Polycystic ovary and pregnancy

Polycystic ovary and pregnancy - causes of emergence, symptoms and treatment

Symptoms of polycystosis

The name of the disease went from the word "cyst" - this formation on the surface of the ovaries in the form of a follicle filled with fluid and containing unripened eggs. "Poly" means many such cysts. The disease occurs because of hormonal imbalance, which leads to an increased amount of insulin produced. Because of this, the girl's body produces more male sex hormone - androgen, which provokes a hormonal imbalance. Some scientists argue that the onset of the disease is also associated with frequent ARI, tonsillitis, stress, which the girl experiences at 10-12 years, heredity, the first and early abortions.

Polycystic is characterized by:

  • menstrual irregularities (frequent delays of menstrual cycles);
  • bleeding;
  • increased hair growth on the body and face of the male type;
  • acne, fatiness of the skin and hair;
  • a sharp increase in weight without a cause (in 50% of patients);
  • an increase in all parameters of the ovaries, as seen on ultrasound.

But still, many doctors talk about how imperceptibly this disease develops and also it can go unnoticed, making itself felt, only when a woman decided to give birth to a child - and can not. Therefore, the earlier it is revealed, the better. After the launched polycystic can lead to infertility, obesity, oncological diseases in the field of gynecology. The patient is also threatened with a ruptured ovary or the cyst, if it is large.

Stages of treatment

First, you need to confirm the diagnosis. After all, other symptoms have similar symptoms: hypothyroidism, a tumor of the ovaries or adrenal glands, hyperprolactinemia. For this, the doctor prescribes ultrasound, blood tests for luteinizing hormone (LH) and follicle-stimulating hormone (FSH). It will also be necessary to pass an analysis of daily urine for the presence of androgen. All the examinations you have to go through 2 times, 2-3 days and 21-22 days of your menstrual cycle.

If the tests confirm polycystosis, the doctor prescribes hormonal therapy. Patients take medicines that normalize too active production of androgen in their body, and at the same time stimulate ovulation - the production of eggs. Previously, taking such drugs necessarily led to weight gain, but today there are such drugs that do not cause such side effects. For example, it proved to be quite successful in the international market of medical products Klomifen. In 70% of patients taking it, ovulation improves, 40% have the opportunity to become pregnant. No less often prescribed drugs: Metrodine, Menagon and Horagon. It is also useful physiotherapy, which should appoint a doctor.

If a woman suffers from overweight, it should be reduced. This is particularly true of women with a man-like figure "apple", when the shoulders are wider than the hips. The accumulation of fat in the abdomen, chest and shoulders leads to the fact that the body produces more male sex hormone.

It happens that hormone therapy has not yielded results. Then surgical intervention called laparoscopy is necessary - removal of cysts surgically through small incisions. But the operation can have a short effect: from six months to one year the disease will not bother. But during this time you can get pregnant and endure the baby. Therefore, in such situations, this is the best way out.

How to get pregnant with polycystosis

Polycystic is not a verdict that says that a woman can not give birth again. There are many cases when pregnant with this disease and successfully give birth. For example, one doctor, by the way, by profession - not a gynecologist, describes the case when two polycystic patients with a desire to have a child turned to him. He drew their attention to the fact that this disease prevents to become pregnant, and not to endure a child, and prescribed acupuncture for them. The result of treatment was positive. One became pregnant and successfully endured the fetus. The second, however, was prescribed additional treatment because of the threat of miscarriage, but she successfully passed it and worn the child. She took such drugs as Dufaston and Utrozhestan, which she had already been prescribed by a gynecologist.

What threatens a pregnant woman who has a polycystic disease? First, the problems with bearing, namely the threat of miscarriage, fetal fading, premature birth. Secondly, problems with their health: gestational diabetes, high blood pressure, weight gain and consequently the amount of androgen. Therefore, prescribe a maintenance drug therapy. And remember: the ability to endure a child with such a disease is already a great miracle, which must be protected and must be preserved.

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