The role of body weight in the treatment of polycystic ovary syndrome
In women with PCOS in combination with obesity, an important step in polycystic ovary syndrome treatment is to reduce body weight to normal values. In some cases, even after the normalization of weight, all the symptoms of polycystic ovaries disappear: a regular menstrual cycle is established, ovulation appears, which makes it possible to get pregnant.
The mechanism of the therapeutic effect of weight loss in case of polycystic ovarian syndrome is as follows: adipose tissue is the place where additional amounts of androgens (male sex hormones) and estrogen are formed, which are already produced in abundance in the PCOS ovaries. patients. Reduced fat mass in some cases leads to the normalization of hormonal levels in the blood and can contribute to recovery.
It is recommended to discuss the weight loss plan with your doctor, nutritionist or endocrinologist, who will help create an optimal diet. It is not recommended that women with PCOS fast to lose weight, since during starvation the body breaks down protein. The basic principles of the diet in polycystic ovary are: restriction of carbohydrates (sugar, flour and sweets), salt, fat, excessive amounts of water. An important condition for weight loss is physical activity: jogging, gymnastics, swimming, etc.
Treatment of polycystic ovarian syndrome with the help of medicine
If insulin resistance (a condition in which the body’s cells do not respond to insulin) or diabetes was found during examination in women with polycystic ovaries, the preferred treatment for polycystic ovary syndrome is the use of metformin. Metformin improves the use of glucose in the body’s tissues, normalizes its level in the blood and reduces appetite, and perhaps helps regulate the menstrual cycle in women with polycystic ovary syndrome. Metformin doses are individual and must be determined by the treating physician. The duration of treatment for polycystic ovarian syndrome usually ranges from 3 to 6 months.
If a woman with PCOS is not planning a pregnancy in the near future, the focus during treatment is on eliminating symptoms caused by increased levels of male sex hormones (oily skin, acne, male pattern hair growth, etc.) .). See Treatment of seborrhea, treatment of acne.
Most women with hirsutism (hair growth, male pattern), normalizing body weight helps reduce hair growth, however, if normal weight hirsutism persists, I recommend taking antiandrogens – androgen-blocking drugs ( male sex hormones).
Flutamide – a drug that blocks the action of androgens, leading to the disappearance of hirsutism, oily skin and acne. The duration of drug treatment varies from 3 to 6 months. Your doctor determines the dose and duration of treatment. Periodic monitoring of liver function is recommended during treatment.
Spironolactone – a drug that reduces the formation of androgens and blocks their action on body tissues. As a general rule, for the treatment of hirsutism, spironolactone is taken for 6 months or longer. Your doctor determines the doses of medication and the length of admission. Read on to learn more options for PCOS treatment.
The basic principles of treatment of ovarian cyst when there is infertility in women is the normalization of weight and the appointment of Metformin in the presence of disorders of carbohydrate metabolism (insulin resistance). The ineffectiveness of the measures carried out ovulation – hormone therapy, which helps to release the egg from the ovary.
Ovulation stimulation is a drug with clomiphene citrate that is prescribed to a woman with 5-9 days of the menstrual cycle (when the ovary is determined by the largest (dominant) follicle with the ovum).
Doses are determined by the doctor treating clomiphene, ineffectiveness (lack of ovulation) increases the dose of the drug. To determine efficacy, clomiphene uses basal body temperature measurement and ultrasound diagnosis. The main criterion for the effectiveness of the treatment of polycystic ovarian syndrome is the presence of ovulation.