POLYCYSTIC OVARY SYNDROME DIAGNOSIS AND TREATMENT

Diagnosis

There's no single test to explicitly analyze polycystic ovary syndrome (PCOS). Your medical services supplier is probably going to begin with a conversation of your symptoms, medications and some other medical conditions. Your doctor additionally may get some information about your menstrual periods and any weight changes. An Physical exam includes checking for signs of excess hair growth, insulin resistance and acne

Pelvic exam. During a pelvic exam, your provider can check your regenerative organs for masses, developments or other changes.

Blood tests. Blood tests can measure hormone levels. This testing can possible causes of menstrual problems or androgen excess that mimic PCOS. You could have other blood testing, such as, fasting cholesterol and triglyceride levels. A glucose resistance test can measure your body's reaction to sugar (glucose).

Ultrasound. An ultrasound can check the presence of your ovaries and the thickness of the lining of your uterus. A wand like device (transducer) is put in your vagina. The transducer discharges sound waves that are converted into pictures on a computer screen.

If you have diagnosis of PCOS, your supplier could suggest more tests for complications. These tests can include:

• Regular checks of blood pressure, glucose resistance, and cholesterol and triglyceride levels

• Screening for depression and anxiety

• Screening for obstructive sleep apnea

Treatment

PCOS treatment focuses on managing the things that are concerning you. This could include infertility, hirsutism, acne or obesity. Specific treatment might involve lifestyle changes or medication.

Lifestyle changes

Your medical care supplier might suggest weight loss through a low-calorie diet joined with moderate activity exercises. Indeed, even an unassuming decrease in your weight — for example, losing 5% of your body weight — could work on your condition. Losing weight might build the viability of medications your supplier suggests for PCOS, and it can assist with infertility. Your medical services supplier and a registered dietician can work with you to decide the best weight loss plan.

Medications

To regulate your periods, your medical care supplier could suggest:

Combination birth pills. Pills that contain both estrogen and progestin decline androgen creation and manage estrogen. Controlling your hormones can bring down your risk of endometrial cancer and correct irregular bleeding, excess hair growth and acne.

Progestin therapy. Taking progestin for 10 to 14 days each 1 to 2 months can control your periods and protect against endometrial cancer. This progestin therapy doesn't further develop androgen levels and will not prevent pregnancy. The progestin-only minipill or progestin-containing intrauterine device is a better choice if you also want to avoid pregnancy.

To assist you with ovulating so you can become pregnant, your medical care supplier could suggest:

  1.  Clomiphene. This oral anti-estrogen medication is taken during the initial part of your  menstrual cycle.
  2.  Letrozole (Femara). This breast cancer treatment can work to stimulate the ovaries.
  3. Metformin. This medication for type 2 diabetes that you take by mouth further develops insulin resistance and lower insulin levels. If  you don't become pregnant using clomiphene, your supplier could prescribe adding metformin to help you with ovulating. If you have prediabetes, metformin can slow the progression to type 2 diabetes and help with weight loss.
  4. Gonadotropins. These hormone medications are given by injection.

If necessary, talk with your medical services supplier about procedures that might be useful to you become pregnant. For example, in vitro fertilization treatment might be a option.

To lessen extreme hair development or further develop skin break out, your medical services supplier could suggest:

  1. Anti-conception medication pills. These pills decline androgen creation that can cause extreme hair development and skin inflammation.
  2. Spironolactone (Aldactone). This prescription blocks the impacts of androgen on the skin, including extreme hair development and skin inflammation. Spironolactone can cause birth surrenders, so viable conception prevention is required while taking this medicine. This drug isn't prescribed assuming you're pregnant or wanting to become pregnant.
  3. Eflornithine (Vaniqa). This cream can slow beard growth development.

Hair removal. Electrolysis and laser hair evacuation are two choices for eliminating hair. Electrolysis utilizes a little needle embedded into every hair follicle. The needle conveys a beat of electric flow. The ongoing harms and afterward obliterates the follicle. Laser hair evacuation is an operation that utilizes a concentrated light emission to eliminate undesirable hair. You could require various medicines of electrolysis or laser hair expulsion. Shaving, culling or utilizing creams that break up undesirable hair might be different choices. However, these are impermanent, and hair might thicken when it recovers.

Skin inflammation medicines. Prescriptions, including pills and skin creams or gels, may assist with further developing skin inflammation. Converse with your medical care supplier about choices.


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