Polycystic ovary syndrome

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Polycystic ovary syndrome

  1. 1. POLYCYSTIC OVARY SYNDROME Presented by:- SHREYASH PARKAR – 06 ROHIT KAMBLE – 05 VINOD DARADE – 08 Submitted to :- Dr. SHITAL MA’AM
  2. 2. INTRODUCTION: Polycystic ovary syndrome is the most common female endocrine disorder, also known by the name ‘stein leventhal syndrome’ . Polycystic ovary syndrome occurs in 5% to 10% of the women of reproductive age ( 12 to 45 year old) and is one of the most common cause of infertility in women. Women with PCOS are at a higher risk for obesity, diabetes, high blood pressure and heart diseases.
  3. 3. SIGNS AND SYMPTOMS:  Menstrual disturbance: Primary amenorrhea. Secondary amenorrhea. Oligomenorrhea.  Infertility: Due to lack of ovulation.  High level of masculinizing hormones: Acne Hirsutism Hypermenorrhea  Metabolic syndrome: Obesity Insulin resistance
  4. 4. CONT’D…..  Other symptoms: Oily skin Dandruff Skin discolouration High level cholesterol
  5. 5. WHAT CAUSES POLYCYSTIC OVARIAN SYNDROME (PCOS)?  No one is quite sure what causes PCOS, and it is likely to be the result of a number of both genetic (inherited) as well as environmental factors. but these factors likely play a role:  Excess insulin  Heredity  Abnormal fetal development
  6. 6. HOW IS PCOS DIAGNOSED?  Medical history. Your doctor may ask questions about your menstrual periods, weight changes and other symptoms.  Physical examination. During your physical exam, your doctor will note several key pieces of information, including your height, weight and blood pressure.  Pelvic examination. During a pelvic exam, your doctor visually and manually inspects your reproductive organs for signs of masses, growths or other abnormalities.  Blood tests. Your blood may be drawn to measure the levels of several hormones to exclude possible causes of menstrual abnormalities or androgen excess that mimic PCOS. Additional blood testing may include fasting cholesterol and triglyceride levels and a glucose tolerance test, in which glucose levels are measured while fasting and after drinking a glucose-containing beverage.  Pelvic ultrasound. A pelvic ultrasound can show the appearance of your ovaries and the thickness of the lining of your uterus. During the test, you lie on a bed or examining table while a wand-like device (transducer) is placed in your vagina (transvaginal ultrasound). The transducer emits inaudible sound waves that are translated into images on a computer screen.
  7. 7. Treatment of PCOS: Regulation of menstrual cycle If patient is not trying to become pregnant doctor may recommend low-dose birth control pills (combination of synthetic estrogen and progesterone) It decreases risk of endometrial cancer and corrects abnormal bleeding. Taking progesterone for 10 to 14 days each month. This regulates periods and prevent endometrial cancer
  8. 8. Diet successful weight loss is the most effective method of restoring normal ovulation/menstruation Help to ovulate If patient is trying to become pregnant patient may need a medication to help ovulate. Clomiphene citrate & metformin is an oral anti-estrogen medication that patient take in the first part of menstrual cycle. In case of clomiphene & metformin fails in treatment follicle-stimulating hormone (FSH) and luteinizing hormone (LH) medications that are administered by injection.
  9. 9. Reduce excessive hair growth Birth control pills and spironolactone that blocks the effects of androgens on the skin. Surgery: to induce ovulation. Surgery called laparoscopic ovarian drilling is an option for some women with PCOS. In this procedure, a surgeon makes a small incision in your abdomen and inserts a tube attached to a tiny camera. The surgeon then inserts surgical instruments through other small incisions and uses electrical or laser energy to burn holes in follicles on the surface of the ovaries.

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