Polycystic Ovary Syndrome
Polycystic ovary syndrome (PCOS) is a condition characterized by menstrual irregularity and hair growth. It may be accompanied by insulin resistance.
The exact cause is unknown. Genetic and environmental factors are thought to play a role in its formation.
While the normal menstrual cycle is between 21-35 days, the period between two periods exceeds 35 days in patients with PCOS.
With weight gain, symptoms begin to become evident.
How Is It Diagnosed?
2-5 days of menstruation to diagnose. Hormone examination and ultrasonography should be done between days. Many small cysts are observed in the ovary on ultrasound, and these cysts are usually arranged in the form of necklaces around the ovary. It is not always necessary to have a polycystic appearance on the ultrasound, menstrual irregularity and increased hair growth are sufficient to make the diagnosis. The androgenic hormones that cause hair growth may be high or normal in the blood. In order to detect insulin resistance, fasting glucose and fasting insulin levels are measured in the morning on an empty stomach.
How Is It Treated?
Treatment is arranged according to the patient’s complaint. The first step is diet and exercise. With 10% weight loss, it is possible for overweight patients to regulate their menstruation and to break insulin resistance. In cases where hair growth is high, drugs can be used to reduce androgenic hormone synthesis. If the patient has a pregnancy request, ovulation assist treatment can be applied.
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