant stress;
• the presence of chronic infections;
• a large number of abortions (lead to hormonal disruptions);
• complicated course of pregnancy and childbirth;
• irregular sex life;
• endocrine pathology (diseases of the thyroid gland, adrenal glands, pancreas and others);
• disturbed ecology;
• gynecological problems (both inflammatory and endocrine).

Polycystic ovary syndrome occurs in both adolescent girls and adult women who have given birth. The impetus for the development of the disease can be severe stress, a serious infectious disease, an autoimmune process, a sharp change in climate.

Symptoms of polycystic ovaries

The symptoms of polycystic disease are incredibly diverse, most of them are non-specific, as they can be present with any dyshormonal disorder. They may appear with the first menstrual period or several years after the period of normal menstruation.

The most common symptoms of PCOS in women are:

• Menstrual disorders - long delays and prolonged menstruation.
• Increased greasiness of hair and skin, the appearance of acne, acne, seborrhea. With polycystosis, they develop due to hypersecretion of androgens, are permanent, and are not amenable to symptomatic therapy.
• Significant increase in body weight. Fat deposits appear mainly in the waist (like an apple). The development of obesity in polycystic ovaries is associated with impaired glucose tolerance and excess insulin in the blood.
• The appearance of dark spots on the skin (often in the neck), acne, wrinkles and skin folds, increased oily skin, male-type hair (hirsutism).
• Pain in the abdomen. The pain symptom may be permanent. This is explained by an increase in the ovaries and pressure on the pelvic organs.
• constancy of basal temperature - an increase in basal temperature in women indicates that ovulation has occurred - it is on this basis that the best days for conception are determined. Patients with polycystic disease have a constant temperature, which indicates that the woman does not ovulate.
• Infertility. It is explained by chronic anovulation or rare ovulation (during the rupture of the follicle and the release of the egg, it cannot break through the too dense ovary membrane).
• Depression and dysphoria. The manifestations of these conditions are expressed in nervousness, irritability and aggressiveness. Quite often, lethargy, apathy, and drowsiness are also noted.

Diseases that can mimic PCOS:

• Pathological processes associated with hypothyroidism;
• Tumors of the ovaries and adrenal glands;
• Increased secretion of prolactin (hyperprolactinemia of the pituitary gland).

I would like to emphasize that in the above diseases, the symptoms are very similar to those of PCOS, and therefore much attention should be paid to the diagnosis of the pathological process.

Complications

Polycystic ovaries is a very insidious disease, which, in addition to infertility, entails a lot of undesirable consequences for a woman's health.

Possible consequences:

• The most severe complication of the disease is the inability of a woman to become pregnant.
• If a woman does not respond properly to the symptoms of the disease and does not seek medical help within the first two years of the onset of the disease, then she is at increased risk of cervical and breast cancer.
• Metabolic disorders, and primarily fats, lead to the development of vascular atherosclerosis, stroke, myocardial infarction, fatty liver hepatosis and type 2 diabetes.
• Severe anemia due to massive uterine bleeding.

Polycystic is a disease with a favorable prognosis. Timely and high-quality treatment leads to the restoration of the ability of a representative of the weaker half of society to conceive and bear a fetus in 75-90% of cases.

Diagnostics

It's no secret that a timely diagnosis will help to start effective treatment in a timely manner and help to avoid surgical intervention. Diagnosis will help to establish the true causes that provoked the disease.

Polycystic ovary syndrome is put only on a combination of several signs (infertility, androgen increase and associated symptoms are considered the main ones).

The main methods for diagnosing polycystic disease:

1. General examination, including an assessment of the type of physique, the nature of hair growth, the condition of the skin and mucous membranes, palpation of the abdomen, etc.
2. Gynecological vaginal-abdominal examination on the chair, which allows to detect enlargement and induration of the ovaries on both sides.
3. Ultrasound transvaginal examination. The volume of the ovaries is increased and is 8 or more cubic cm. Directly under the capsule, 10 or more atretic follicles are found. The stroma is thickened, hyperplastic and may account for 25% of the ovary volume.
4. Magnetic resonance imaging (MRI), which allows to exclude tumor lesions.
5. Pelvic laparoscopy is an examination of the abdominal organs using an endoscope inserted through the anterior abdominal wall. Indications for laparoscopy are suspicion of a tumor of the uterus or ovaries, chronic pelvic pain, suspected tubal pregnancy, ovarian apoplexy, tumors, cyst rupture.
6. Glucose tolerance test (insulin resistance), elevated insulin levels, high blood sugar indicate a violation of carbohydrate metabolism.

It is also necessary to conduct a study of hormonal status.

• A pathognomic sign of polycystic ovaries is an increase in the ratio of luteinizing hormone to follicle-stimulating hormone up to 3:1.
• In the blood, the content of testosterone is increased, there is a decrease in progesterone in the second phase of the cycle, and an increase in 17-KS is determined in the urine.

Note: with hormonal failures, the basal temperature remains unchanged throughout the entire menstrual cycle. Coarsening of the voice, defeminization and hypertrophy of the clitoris in PCOS, as a rule, is not observed.

Pregnancy

In the vast majority of cases (85%), infertility in polycystic ovaries is primary and may be its only symptom. The number of spontaneous pregnancies with polycystic disease does not exceed 3-5%, and the probability of their successful outcome is negligible.

Most experts say that it is quite possible to get pregnant with PCOS. In clinical practice, there are many cases of successful childbearing by patients suffering from polycystic disease. However, for this, throughout the pregnancy, they are recommended maintenance drug therapy.

Attention! During pregnancy with such a diagnosis, there is a high risk of fetal fading, miscarriage and premature birth.

How to treat polycystic ovaries?

Treatment of polycystic ovaries is a rather long and complicated process. The main thing is to be patient and tirelessly follow the goal.

Treatment goals:

• normalization of the menstrual cycle;
• restoration of ovulation and further occurrence of pregnancy;
• elimination of cosmetic problems;
• weight correction.

Given the fact that polycystic ovaries can act as a side effect of another type of disease (chronic adnexitis, diabetes, liver disease, etc.), treatment should be aimed not only at eliminating the symptoms (actually polycystic ovaries), but also at eliminating the underlying disease that provoked the pathology in question.

Treatment consists of:

1. Mandatory weight loss in the presence of obesity. In these patients, this stage is the first. For this, nutrition and lifestyle changes are carried out. Weight loss can help treat hormonal changes and improve health conditions such as diabetes, high blood pressure, or high cholesterol.
2. Oral contraceptives reduce the concentration of androgens in the blood. If you take drugs for 2-3 months, it is possible to restore the ability to ovulate. The method is effective only for polycystic disease caused by hyperandrogenemia.
3. In the presence of insulin resistance - a reduced ability of cells to respond to insulin, which helps to absorb glucose, metformin preparations are prescribed: Glucophage, Siofor.
4. Stimulation of ovulation. They prescribe the minimum doses of hormones that will "start" the ovaries and make it possible to get a pregnancy in the most natural way.
5. Non-hormonal therapies for polycystic ovary syndrome, such as physiotherapy or non-steroidal antiandrogens, are usually used as adjuncts.
6. It is necessary to take ascorbic acid, vitamins of groups: E, B12, PP, B1, B9, B6.

Operation

The indication for surgical treatment of polycystic ovaries is the lack of effect of conservative therapy. The method of operation is determined depending on the picture of the disease. In women with infertility, surgical treatment is analogous to hormonal stimulation of ovulation.

Methods of surgical intervention are aimed at achieving the following goals:

• remove the affected parts;
• destroy some areas of the ovary;
• activate the synthesis of androgens in order to normalize the relationship between the ovaries and the central parts of the brain structure.

The main advantage of laparoscopy is that this procedure does not harm the patient. She comes to her senses a couple of hours after the operation, and full recovery occurs in a few days.

But surgical methods are resorted to in extreme cases, when the medical methods described above do not help. They can also prescribe laparoscopy to women after 30 years of age who have pronounced disorders of hirsutism and the menstrual cycle, as well as to those who have been diagnosed with the development of endometrial hyperplastic processes.

In the event that the treatment of polycystic disease is prescribed in a timely manner, it can be eliminated already at the earliest stages. Subject to all medical recommendations, the prognosis of the disease is favorable, and only when planning pregnancy can certain difficulties arise.

Pregnancy after surgical treatment occurs within 6-9 months, but the more time has passed after the operation, the less likely it is to become pregnant.

Diet

Nutrition provides the body with substances for the production of energy necessary for metabolic processes, for the restoration and synthesis of new cells, in order to store spare substances (fat in adipose tissue, glycogen in the liver).

• a hearty first breakfast about 30-40 minutes after waking up;
• light second breakfast;
• full lunch;
• multi-course dinner;
• light snack before bed.

With polycystic ovaries, you will have to once and for all exclude food from the diet, which includes a large amount of carbohydrates and cholesterol. This requirement is very categorical - the products listed below cannot be eaten even sometimes and even if you really want to.

Allowed products for polycystic

Exclude products

fish and meat of low-fat varieties; rye, barley, bakery products based on them; legumes: chickpeas, lentils, soybeans, peas, beans; brown rice; eggs; dairy products: cottage cheese, yogurts, with a low percentage of fat; mushrooms; berries and fruits: apricots, pears, gooseberries, apples, currants, peaches, strawberries, cherries, raspberries, strawberries, quince, nectarines, mulberries, oranges, grapefruits, tangerines, plums; nuts: hazelnuts, peanuts, almonds, pine nuts, cashews; vegetables: cauliflower, Brussels sprouts, broccoli, peppers, onions, asparagus, zucchini, garlic, eggplant, corn, tomatoes, cucumbers, herbs; chocolate: black (not less than 85% cocoa); jam without sugar; fructose based ice cream.

fruits: pineapple, watermelon, melon, persimmon and mango; vegetables: potatoes, turnips, pumpkins, beets, carrots, parsnips; bakery products, flour of all kinds, buns; alcoholic drinks; jam, honey, jam, sweets; chocolate: white, milk; ice cream; bulgur, rice, semolina; pasta; mayonnaise, ketchup, various sauces; canned foods; · strong tea, coffee; tobacco, nicotine; fast food; semi-finished products; fatty, fried and smoked foods.

Diet rules for polycystic ovaries:

• Calorie content of food is not more than 1800 - 2000 kilocalories per day.
• Fractional meals 5-6 times.
• Combine protein foods with vegetables.
• Fruit intake should not be combined with other products.
• Methods of cooking - boiling, stewing, baking, steaming.
• Drinking regime up to 2 liters of water per day.
• Unloading days no more than 1 time in 7-10 days (kefir, cottage cheese, fruit).
• Reduce the intake of salt and products where Na is contained in large quantities (crackers, nuts, canned food).
• Limit carbohydrate intake after 6 p.m.

Folk methods of treatment

Before using folk remedies for polycystic ovaries, be sure to consult a gynecologist.

1. Tampons with mummy. Pour mumiyo in the amount of 150 grams with 3 dessert spoons of warm water. After swelling of the main component, mix the mixture. A tampon formed from a bandage is placed in the composition and inserted into the vagina before a night's sleep. The course of treatment is 10 days. Procedures are not resorted to during menstruation.
2. Wash the stem and leaves of the young celandine, dry, chop. In equal parts, mix with vodka and insist in a dark place for 10 days. Drink an infusion of a teaspoon mixed with 50 ml of water thirty minutes before a meal.
3. Place 5 g of milk thistle in a glass of boiling water. Let cool and filter. Drink 100 ml in the morning on an empty stomach and in the evening before going to bed.
4. It will take 40 g of dry oregano per 300 ml of boiling water. After an hour, filter, drink 20 ml three times a day.
5. Mint 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 together with milk thistle and take one glass twice a day.

Prevention

Prevention of polycystic disease includes:

• regular visits to the gynecologist - twice a year;
• weight control, regular exercise, diet;
• taking hormonal contraceptives.

Now, you know what this disease is. But, despite the serious pathological changes in the reproductive system, reasonable, correct and staged treatment of polycystic ovaries makes it possible to restore its normal hormonal functioning and achieve a full pregnancy and childbirth.

simptomy-i-treatment.net

What it is?

Polycystic ovary syndrome is a polyendocrine syndrome accompanied by dysfunction of the ovaries (absence or irregularity of ovulation, increased secretion of androgens and estrogens), pancreas (hypersecretion of insulin), adrenal cortex (hypersecretion of adrenal androgens), hypothalamus and pituitary gland.

Causes of PCOS

At the heart of the development of polycystic ovaries are, first of all, polyendocrine disorders, manifested by dysfunction:

• ovaries (irregularity or lack of ovulation, increased secretion of estrogen);
• pituitary and hypothalamus (dysregulation of the activity of the adrenal glands and ovaries);
• the cortical layer of the adrenal glands (increased secretion of androgens);
• pancreas (increased insulin production with tissue insensitivity to it).

Violation of hormonal regulation leads to a suspension of the development and maturation of follicles, an increase in the size and compaction of the ovarian capsule, under which multiple cystic growths begin to form from immature follicles. This entails ovulation disorder, menstrual function and infertility. Against the background of obesity (and it occurs in women with PCOS in 40% of cases), these processes are even more pronounced.

Infectious diseases, stress, and even climate change can provoke hormonal disorders.

Polycystic ovaries and pregnancy

The diagnosis of "polycystic" is not a reason to abandon the idea of ​​having a baby. It's just that for this you have to go through a more difficult path than healthy women. In medicine, there are a lot of cases when women with a similar diagnosis successfully became pregnant, carried and gave birth to a child. During the bearing of a child, a woman is prescribed maintenance therapy - Duphaston, Utrozhestan and other drugs that prevent miscarriage. Since pregnant patients have such a formidable diagnosis, they are also closely monitored in the third trimester, when there is a threat of gestational diabetes, increased blood pressure, and weight gain. However, if all the doctor's prescriptions are followed, pregnancy with polycystic disease is quite possible.

As a result of surgical intervention, more than sixty percent of women manage to achieve a positive result - they successfully become pregnant and bear children. Doctors insist that couples decide to continue the family as soon as possible after the operation, since the effect of the operation is not long - about three years. In order to support a woman during the conception of a child, she is prescribed drugs that stimulate the maturation of the egg. If you miss the remission time, then it will be more difficult to get pregnant in the future.

In some cases, pregnancy itself can help cure polycystic disease, since during the conception and gestation of the fetus, tremendous hormonal changes occur in the female body.

Symptoms

In women, the symptoms of polycystic ovaries are very diverse and may resemble manifestations of other diseases. A feature is the fact that the presence of all the symptoms at once is not at all necessary for one woman.

The main symptom of polycystic ovaries that makes you see a doctor is the inability to become pregnant. The most common such causes and additional symptoms of polycystic ovaries:

1. Oligomenorrhea, amenorrhea - irregular, rare menstruation or complete absence of menstruation; those menstruations that do occur can be pathologically scanty or, on the contrary, excessively abundant, as well as painful;
2. Central obesity - "spider" or "apple-shaped" male-type obesity, in which the bulk of adipose tissue is concentrated in the lower abdomen and in the abdominal cavity;
3. Elevated blood levels of androgens (male hormones), especially free fractions of testosterone, androstenedione and dehydroepiandrosterone sulfate, which causes hirsutism and sometimes masculinization;
4. Acne, oily skin, seborrhea;
5. Androgenetic alopecia (significant baldness or male pattern hair loss with bald patches on the sides of the forehead, on the top of the head, due to hormonal imbalance);
6. Acrochordons (skin folds) - small folds and wrinkles of the skin;
7. Acanthosis (dark pigment spots on the skin, from light beige to dark brown or black);
8. Long periods of symptoms resembling those of premenstrual syndrome (swelling, mood swings, pain in the lower abdomen, lower back, pain or swelling of the mammary glands);
9. The appearance of striae (striations) on the skin of the abdomen, thighs, buttocks, as a result of rapid weight gain against the background of hormonal imbalance;
10. Depression, dysphoria (irritability, nervousness, aggressiveness), often drowsiness, lethargy, apathy, complaints of "fog in the head".
11. Sleep apnea - stops breathing during sleep, leading to frequent nocturnal awakenings of the patient;
12. Multiple ovarian cysts. Sonographically, they may appear as a "pearl necklace", a collection of whitish vesicles, or "fruit pits" scattered throughout the ovarian tissue;
13. An increase in the size of the ovaries by 1.5-3 times due to the occurrence of many small cysts;
14. Thickened, smooth, pearly white outer surface (capsule) of the ovaries;
15. Thickened, hyperplastic uterine endometrium is the result of a prolonged excess of estrogen, not balanced by adequate progesterone influences;
16. Elevated LH or elevated LH/FSH ratio: When measured on day 3 of the menstrual cycle, the LH/FSH ratio is greater than 1:1;
17. Decreased level of globulin that binds sex steroids;
18. Hyperinsulinemia (increased levels of insulin in the blood), impaired glucose tolerance, signs of tissue insulin resistance when tested by the sugar curve method;
19. Chronic pain in the lower abdomen or lower back, in the pelvic region, probably due to compression of the pelvic organs by enlarged ovaries or due to hypersecretion of prostaglandins in the ovaries and endometrium; The exact cause of chronic pain in PCOS is unknown.

Also, polycystic disease can be accompanied by signs of diabetes (weight gain, increased urination), chronic skin infections, or thrush (vaginal candidiasis).

Complications

In addition to impaired reproductive function, polycystic ovaries sooner or later can provoke the development of gestational diabetes, arterial hypertension and lead to significant weight gain.

Women with PCOS have an increased risk of developing coronary heart failure, peripheral vascular disease, clogged arteries and vein thrombosis, myocardial infarction, and stroke. Those patients who are on long-term hormone therapy should be wary of the development of mastopathy, endometriosis, breast cancer and cervical cancer.

Diagnostics

Diagnosis of PCOS includes a gynecological examination, ovarian ultrasound and hormonal examination, as well as other ancillary techniques.

1. In the blood test for hormonal status, an increased concentration of androgens, follicle-stimulating and luteinizing hormones is noted (as well as their ratios). Also during the hormonal examination, impaired glucose tolerance and elevated insulin levels can be detected.
2. Ultrasonic scanning. During this procedure, multiple small cysts are detected on the surface of the female gonads. As a rule, the affected organs increase in size, their surface becomes bumpy, the capsule thickens. Due to the chronic excess of estrogens, the thickening of the endometrium (the inner layer of the uterus) is clearly visible on the ultrasound monitor.
3. When conducting a glucose tolerance test, high blood sugar levels signal a violation of carbohydrate metabolism, that is, the development of hyperinsulinemia.
4. In order to be able to "see" the ovaries affected by polycystic, patients are shown a laparoscopic examination. To date, laparoscopy of the ovaries is the most informative diagnostic technique. With the development of the Stein-Leventhal syndrome, the capsule of the sex gland thickens and smoothes out, the organ acquires a pearly-whitish color, reaches a length of 5-6 and a width of 4 cm.
5. Mastography or thermography of the mammary gland is indicated for patients suffering from mastopathy.
6. To detect violations of metabolic processes, the lipid profile of the blood is determined. With polycystic ovaries, the concentration of low-density lipoproteins increases and the concentration of high-density lipoproteins decreases.

What does polycystic ovaries look like, photos of symptoms:

How to treat polycystic ovaries?

Treatment of polycystic ovaries can take place with the involvement of several specialists at once: a gynecologist (or rather a narrow specialist gynecologist-endocrinologist), an endocrinologist and a nutritionist.

It is almost impossible to completely cure polycystic disease. Gynecologists can only minimize the manifestations of the disease and thus help a woman achieve her main goal (this is, as a rule, the conception and birth of a healthy child). However, to get what you want, you can not delay a visit to the doctor. The sooner the diagnosis is made, the easier it will be to normalize the hormonal background and restore the proper functioning of the reproductive system.

The conservative treatment regimen is as follows:

• Drugs that stimulate ovulation.
• Antiandrogenic agents. This is a group of drugs that reduce the amount of male hormones.
• Drugs for the treatment of diabetes mellitus. Usually, this role is played by the drug metformin, which, in addition to regulating insulin production, contributes to weight loss.
• Hormonal contraceptives. Help restore the cycle and avoid the development of endometriosis. Some drugs have an antiandrogenic effect (they fight acne and excess body hair). This method is not suitable for women who dream of becoming pregnant.
• Diet. For some women, it is enough to lose weight so that insulin levels return to normal and ovulation occurs. Therefore, diet therapy plays an important role in the treatment of polycystic ovaries. The diet for polycystic ovaries is aimed at eliminating a large amount of fat and carbohydrates. Be sure to combine diet with exercise.

Complex drug therapy is prescribed for up to 6 months. If its result is unsatisfactory (pregnancy does not occur), gynecologists resort to surgical treatment. Modern laparoscopic equipment makes it possible to carry out such interventions with the least traumatism for a woman - already 3-4 days after the operation, the patient is discharged home, and only a few almost imperceptible scars remain on her body.

Nutrition rules

The vast majority of patients with PCOS are overweight.

Adipose tissue has the ability to accumulate steroids, excess fat means excess steroids and dysfunction of the hypothalamus, which "manages" the menstrual cycle. Obesity leads to amenorrhea, infertility and many other serious consequences. For the successful treatment of hormonal disorders, it is necessary to eliminate the negative effect of adipose tissue on the body, so the treatment of polycystic ovaries begins with weight correction.

As a result of observations of patients, it was possible to find out which products are most useful for women with polycystic disease:

• vegetables - lettuce, broccoli, bell peppers (red and yellow), garlic, lettuce, zucchini, eggplant, cucumbers, carrots, asparagus, celery, garlic;
• fruits - plums, oranges, grapefruit, kiwi, apples, cherries, pears;
• greens - rosemary, parsley, dill, basil;
• grains and legumes - beans, whole grain bread, beans, durum pasta, peanuts, soybeans, pumpkin, brown rice;
• vegetable oils - sesame oil, milk thistle oil, linseed oil, olive oil, pumpkin seed oil;
• dried fruits - raisins, prunes, figs, dried apricots;
• dairy products - cheese, cottage cheese, yogurt and low-fat milk;
• meat - chicken, quail, ostriches.

• reducing the level of calorie intake to one thousand two hundred calories per day;
• switching to fractional frequent meals (about five to six times a day);
• the diet should contain more low-calorie foods - vegetables and fruits;
• increase in protein intake (primarily from fish and seafood, cottage cheese, meat);
• restriction of carbohydrates (sugar, carbonated drinks, pastries);
• the exclusion of animal fats and the transition to vegetable;
• exclusion of any doses of alcohol;
• eating food without spices, seasonings, spices
• refusal of smoked, pickled products.

After the body weight returns to normal, the number and range of products consumed can be expanded. However, if the patient returns to the previous diet, the excess weight will quickly return. To permanently get rid of obesity, it is necessary to consume foods in such quantities that body weight remains in a stable physiological state.

Physical activity (fitness, gymnastics) is a good addition to a balanced diet. For some patients, exercising just two hours a week, along with a diet, gives a result similar to taking special weight loss pills.

Stimulation of ovulation

After the restoration of the menstrual cycle, they proceed to the main stage of therapy - ovulation stimulation (for those patients who want to have children). For these purposes, drugs with pronounced antiestrogenic properties are used - Clomiphene (Klostilbegit).

After the abolition of these drugs, the synthesis of LH and FSH occurs, which by their action stimulate the maturation of the dominant follicle and the process of ovulation. The agent is prescribed from the 5th to the 9th day of the menstrual cycle, for a period not exceeding 3 months at a dosage of 0.05 g / day. If the effect of therapy is absent, the dose is increased, bringing up to 200 mg. "Klostilbegit" has one very unpleasant side effect - the risk of developing large functional cysts in the ovaries increases significantly. If therapy with this drug does not give a result within 3 months, the issue of surgical intervention is decided.

Surgical intervention

Surgical treatment of the disease is currently carried out laparoscopically. Two types of surgical intervention are used: wedge resection of the ovaries and electrical coagulation of the brushes in the ovaries. The second method is more gentle, as it consists in making notches on the ovarian capsule and cauterizing multiple brushes. With a wedge-shaped resection, the most altered parts of the ovaries (both the capsule and the stroma) are excised.

But it should be noted that a woman's fertility is directly proportional to the statute of limitations of the operation, that is, the more time has passed after surgical treatment, the less likely it is to become pregnant. The maximum ability to conceive occurs in the first 3 months after surgery, and by the end of the year it is significantly reduced. However, surgical treatment is indicated not only for patients with infertility, but also for diagnosing persistent endometrial hyperplastic processes.

IVF for polycystic ovaries

• stimulation of follicle growth;
• embryo transfer;

With unsatisfactory sperm quality, IVF ICSI is performed. It is necessary to dwell in more detail on the fact that in the IVF protocol for polycystic ovaries, stimulation can lead to hyperstimulation syndrome. Therefore, cryopreservation of all received embryos and their replanting in the next cycle can be performed.

Prevention

To date, there is no specific prevention of the disease.

Given that the formation of polycystic ovary syndrome begins even in girls in the puberty period, it is necessary to pay attention in a timely manner to menstrual irregularities, as well as the development of obesity and manifestations of hyperandrogenism in such a contingent of children.

medsimptom.org

• A bit of theory
• Causes of polycystic ovaries in women
• Signs of PCOS
• Symptoms of PCOS
• Polycystic ovary syndrome and pregnancy
• Stimulation of ovulation
• Laparoscopy for PCOS
• IVF for polycystic ovaries

A bit of theory

The reproductive function of a woman is regulated by 5 links:

1. cerebral cortex;
2. subcortical structures of the brain - limbic system, hippocampus, amygdala;
3. hypothalamus;
4. anterior pituitary gland or adenohypophysis;
5. ovaries;
6. target organs - the uterus, mammary glands, skin, bones, hair, nails, mucous membranes, blood vessels.

The pituitary gland is the main gland, without which the body cannot exist and function. It is controlled by the hypothalamus. The activity of the pituitary gland is determined by the hormonal response of target organs. That is, target organs, such as the ovaries, signal to the pituitary gland how ready they are to receive pituitary hormones. This means that the regulation goes not only from top to bottom, but also vice versa - from below (from the ovaries) to the pituitary gland.

In the adenohypophysis, the main hormones of the reproductive system are synthesized and secreted:

• FSH glycoproteins;
• luteinizing hormone (LH);
• prolactin polypeptide.

Polycystic ovaries: causes

Prolactin is the hormone responsible for lactation. Its level rises under the influence of chronic and acute stress and thus disrupts the normal functioning of the ovaries. These violations are fraught with infertility.

The connection between the pituitary gland and the hypothalamus is carried out through thin and specific vessels. Under the influence of stress, physical overload, with vegetative-vascular dystonia, angiospasm occurs (spasm of these vessels), which distorts the transfer of information between organs, even with the correct production of hormones. This is another reason for the imbalance in the production of sex hormones.

The bulk of the cortical substance of the ovaries is premordial follicles (they are still laid in utero). In reproductive age, under the influence of hormones, their growth and development occurs. Within 86 days they go through the stages:

• preantral follicle;
• antral follicle;
• the periovulatory follicle, which must reach ovarian status (and from which a mature egg usually emerges).

Not all follicles reach the ovarian status, most of them undergo reverse development - atresia. Those follicles that mature are donors of a mature egg, ready for fertilization. But some perianthral and antral follicles can get stuck in development and not regress. Under unfavorable conditions, a lot of such “stuck” follicles are formed - polycystic ovaries develop. The disease is accompanied by an increased level of anti-Müllerian hormone.

Causes of polycystic ovaries:

• pituitary dysfunction;
• Perinatal environment - those factors that had an adverse effect on the female body even during fetal development. If the mother who was carrying the girl suffered a viral disease during pregnancy, acute stress, or there was a threat of a breakdown, then it is highly likely that her daughter will have to deal with polycystic ovaries.
• Genes. Today, about 50 candidate genes have been identified that may be responsible for the formation of polycystic disease. Early genetic diagnosis in women (girls) with a burdened anamnesis (polycystic disease in the mother or close relatives) makes it possible to identify the carriage of these genes in time. When a genetic prerequisite for polycystic disease is found, it is important to make attempts to get pregnant as early as possible. Such a girl has much more chances to conceive a child on her own at a young age than in a more mature one.
• Dysfunction of adipose tissue. Women with PCOS have a tendency to gain weight. Adipose tissue (AT) is also an endocrine organ. It produces substances that help the ovaries, uterus, pituitary gland, hypothalamus, adrenal glands and all other organs "hear each other." For women, male-type fat deposition is worst of all - on the abdomen and upper body, which leads to insulin resistance and, as a result, to the occurrence of polycystic disease. With a low content of adipose tissue in the body (less than 19%), it is also difficult to get pregnant, since female sex hormones are produced by adipose tissue cells. It is important to keep balance and be wary of the appearance of fat in the upper half of the body, when the legs remain slim and the stomach looks like an apple.
• Violation of the level of AMH.
• Aromatase system disorders.

Signs of polycystic ovaries

There are several forms of PCOS:

• ovulatory;
• anovulatory;

One of the most striking manifestations of polycystic ovaries is a violation of the menstrual cycle. In the ovulatory form, ovulation occurs, but the quality of the oocyte is extremely low. The corpus luteum, which is formed at the site of the follicle - the egg donor, is defective. It produces little progesterone, which prevents the embryo from implanting in the uterine wall. And if the embryo manages to attach, then the probability of abortion is high.

The second striking sign of polycystic ovary is overweight. The disease is characterized by male pattern hair growth (on the face), hair loss on the head, acne on the back, chest and hair.

Symptoms of polycystic ovaries in women

The diagnosis of polycystic ovaries can be made on the basis of the following criteria and symptoms (a prerequisite is the presence of at least 2 signs):

• Hyperandrogenism, the clinical signs of which are: hirsutism (excessive hair growth), obesity, infertility, acne, hyperandrogenic alopecia.
• chronic oligo- or anovulation;
• polycystic phenotype (appearance) of the ovaries, determined by ultrasound examination. In the ovary, 12 or more follicles are visible, located along the periphery, having a diameter of 02 to 0.9 mm. In this case, the ovary increases in volume (more than 10 cm3).

Polycystic ovaries and pregnancy

Can you get pregnant with polycystic ovaries? Polycystic ovary syndrome is not synonymous with infertility. Spontaneous ovulation with a full-fledged egg in PCOS happens, but rarely. You can get pregnant. Moreover, with age, the number of spontaneous ovulations, and therefore the chances of getting pregnant, becomes more and more. At a young age, with a fertile spermogram of a partner, the waiting time for an independent pregnancy is 6-12 months.

With a decrease in excess body weight, the work and regulation of the hormonal system normalizes. In some cases, it is enough to reduce the percentage of adipose tissue by 7% and spontaneous pregnancy occurs.

How to lose weight with polycystic ovary syndrome? This can be done with:

• Pilates;
• yoga;
• cardio equipment;
• aerobics;
• dance classes for 2-3 hours a week;
• walking 5 km 2 times a week.

How to get pregnant with polycystic ovaries?

Namely, it is necessary:

1. normalization of glucose and insulin metabolism;
2. control weight and normalize it;
3. control nutrition;

If this was not enough for the body, it is necessary to start treatment.

There is such a phased scheme for the treatment of women with PCOS:

1. Closed cycle: correction of hormonal disorders and weight loss. The two links are interconnected. It is possible to correct the second phase of the cycle - the appointment of only progesterone preparations, for example, Utrozhestan.
2. Stimulation of ovulation.
3. Laparoscopy
4. Methods of assisted reproductive technologies - IVF.

Stimulation of ovulation in polycystic ovaries

With polycystic ovaries, ovulation stimulation is prescribed under the following conditions:

• normal spermogram of the husband;
• passable fallopian tubes;
• absence of pathologies in the uterine cavity.

To stimulate ovulation in polycystic ovaries, minimal doses of hormones are prescribed that will “start” the ovaries and make it possible to get pregnant as naturally as possible.

With polycystic ovaries, drugs are used:

• clostilbegit, clomiphene citrate;
• more modern drugs - gonadotropins.

Stimulation of hyperovulation is performed under the control of ultrasound, to plan the time of sexual intercourse or intrauterine artificial insemination.

Efficiency per stimulation attempt, provided that everything happens correctly and on time, is 15-18%. After 3-4 attempts, the efficiency increases to 70%.

With polycystic ovaries, laparoscopy is the method of choice for married couples up to 30 years old, with a normal partner's spermogram and infertility duration of 3-5 years.

Laparoscopy is also done if ovulation stimulation is ineffective. In addition, it can be prescribed as a diagnostic procedure and therapeutic (with ovarian cysts, hydrosalpinx and endometriosis and suspicion of it).

With polycystic ovaries during laparoscopy, ovarian drilling is performed - this is the mechanical removal of small follicles. Drilling is carried out in the hope that a woman in the near future after the operation (from 6 months to 1.5 years) will have a chance to conceive on her own.

This procedure is extremely complex in the sense that it must be performed very competently. Because with an excessive number of punctures, you can deplete the ovary and deprive the woman of the eggs.

Discharge after laparoscopy (ovarian drilling) the next day, the procedure is painless. During the operation, a record is kept - you can get it on hand.

IVF for polycystic ovaries

The IVF program for polycystic ovaries consists of 6 stages:

1. stimulation of follicle growth;
2. puncture (invasive way to get eggs);
3. fertilization and cultivation in an artificially created environment;
4. embryo transfer;
5. support of the luteal phase of the cycle (progesterone);
6. diagnosis of early pregnancy.

More detailed IVF protocols can be found in this article. With unsatisfactory sperm quality, IVF ICSI is performed. It is necessary to dwell in more detail on the fact that in the IVF protocol for polycystic ovaries, stimulation can lead to hyperstimulation syndrome. Therefore, cryopreservation of all received embryos and their replanting in the next cycle can be performed.

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Features of the disease

The reproductive system of a woman functions due to the proper functioning of the endocrine glands (thyroid and adrenal glands), hypothalamus, pituitary gland and ovaries. In the event of a dysfunction of any of the above systems, the activity of the entire reproductive system is disrupted. The woman's body becomes more sensitive to infections and inflammation. Thus, not only a simple cyst of the corpus luteum can occur, but also many small cysts - polycystic.

Numerous cysts on the ovary can be either solitary or form entire "clusters". As a result, the maturation of the follicle is disrupted, and ovulation does not occur. Accordingly, conception becomes impossible.

According to statistics, polycystic ovary syndrome occurs in 5-10% of women of reproductive age. There are cases when the symptoms of PCOS appear in a teenage girl after the start of the first menstruation. The peak of the disease is 30 years. It is in women of this age that the signs of PCOS are pronounced, the disease progresses rapidly and requires immediate treatment. After 50 years, polycystic ovary syndrome most often does not occur.

PCOS after childbirth is not uncommon. This is explained by the fact that during pregnancy a woman completely changes the hormonal background for bearing a child. And after childbirth, the restructuring and restoration of the body takes place. It is at this point that polycystic ovaries can begin to develop, which is facilitated by an increase / decrease in estrogen, progesterone, androgens and an imbalance of male and female hormones. Many patients are concerned about the question of how to cure polycystic ovaries and whether it is possible to become pregnant with this diagnosis. In both cases, the answer is yes. However, you must follow all the doctor's recommendations.

Timely diagnosis and the appointment of competent treatment of polycystic ovary syndrome helps not only to get rid of the disease, but also to prevent the development of complications.

Origin factors

The causes of polycystic ovaries are not fully understood. However, modern medicine identifies a number of factors that contribute to the development of the disease.

Causes of polycystic ovaries:

• infections and prolonged inflammation of the uterine appendages (ovaries and fallopian tubes);
• overweight, obesity;
• abortion;
• diabetes;
• disruption of the endocrine glands;
• heredity;
• heavy labor activity;
• incorrect installation of the intrauterine device;
• injuries of the pelvic organs;
• hormonal disorders.

Treatment of polycystic ovaries consists not only in the removal of cysts and the removal of painful symptoms, but also in the mandatory elimination of the root cause of the disease. So what are the symptoms of polycystic ovary syndrome, and when is urgent medical attention needed?

Signs of the disease

Every woman has different symptoms of PCOS. Some patients experience aching, sometimes sharp pain in the lower abdomen. Others don't care at all. However, the first manifestations of pathology are considered to be:

• violation of the menstrual cycle;
• causeless increase in body weight;
• the appearance of hair on the body according to the male pattern (chest, face, abdomen).

If any of the above symptoms appear, a woman should think about the proper functioning of the body and consult a doctor.

There are also such signs of polycystic ovaries:

• lack of ovulation;
• discharge between periods;
• "daub" in the middle of the cycle;
• different duration of menstruation;
• frequent delays;
• an increase in the size of the appendages;
• aching pain in the lower abdomen;
• oily skin and hair, acne on the neck, shoulders or back;
• swelling of the mammary glands, the appearance of fibrocystic mastopathy;
• increased levels of insulin in the blood;
• chronic anovulation;
• inability to conceive a child for more than one year.

Thus, the causes of polycystic ovaries are diverse and quite easy to confuse with the symptoms of another disease of the pelvic organs. However, first of all, a woman should be alerted by unusual discharge and regular delays in menstruation. You can also measure BBT (basal temperature), which should increase in the second phase of the menstrual cycle. In polycystic ovary syndrome (PCOS), basal temperature does not change.

How to identify the disease

It is impossible to make a diagnosis of polycystic ovaries based only on the results of an ultrasound. This is explained by the fact that the clinical picture of this disorder can also be observed in a healthy woman, that is, an error is possible. In addition, quite often on ultrasound, polycystic right ovary is determined, but in fact, affecting one appendage, cystic neoplasms soon affect the other. Diseases that give similar echoes should also be excluded. These include hypothyroidism, Cushing's syndrome, hyperprolactinemia. That is why the diagnosis of PCOS includes:

1. Gynecological examination;
2. Collecting an anamnesis and determining all symptoms;
3. Ultrasound of the pelvic organs;
4. General analysis of blood and urine;
5. Blood test for hormones (LH, FSH, T4, TSH, T3, etc.);
6. Laparoscopy.

Only a complete interpretation of the above analyzes and examinations makes it possible to see changes in the size, structure and shape of the ovaries, their functionality, confirm / refute the disease and the possible risk of complications.

Treatment

Treatment for polycystic ovaries is long and multi-stage. Unfortunately, it is impossible to completely cure it. The task of the gynecologist is not only to restore the normal function of the appendages, but also to eliminate all the disorders that provoked this disease.

Initially, the doctor prescribes painkillers to relieve the symptoms of polycystic ovaries and treat the hypothalamic-pituitary system. Then it is necessary to establish the production of androgens by the appendages, eliminate excess weight and restore the menstrual cycle.

Polycystic ovary syndrome is treated conservatively and surgically. Based on the results of the tests, the pain of the symptoms and the desire of the woman to become pregnant, the attending physician chooses the most appropriate method of treatment.

Medical treatment

How to treat polycystic ovaries with conservative methods? First of all, you need to improve nutrition and lifestyle. There is even a special diet for polycystic ovary syndrome (PCOS), which consists in the exclusion of alcohol, coffee, fatty, fried, smoked and spicy foods. It is also recommended to do fasting days. The total number of calories is 1200-1800 per day. Five meals a day. Polycystic ovary syndrome also requires the mandatory use of vegetables, fruits, herbs, fish, cottage cheese, kefir. You should give up sweets, flour products, honey.

If you are overweight or obese, physical activity is essential. These should be light exercises that do not cause discomfort to the patient.

As for medicines, the doctor prescribes not only painkillers, but also hormonal drugs. Oral contraceptives (birth control pills) restore the menstrual cycle and the endocrine system, eliminate hyperandrogenism. Some of them stimulate ovulation and promote the proper release of the egg. Such drugs as Janine, Marvelon, Yarina, Jess have proven their effectiveness in PCOS.

Surgery

How to treat polycystic ovaries with surgical methods? There are two ways to do this:

1. wedge resection. Damaged tissues are removed, including the capsule and stroma. Helps restore ovulation and reduce androgen production.
2. Coagulation. The doctor makes notches on the ovarian capsule and cauterizes the cysts. This method is considered the most gentle.

The surgery is performed laparoscopically. The operation is performed only if conservative methods of treatment do not give the desired result or the patient begins to develop endometrial hyperplasia.

Alternative treatment

Unfortunately, many women do not trust modern medicine and current doctors in particular. Therefore, there are a lot of those who are interested in whether it is possible to cure polycystic ovaries with folk methods.

The ineffectiveness of folk remedies for PCOS has long been proven. However, women still continue to take herbal infusions and herbal teas. Yes, some herbs perfectly relieve painful symptoms, contribute to the reduction and self-resorption of a single cystic formation (for example, an ovarian corpus luteum cyst). These include the upland uterus and the red brush. But! With multiple cysts, alternative methods are powerless, and in combination with hormonal therapy, they can even lead to irreparable consequences. That is why only a competent specialist will tell you how to treat polycystic ovaries and what kind of nutrition is needed.

What threatens PCOS?

If there is no competent treatment or a woman does not adhere to all doctor's prescriptions, the consequences of polycystic ovaries will not be long in coming. In addition to the appearance of body hair, oily skin, acne and weight gain, PCOS contributes to the development of a host of diseases.

Why is polycystic ovaries dangerous? First of all it is:

• infertility;
• adhesive processes in the pelvic organs;
• hypertension, stroke;
• endometriosis;
• endometrial cancer;
• cervical cancer;
• mastopathy and breast cancer.

If a polycystic transformation of the appendages is detected during pregnancy, the expectant mother is in danger of:

• severe pregnancy;
• spontaneous abortion (miscarriage) in the early stages;
• premature and difficult childbirth (earlier 36-38 weeks);
• late toxicosis;
• pregnancy diabetes.

Thus, it is important for a woman to know the manifestation of the disease, what it is and how to treat PCOS. Early diagnosis and proper treatment will help minimize possible complications and prevent infertility.

Hello. At the age of 16, I noticed the first signs of my disease - acne pimples, the growth of dark hair on my stomach, I strongly “twisted” my back during menstruation. Regular gynecological examinations did not reveal any pathologies, and only at the age of 19 after an ultrasound I was diagnosed with PCOS (polycystic ovary syndrome or Stein-Leventhal syndrome). The fact is that due to the disruption of my endocrine system, a hormonal imbalance of female and male hormones leads to the fact that I do not ovulate. Because of this, firstly, I cannot get pregnant; secondly, each unfertilized egg turns into a small cyst. As a result, my ovaries are enlarged.

There are only two traditional methods of "treatment" of polycystic ovaries in our country:

1. Operation laparoscopy (removal of part of the ovary).

2. Hormonal oral contraceptives ("Diana-35", "Yarina +", "Jess").

From 22 to 23 years old, for six months I took Yarina + - pills that not only didn’t suit me, but had a terrible effect on my health.

After the cancellation of Yarina +, I did a control ultrasound, the gynecologist prescribed six months to drink the herbal preparation Tazalok.

PokInstructions for use

The drug is used as a monotherapy in patients suffering from menstrual disorders, including premenstrual syndrome, dysmenorrhea and algomenorrhea. The drug can be prescribed to patients with menopausal disorders.
As part of complex therapy, the drug is used in women suffering from fibrocystic mastopathy, endometrial hyperplasia, uterine fibroids and polycystic ovaries.

"Tazalok" is sold in pharmacies in dark glass bottles with a dispenser of 50 and 100 ml. Like other homeopathic drops, it should be taken by dissolving 30 drops of the drug in half a glass of water and drinking 30 minutes before meals. Duration of admission - from 3 months to six months.

I took "Tazalok" from July to October 2016. During this time, its price has increased significantly. The first pack of 100 ml. I bought for 270 UAH, the last one for 315 UAH. One large jar was enough for me for a little more than a month. The taste and smell of these drops is not the most pleasant, but tolerable.

I can say about the reception results that they are zero. Especially when there is something to compare.

Firstly, while taking contraceptive pills, as they say, “the result on the face” was noticeable - acne disappeared. For six months of taking Tazalok, my face turned into a “red mess” from acne and post-acne.

Secondly, PMS came back in September with all its charms - a bad mood and an ache in the back.

Third, t Ovulation tests consistently showed negative results, which indicates that it never happened. But the results of the ultrasound done in October 2016 just terrified me - the right ovary for six months has increased in size to the scale of the moon!!! I'm so shocked I can't express it.

Ultrasound results June 2016:

Ultrasound results October 2016:

My ovaries hardly increased in size from 19 to 22 years old. And even after the abolition of oral contraceptives "Diana-35" there were no such problems. Now my ovaries cannot be returned to the state and size that they were before taking Tazalok. If I knew that I was wasting time (4 months) and money (about 1000 UAH), it would be better to do a laparoscopy or continue taking pills.

So, unfortunately, I am disappointed with this drug. And I do not advise anyone to take with polycystic ovaries.

In gynecological practice, this type of treatment is used quite often. It gives a particularly good effect with the simultaneous use of complex therapy. This disease appears as a result of hormonal imbalance. In frequent cases, it provokes the appearance of infertility. However, with the help of certain physical factors, it is possible to reduce unhealthy processes in the appendages, as well as influence the normalization of hormonal balance along with a general strengthening of the body's condition. After the passage of certain therapeutic measures, a restoration of the monthly cycle is observed. In many patients, pregnancy becomes achievable, ovulation occurs. Basically, various natural components, apparatus physiotherapy, and thermal procedures are used in the treatment of the gonads.

The positive effect of the use of physiotherapy methods

The methods of this branch of medicine are similar to the use of certain stimuli. Their action affects the activation of the body's recovery process. After treatment of polyendocrine syndrome, there is:

• improvement of microcirculation of the gonads along with lymphatic drainage;
• decrease in the volume of the ovarian membrane;
• the disappearance of pain, or their significant reduction;
• restoration of the metabolic process;
• reduction of the inflammatory process.

Treatment with physiotherapy techniques to a large extent allows you to reduce the time required to restore the functionality of the ovaries. It can prevent the appearance of a secondary syndrome.

The pathological condition in the primary form is due to disorders that appear in the system of interaction between the pituitary and hypothalamus, as well as the gonads and adrenal glands. It is quite difficult to influence this form by therapeutic methods. It is characterized by a chronic course. Physiotherapy, in this case, can only affect the suspension of the further progression of the polyendocrine syndrome. After resection of the appendages, when the recovery stage begins, physiotherapeutic methods will help prevent the formation of adhesive processes, the appearance of which can be observed in the abdominal cavity.

Contraindications for physiotherapy

Therapeutic measures are not prescribed if the following pathological processes are detected:

• blood diseases;
• the appearance of oncological processes;
• the presence of hyperthermic syndrome;
• uterine bleeding of varying severity;
• exacerbation of chronic diseases;
• the appearance of various infectious processes;
• general serious condition of a person;
• various neoplasms in the form of vaginal condylomas or uterine polyps;
• disorders of the psychoneurological system.

Such procedures should not be prescribed at an early stage of the postoperative period.

The main techniques used in the treatment of the gonads

Most often, the following methods are used in complex treatment:

1. Magnetotherapy. In this case, only a low-frequency magnetic field is used. In the primary type of the disease, the impact is carried out only on the collar zone. With its help, the activity of the pituitary gland, as well as the hypothalamus, is regulated, which leads to an improvement in ovarian functionality.
2. Galvanophoresis using lidase. Under the influence of a galvanic current supplied at low voltage, the drug reaches the gonads without getting into the epidermis. Lidaza is able to activate the activity of the gonads, while improving blood flow, as well as metabolic processes.
3. Hydrotherapy activities. In this case, both sodium chloride baths, which have a water temperature of not more than 36 ° C, and coniferous baths can be used. In frequent cases, sea baths are used. They are able to improve the blood circulation of the reproductive system, as well as have anti-inflammatory and analgesic effects. With their help, you can achieve a calming effect. For these purposes, a circular shower or Charcot's shower is sometimes prescribed.
4. Galvanophoresis using vitamin B1. The procedure is performed endonasally. As a result, there is an effect on the hypothalamic-pituitary system, with the help of nerve impulses emanating from the nasal cavity. In this case, patients have an improvement in metabolic processes, as well as neuro-reflex regulation.
5. The use of paraffin treatment, as well as mud therapy. These natural materials are applied in the area of ​​​​the appendages and abdomen. With their help, metabolic processes are improved, and softening of the ovarian tissue occurs.

Electrophoresis also has a positive effect, as well as the use of laser exposure and ultrasound therapy.

Features of medical procedures

In the treatment of a disease with physiotherapy, the following prescriptions should be followed:

1. Treatment should begin only on the 6-7th day of the monthly cycle. An earlier start can provoke the appearance of heavy bleeding.
2. Before starting the procedure, the bladder must be empty.
3. After a session of procedures, patients should not leave the room for at least another half an hour.
4. Patients should not be hypothermic.

After treatment, we can talk about the upcoming effect of the consequences. A beneficial effect upon completion of all procedures can be observed from six months to a year. Compliance with the schedule of treatment sessions, as well as the implementation of all recommendations will speed up the healing process. Without a doctor's prescription, it is not recommended to use portable devices at home that can be used to carry out physiotherapy procedures. This can only do harm.

Homeopathy for PCOS

Quite often, polycystic ovaries are treated with homeopathy. In the diagnosis of PCOS, homeopathy involves the so-called alternative treatment. The appointment of a certain homeopathic remedy is carried out taking into account the clinical picture of the disease. Treatment of pathology using homeopathic techniques at the initial stage is very effective. Of course, doctors advise to combine drug treatment and homeopathy, then the effect will be much better.

Most often, from homeopathic remedies, the drug "Berberis" is used in three-fold and six-fold dilutions. In the first trimester of pregnancy, Apis is used to normalize the functioning of the ovaries. Ovariamin is used to regulate the menstrual cycle that occurs due to organic lesions of the reproductive organs, or as a result of hormonal imbalance. According to doctors, Ovariami in PCOS has a productive effect on ovarian tissue, stimulating the production of estrogen in the body. Black seed oil in PCOS helps to lower blood glucose levels. Reducing the amount of sugar is one of the most important goals in the treatment of infertility against the background of PCOS. In addition, the drug contains zinc and B vitamins.

Another highly effective homeopathic remedy is Ovarium compositum. Ovarium compositum has a wide range of actions, in particular, it is used for hormonal disorders, infertility, childhood enuresis, menopausal disorders, mastopathy, neoplasms of the reproductive system.

Ovarium compositum for PCOS

Ovarium compositum is a multicomponent homeopathic preparation included in the treatment regimen for conception. The drug ensures the restoration of a regular menstrual cycle with full ovulation and the work of the luteal body.

Doctors recommend the standard and most optimal treatment regimen with intramuscular injections on days 5, 8, 12 and 14. It is necessary to use one 2.2 ml ampoule every 1-2 days. Sometimes one injection per week is enough for patients for effective treatment, but it is worth noting that the entire course of therapy is selected and prescribed by a doctor who takes into account the characteristics of the patient's body, its accurate diagnosis and the use of other drugs. The usual course of treatment lasts from 4 to 6 weeks, if necessary, the attending physician may increase the duration of the course.

According to patients, the Ovarium compositum treatment regimen for PCOS for conception is quite effective, especially in the treatment of primary infertility in women 25-38 years old. A homeopathic remedy is an effective, inexpensive, non-hormonal drug that helps to normalize the cycle and the possibility of early conception.

Question: I am 26 years old. Diagnosis of polycystic ovaries with androgenic syndrome. I tried everything, hormonal therapy, money... Since February 2010, I have been treated with classical homeopathy. I started with sepia 200s, there were little results until it stopped working. Then they prescribed Kalium carbonicum 200c - nothing. Now I drink Folliculin 200c and every week Kalium carbonicum 30c. No results. Weight does not fall, constant constipation. Severe ulcers on the face, neck, back and chest. Strongly climb hair, dandruff. Constant sebaceous discharge on head, face and chest with forearm. Menstruation does not start, a delay of several months.
I myself am dark, height 160, weight 62 kg. A tight swollen belly and full legs. Vulnerable, tearful, pliable, compliant. I love sweets, especially cream and pies. Sometimes sneaks on salted fish. I sleep badly, in a dream I often run away from someone or hide. She began to be very embarrassed about her appearance. I'm very close on this topic.
Can polycystic ovaries with androgenic syndrome be cured? It's getting worse every month.

Answer: Hello Victoria! According to the list of symptoms you described, including polycystic ovaries, the impression of the medicine did not work out, except that there are some signs of a homeopathic remedy - Calcium muriaticum. In the site section
I have elaborated on how to select the most disturbing symptom and describe its features in detail.

Question: Thank you for your reply.
I am concerned about my appearance: overweight, especially in the lower part of the body (stomach, legs); purulent acne on the face, back, chest; dry hair that falls out. Because of this, I feel insecure, I try to avoid people, especially old acquaintances - I am ashamed of my appearance. I can't look at myself in the mirror, especially in the fitting rooms of the store. I understand that I need to limit myself in food, but on the contrary, I eat my insecurities.
It is a shame to undress, even in front of relatives, it seems that they will say how fat I am or that my hair is not where it should be. After taking alcohol, I feel more confident - I am liberated.
Probably something like that.

Answer: Hello Victoria! You say "I feel more confident - I am liberated." What would be the opposite feeling? Tell us more about it.

Question: Contraction in the body, in the muscles - I cross my arms, legs, hunch over and lower my head. I try not to meet the person's eyes. This is how I try to keep people away from me. Sometimes I want to spread my arms and yell at the top of my lungs, but I am ashamed to do this, that it will look ridiculous and stupid in my performance, I will draw attention to myself even more.
Very suspicious. I can't say no or make my choice because that choice might be disapproved of, which would lead to a fight that would make me feel even worse. I try to hide my figure under my clothes so that people cannot see and discuss my figure, fullness, acne and sweating.
Seems like I'm stupid. I can't keep up a conversation or express my thoughts. I forget how to pronounce easy words. The sentences become boring and incomprehensible. First, I'm afraid to speak or express my feelings. I feel like a doll, which is pulled by the ropes and told how to live and behave.

Answer: Hello Victoria! Now try to feel like a doll (alone with yourself) being pulled by the strings, and describe how you feel. Write everything you think first on paper, and then, without editing the text, write it to me.

Question: I am 26, the child is 5, but I do not make decisions for myself and the child. They tell me how I should behave, where to work, what to eat, what time to come home, and if I'm going somewhere, I need to ask my parents for time off.
She got married thoughtlessly, because she wanted to get away from guardianship. I had to return to my parents, now they constantly remind me of this.
I don't make decisions on my own with whom to be friends with. If I quarrel with someone close, I feel very bad. Without recognizing in the depths of myself the mistakes, I go up first. After that, even more power appears in front of me. I do not raise a child myself, although I am a good mother. They are ahead of my actions: dress, lay down, feed. They say which garden to drive, what to watch.
I rarely go on dates, more often I think of where, otherwise they may not let me go. At work, I also try to get along with everyone. Even the secretary can yell at me, so as not to spoil relations in the team, I am also silent. I'm afraid to offend, I'm afraid that they will dislike me. I'm afraid to be alone, without friends.

Answer: Hello Victoria! Now it is clear. If possible, to start treatment, take a single homeopathic medicine (single remedy)
) - Borum iodatum 200c - 5 granules in the evening without food. After that, the homeopathic remedy should be given time to have a therapeutic effect of 2-4 weeks.
If you do not find this medicine, then you can take Borium silicatum 200c (Borium silicatum) - available at the pharmacy (www.remedia.at). From this medicine the effect will be less. And in the most extreme case, you can take Kalium iodatum 200c.

Question: Sergey Vadimovich, thank you for your help. I found the medicine Borium iodatum 200c. Today I will take the first peas and will observe the changes.

Answer: Good.

Question: Sergey Vadimovich, good afternoon. It's been 2 weeks since I took the drug. There are changes: the stool has returned to normal. Of course, I would like to lose weight even more, but the weight is not annoying. It took about 3 kg.
I perceive myself as I am (beautiful, sexy, confident), even men have noticed changes. The swelling is gone. Became more collected. I can stand up for myself - in words and deeds. Slowly learning to say "no" ... I hope this inner state does not change!!!
But here's what happened these days. Yesterday I was driving home from work, I fainted in the subway, for the first time in 26 years. Blood pressure
from 86 / 61 to 95 / 56 mmHg I did an ultrasound, all my ovaries are in cysts up to 6.6 mm, and a small cyst also appeared on the cervix. Last period was June 5th. But I don't know how to emotionally describe it.
I can't say what it is that worries me. Well, yes, there is a slight discomfort and pain in the lower abdomen, bloating. More worried about the consequences of this disease - acne and scars on the face, hair loss, dandruff.

Answer: Hello Victoria! Polycystic ovaries do not go away quickly. If a person has more strength, confidence, energy during treatment, this means that the medicine is working, but the body needs time to heal. And you need to clarify - you took exactly Borium (Bor). and not Barium (Barium)?
And another addition - when a person starts talking about sexuality, beauty, attractiveness, the opposite sex, this may also mean that his more accurate medicine will belong to the animal kingdom, but more precisely, this will be seen further.

Question: Sergey Vadimovich, good afternoon. Many thanks for the answers. At the pharmacy I asked for Borum iodatum, and they gave me Barium iodatum. This is bad? But there are changes. Most importantly, I have become cheerful, I do not care about my weight. I am not ashamed of myself and more liberated.
I finally go to the toilet regularly. Appetite has gone and tastes have changed a bit. Hair became more silky. True, pimples appear and disappear, as well as dandruff and greasiness of the face.
As for polycystic disease, I'm not sure now that I've been diagnosed correctly. I looked at my old ultrasounds, the picture is the same, but they wrote that there are follicles on the ovaries, compared even with the ultrasound of my mother and sister, the picture is the same. The only constant delay, there were no large cysts with liquid.
Periodically there were malfunctions in the thyroid gland. But what should I do now if I took the wrong drug? And do you conduct consultations on homeopathy in Moscow?

Answer: Hello Victoria! Both of these drugs belong to the world of minerals, and in the periodic table of elements of D. I. Mendeleev, these two substances are in adjacent columns - Barium in the second, and Borum in the third, so these two drugs have partially similar "themes", and this can also have a positive effect. But since these 2 drugs are in different rows, otherwise their feelings and worldview are very different.
Now you can not take anything else for now, and in the future ask Boron, not Barium. This medicine is available in homeopathic pharmacies. Links to these pharmacies are in the corresponding section of the site -.
I do not conduct consultations on homeopathy in Moscow.

Question: Sergey Vadimovich, good afternoon. On October 6, 2010, she took Calcium Yodatum 200c (5 g once). Boron was never found (I also searched in Israeli and European pharmacies (maybe you can tell me where to find it) ... I ordered the drug Borium silicatum 200c, I'm waiting for it to come. The changes in the body after the drug are good, although at the beginning it was "pokolbasilo" ( before menstruation, my stomach and lower back hurt a lot, all the muscles twisted, my heart ached).
On the fifth day after taking the drug, after a pause of 4.5 months, menstruation came, are really scarce. The mood is good, the fullness does not bother, the stool has become regular, the profuse sweating and dandruff have disappeared, the hair is still climbing. I began to eat less and hunger does not bother me at all. I hope it stays like this.
The only thing that is still not so is that pimples have appeared on the back and chest. On the face, pimples that were like bumps with dense pus began to come out with abundant liquid white pus. The pores are all as if clogged with purulent rods.
I know that acne is the first sign of the disease coming out, but acne does not go away from the face for 1.5 years, and after itself they leave scars, as if from a burn. Is there anything that can be done to help the skin?

Answer: Hello Victoria! For the treatment of acne (pimples) you can still take - Sulfur 6c (lat. Sulfur)
5 granules outside of meals daily in the morning and evening. There are a lot of Boron preparations on the Internet, but I don’t know where to buy Borum iodatum either - sometimes it happens that you determine what medicine you need, but it is not available in pharmacies, and you have to use something that is closest in characteristics.

Question: Sergey Vadimovich, hello. A little more than a month has passed since the first intake of Kalium iodatum, and for the whole month I felt great. These changes were even noticed by those around me, they said that I was getting better every day. Then suddenly dandruff appeared again, the hair quickly gets dirty. Again, constipation appeared for several days (up to 7 days), despite proper nutrition. Immediately the face swells, the stomach appears. There was a sharp rash of acne on the face, neck, back and chest, even Sulfur, which I drink for 3 weeks, until it does its job.
As soon as these signs appear, I begin to worry about my appearance, I'm afraid to get better even more. On November 4, she repeated the intake of Kalium iodine. There were no significant changes. Slightly decreased dandruff, but did not disappear. With a chair, the issue was not resolved at all, there were not even signs and urges. At the moment, there is a delay again, but at times there are signs of malaise, as before menstruation (pulls on the stomach, lower back, chest pains).
The most interesting thing is that the mood has not changed. It is good, except for the fear of getting better (deterioration in appearance). In general, it became easier to react to many situations, stopped taking events to heart, it became easy to let go of oppressive thoughts. I eat little, but very strongly draws on sweets, like a drug addict.
I'm afraid that my period will not come again. I'm afraid of missing something in my treatment. I'm afraid to gain weight. I'm afraid of becoming unattractive to men. The better my appearance, the stronger my self-confidence.

Answer: Hello Victoria! And again we are talking about the topic of Bor, which is not in pharmacies. Ask at the pharmacy for the medicine Lak caninum 200s (and 1000s - for later) - take 1 time 5 granules.

Homeopath Grigor Sergey Vadimovich