Women with PCOS produce higher-than-normal amounts of hormones. This hormonal imbalance makes menstrual periods skip and makes it harder for them to get pregnant. PCOS is a problem with the hormones that affect women during their fertile years (15 to 44 years).
PCOS also causes hair growth on the face and body, and baldness, and can contribute to long-term health problems, such as diabetes and heart disease. There is still no cure for the polycystic ovarian syndrome, but the symptoms can be treated.
Polycystic Ovary Syndrome(PCOS) Treatment
The ovaries usually produce follicles that develop into ovules. In women with PCOS, the ovaries produce the follicles, but the ovules may not mature or remain in the ovary. Immature follicles can develop into fluid-filled sacs called cysts. Most women with PCOS have cysts, but all women with ovarian cysts do not necessarily have PCOS.
The treatment of polycystic ovary syndrome (PCOS) generally focuses on the care of the patient’s main concerns such as infertility, hirsutism, acne or obesity.
You can lose weight by exercising regularly and having a healthy and balanced diet. Your diet should include lots of fruits and vegetables, whole foods (such as whole grain bread, whole grains, and brown rice), lean meats, fish, and chicken.
There are numerous medications available to treat different symptoms associated with the polycystic ovarian syndrome.
The contraceptive pill can be recommended to induce regular periods. For this purpose, you can also use progesterone tablets (which can be given regularly or intermittently).
This treatment will also reduce the long-term risk of developing cancer of the lining of the uterus (endometrial cancer) associated with not having regular periods.
The intrauterine device with hormone (progestin) will also reduce the risk of endometrial cancer.
If you cannot get pregnant despite taking clomiphene and/or metformin, another type of medicine called gonadotropins may be recommended. However, there is a risk that this medicine can over stimulate your ovaries and lead to multiple pregnancies.
Laparoscopic ovarian incision
An alternative to gonadotropins, a laparoscopic ovarian incision is surgical. This treatment can be as effective as the use of gonadotropins but does not increase the risk of multiple pregnancies.
Metformin helps regulate the amount of glucose (sugar) in the blood. This makes the body more sensitive to insulin and decreases the amount of glucose released by the liver. Young women with high insulin levels who take metformin are less likely to develop type 2 diabetes than those who do not take a medication that lowers insulin.
Research studies have shown that young women with PCOS who are overweight and who were treated with metformin and a healthy lifestyle (healthy eating and exercise) were able to lose weight and reduce fasting blood sugar level. The use of metformin and maintaining a healthy weight also improves cholesterol levels.
Acne is another of the frequent manifestations in women with PCOS. Researchers point out that the presence of acne is associated with depression, social phobia, anxiety and low self-esteem, factors that negatively affect the quality of life. It is said that PCOS affects women’s quality of life in a multidimensional way, therefore its importance of evaluating this parameter in affected women. It also outlines the need for health professionals to consider this at the time of evaluating a given intervention.
Unlike ovulation-inducing drugs, insulin-sensitizing agents carry little or no risk of multiple pregnancies. More clinical studies are needed to determine the evolution, risks, and complications when these medications are used for the treatment of patients with PCOS. Although the results of clinical studies have been encouraging, the use of these medications in women with PCOS is still considered under investigation. In general, metformin is used as a first-line insulin-sensitizing agent; thiazolidinediones may be considered in case of lack of response or intolerance of the patient to metformin.
Education is crucial to provide necessary tools that make them capable of timely consultation and therefore receive a diagnosis and early treatment. In this way, they will be avoiding the appearance of negative feelings about the disease and health professionals.
It has been seen that as a chronic disease progresses, internal adjustments occur that preserve the person’s satisfaction with life. The measurement of quality of life should be a parameter included in clinical practice since it allows assessing therapeutic interventions as well as possible adverse effects in the short and long term. It is necessary to include subjective parameters when evaluating the intervention performed since in this way we are really considering the perspective of the users in an integral dimension.