Polycystic Ovarian Syndrome
In PCOS, under-developed follicles accumulate in the ovaries. Since they fail to mature, they accumulate as cysts in the ovaries. The low levels of follicle stimulating hormone (FSH) and elevated levels of androgens may be the reasons for this condition. When there is no ovulation, the progesterone hormone is not created and the lining of the uterus is not shed in a timely fashion. This increases the chances of endometrial hyperplasia and even cancer.
Another feature associated with PCOS is hyper androgenism or increased responsiveness to testosterone. This usually shows up in oily skin and acne. Excess hair may be noticed on the face and other parts of the body. Women suffering from PCOS have a weight problem, especially around the waist. Insulin resistance is also noticed in some women. This increases the risk of developing diabetes in later years.
Polycystic Ovarian Syndrome Symptom
High levels of insulin can result in symptoms such as high androgen levels, infertility and lack of ovulation. These symptoms are usually noticed when women are in their 20s or 30s. Diagnosis of PCOS is after a physical examination and laboratory tests. Thyroid and prolactin levels in the blood are tested. Serum levels of male hormones (DHEA and testosterone) are tested for higher than normal levels. Tumors in the ovary or adrenal glands can be diagnosed with vaginal and abdominal ultrasounds. Insulin resistance is vital in the diagnosis of PCOS. Insulin is instrumental in regulating the ovarian function. An ovarian biopsy may also be done.
Treatment for Polycystic Ovarian Syndrome
Treatment for women with Polycystic Ovarian Syndrome depends on what stage of a woman's life this condition has manifested and her fertility desires. Birth control pills are prescribed to regularize the menstrual cycle and reduce the risk of uterine cancer. Other medications used in the treatment of PCOS are flutamide and spironolactone.
Clomiphene induces the pituitary gland to secrete more FSH and this stimulates release and maturity of ova. Insulin resistance is reduced with drugs such as Metformin (Glucophage) and Troglitazone. 'Ovarian drilling' is a process of using laser to place small holes in the ovaries so as to normalize the hormonal environment and allow normal ovulation.
Oligomenorrhea refers to infrequent or short menstrual periods where frequency exceeds 35 days in between menstrual cycles resulting in about 4 - 9 menstrual periods in a year. This condition is common in women approaching menopause or adolescents.
Causes of Oligomenorrhea
Diagnosis of Oligomenorrhea
After a physical examination and blood test to check thyroid functioning, a woman might have to undergo pelvic ultrasound. Pelvic MRI is done in case of tumors. Blood tests to check levels of reproductive hormones is done.
Obesity is a condition where a person has much greater body weight than is healthy. A person is said to be obese when he has a BMI above 30. When there is a BMI of 40 and more, it is morbid obesity. The world statistics show that there has been an alarming rise of nearly 50% in the number of obese adults. Another disturbing trend is the increase in the number of obese adolescents. Obesity occurs due to eating too much food coupled with lack of exercise. Sedentary lifestyle coupled with poor eating habits are most often to blame for obesity. A diet that includes processed foods, trans fat and too much alcohol will make a person overweight. Other factors contributing to obesity are stress, depression, medications, illness and emotional problems. Emotional comfort eating can pile on the weight.
Medical conditions such as Cushings' Syndrome and PCOS can lead to obesity. In some cases, hypothyroidism might be the cause for weight gain. Medications like antidepressants can lead to added weight. Health problems that can arise due to obesity are heart disease, high blood pressure, type 2 diabetes, osteoarthritis and sleep apnea. Obesity can be tackled by checking if there is any underlying medical condition. When dealing with an obese person, thyroid test and endocrine tests are done. Embark on a weight management program after checking with your health professional or nutritionist. A healthy body weight is a combination of exercise and good nutrition. Extreme diets and fad diets only worsen the condition by leading to yo-yo weight and improper nutrition. Weight that is lost by very low calorie diets is not permanent and has disastrous consequences.
Bibliography / Reference
Collection of Pages - Last revised Date: September 23, 2018