Home Health UNDERSTANDING POLYCYSTIC OVARIAN SYNDROME (PCOS) {Part ii}

UNDERSTANDING POLYCYSTIC OVARIAN SYNDROME (PCOS) {Part ii}

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GVM FERTILITY CENTRE
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UNDERSTANDING POLYCYSTIC OVARIAN SYNDROME (PCOS)
{Part ii}

#How do I know if I have PCOS?#

There is no single test to diagnose PCOS. Your doctor will take the following steps to find out if you have PCOS or if something else is causing your symptoms.

*Medical history.
Your doctor will ask about your menstrual periods, weight changes, and other symptoms.

*Physical exam.
Your doctor will want to measure your blood pressure, body mass index (BMI) , and waist size. He or she also will check the areas of increased hair growth. You should try to allow the natural hair to grow for a few days before the visit.

*Pelvic exam.
Your doctor might want to check to see if your ovaries are enlarged or swollen by the increased number of small cysts.

*Blood tests.
Your doctor may check the androgen hormone and glucose (sugar) levels in your blood.

*Vaginal ultrasound (sonogram).
Your doctor may perform a test that uses sound waves to take pictures of the pelvic area. It might be used to examine your ovaries for cysts and check the endometrium (en-do-MEE-tree-uhm) (lining of the womb). This lining may become thicker if your periods are not regular.

#How is PCOS treated?#

Because there is no cure for PCOS, it needs to be managed to prevent problems. Treatment goals are based on your symptoms, whether or not you want to become pregnant, and lowering your chances of getting heart disease and diabetes. Many women will need a combination of treatments to meet these goals.

Some treatments for PCOS include :

#Lifestyle modification. Many women with PCOS are overweight or obese, which can cause health problems. You can help manage your PCOS by eating healthy and exercising to keep your weight at a healthy level.

Healthy eating tips include:
*Limiting processed foods and foods with added sugars
*Adding more whole-grain products, fruits, vegetables, and lean meats to your diet
This helps to lower blood glucose (sugar) levels, improve the body’s use of insulin, and normalize hormone levels in your body. Even a 10 percent loss in body weight can restore a normal period and make your cycle more regular.

#Birth control pills.
For women who don’t want to get pregnant, birth control pills can:
*Control menstrual cycles
*Reduce male hormone levels
*Help to clear acne

Keep in mind that the menstrual cycle will become abnormal again if the pill is stopped. Women may also think about taking a pill that only has progesterone (proh-JES-tuh-rohn), like Provera, to control the menstrual cycle and reduce the risk of endometrial cancer . But, progesterone alone does not help reduce acne and hair growth.

*Diabetes medications.
The medicine metformin (Glucophage) is used to treat type 2 diabetes. It has also been found to help with PCOS symptoms, though it isn’t approved by the U.S Food and Drug Administration (FDA) for this use. Metformin affects the way insulin controls blood glucose (sugar) and lowers testosterone production. It slows the growth of abnormal hair and, after a few months of use, may help ovulation to return. Recent research has shown metformin to have other positive effects, such as decreased body mass and improved cholesterol levels. Metformin will not cause a person to become diabetic.

*Fertility medications.
Lack of ovulation is usually the reason for fertility problems in women with PCOS. Several medications that stimulate ovulation can help women with PCOS become pregnant. Even so, other reasons for infertility in both the woman and man should be ruled out before fertility medications are used. Also, some fertility medications increase the risk for multiple births (twins, triplets).

*An option is in vitro fertilization (IVF). IVF offers the best chance of becoming pregnant in any given cycle. It also gives doctors better control over the chance of multiple births.

#Surgery#

“Ovarian drilling” is a surgery that may increase the chance of ovulation. It’s sometimes used when a woman does not respond to fertility medicines. The doctor makes a very small cut above or below the navel (belly button) and inserts a small tool that acts like a telescope into the abdomen (stomach). This is called laparoscopy (lap-uh-RAHS-kuh-pee). The doctor then punctures the ovary with a small needle carrying an electric current to destroy a small portion of the ovary. This procedure carries a risk of developing scar tissue on the ovary. This surgery can lower male hormone levels and help with ovulation. But, these effects may only last a few months. This treatment doesn’t help with loss of scalp hair or increased hair growth on other parts of the body.

Some research has shown that bariatric (weight loss) surgery may be effective in resolving PCOS in morbidly obese women. Morbid obesity means having a BMI of more than 40, or a BMI of 35 to 40 with an obesity-related disease. The drug troglitazone (troh-GLIT-uh-zohn) was shown to help women with PCOS. But, it was taken off the market because it caused liver problems. Similar drugs without the same side effect are being tested in small trials.
Talk to your doctor about the proper treatment for your PCOS.

#How does PCOS affect a woman while pregnant?#

Women with PCOS appear to have higher rates of:

*Miscarriage
*Gestational diabetes
*Pregnancy-induced high blood pressure ( preeclampsia )
*Premature delivery

Babies born to women with PCOS have a higher risk of spending time in a neonatal intensive care unit or of dying before, during, or shortly after birth. Most of the time, these problems occur in multiple-birth babies (twins, triplets).

Researchers are studying whether the diabetes medicine metformin can prevent or reduce the chances of having problems while pregnant. Metformin also lowers male hormone levels and limits weight gain in women who are obese when they get pregnant.

Metformin is an FDA pregnancy category B drug. It does not appear to cause major birth defects or other problems in pregnant women. But, there have only been a few studies of metformin use in pregnant women to confirm its safety. Talk to your doctor about taking metformin if you are pregnant or are trying to become pregnant. Also, metformin is passed through breastmilk. Talk with your doctor about metformin use if you are a nursing mother.

#Does PCOS put women at risk for other health problems?#

Women with PCOS have greater chances of developing several serious health conditions, including life-threatening diseases. Recent studies found that:

*More than 50 percent of women with PCOS will have diabetes or pre-diabetes (impaired glucose tolerance) before the age of 40.
*The risk of heart attack is 4 to 7 times higher in women with PCOS than women of the same age without PCOS.
*Women with PCOS are at greater risk of having high blood pressure.
*Women with PCOS have high levels of LDL (bad) cholesterol and low levels of HDL (good) cholesterol.
*Women with PCOS can develop sleep apnea. This is when breathing stops for short periods of time during sleep.
*Women with PCOS may also develop anxiety and depression . It is important to talk to your doctor about treatment for these mental health conditions.
*Women with PCOS are also at risk for endometrial cancer. Irregular menstrual periods and the lack of ovulation cause women to produce the hormone estrogen, but not the hormone progesterone. Progesterone causes the endometrium (lining of the womb) to shed each month as a menstrual period. Without progesterone, the endometrium becomes thick, which can cause heavy or irregular bleeding. Over time, this can lead to endometrial hyperplasia, when the lining grows too much, and cancer.

#I have PCOS. What can I do to prevent complications?#

If you have PCOS, get your symptoms under control at an earlier age to help reduce your chances of having complications like diabetes and heart disease. Talk to your doctor about treating all your symptoms, rather than focusing on just one aspect of your PCOS, such as problems getting pregnant. Also, talk to your doctor about getting tested for diabetes regularly.

Other steps you can take to lower your chances of health problems include:

*Eating right
*Exercising
*Not smoking

#How can I cope with the emotional effects of PCOS?#

Having PCOS can be difficult.
You may feel:
*Embarrassed by your appearance
*Worried about being able to get pregnant
*Depressed

Getting treatment for PCOS can help with these concerns and help boost your self-esteem. You may also want to look for support groups in your area or online to help you deal with the emotional effects of PCOS. You are not alone and there are resources available for women with PCOS.
The first step to diagnosing and managing your PCOS is to talk to your doctor. Your OB/GYN can help treat all of your symptoms rather than focusing on just one aspect of your PCOS.

(Written by:
Dr Osiyemi Abosede Christiana O.
GVM Chief Gynaecologist
08037515187, 07059515354)

GVM fertility centre is a natural herbal fertility centre with notable unusual expertise in natural herbs for infertility treatments without any surgical operation for age range of between 40 to 75 years. At GVM all sort of infertility ailments are treated. We are specialist in natural fertility and IVF treatment.

We treat all type of infertility cases with natural herbs and modern diagnostic machines. We dissolve fibroids and tube blockage without any surgical operation no matter the size. Our IVF treatment has over 90% success guaranteed.

At GVM fertility centre, there has been series of women of ages between 47, 55 and 64 whom got delivered and healed from infertility ailments, conceived and delivered safely after treatment without any surgical operation. Also with men of ages ranging between 40, 50 and 73 who by Gods grace got treated and healed from low/no sperm count at all, weak erection and the likes.

Age has never been a barrier in both males and in females at GVM Fertility Centre, because God is our healer.

For any issue regarding infertility in both male and female. Infertility Diseases like;
– Fibroid treated without operation
– Female fertility treatment
– Male fertility treatment
– No sperm at all treatment
– Low sperm count treatment
– Ovarian cyst treatment
– Blocked tube treatment (female)
– No menses correction and treatment
– Endomentrous
– Weak erection without operation
– Hypertension and stroke
– Infection treatment
– Ann ovulation
– Endocrine
– Endometriosis
– Detoxification
– No egg treatment (female)
– Base kit
– Herbal soap
– Irregular menses
– Scan
– Blood group check
– Sperm count and culture
– Genotype
– Urine culture
– Fasting blood sugar test
– Random blood sugar test
– Imbalance semen
– Inaccurate semen
– Liver
– Ovulation tracking
– IVF treatment
– And many other diseases responsible for infertility.
All these are treated without surgical operation…

Enough is enough; it’s high time you too become a parent of your own children. Visit GVM fertility Centre today and your barrenness shall become history. At GVM Fertility Centre our testifiers have been speaking for us for decades. God is our healer. Come and you shall be fruitful.

For more enquiries regarding any infertility issues, contact GVM Chief Gynaecologist (Dr Osiyemi Abosede Christiana) by dropping your enquiries on the (Dr) Whatsapp account through 08037515187 07059515354 or Call. For more details / information

Headquarter Ibadan Address: Temitope Bus Stop, Behind Total Filling Station. Old Ife Road Adegbayi Ibadan Oyo State Nigeria.

Locate and contact GVM fertility Center Lagos branch through (Dr Mercy Ogunmola Akintunde) GVM Lagos Gynaecologist on 08104977655, 07039174817(Both call and Whatsapp). For detailed enquiries on infertility issues and treatment
Lagos Address: No 7 Oladiipo Dunmoye Street, Oke Ira Nla. Langbasa Etiosa Local Government Ajah Lagos State Nigeria.

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