We hear a lot about a common condition among women called polycystic ovaries, but few know its features and ways to treat it.

First, a distinction must be made between “polycystic ovaries,” which are cysts inside the ovary (the large size of the eggs) and another condition called “PCOS” whose clinical symptoms are identical to the case of polycystic ovaries, but they are more severe and are characterized by the large size of the ovaries and the surrounding of the egg sacs (Its size is large compared to its normal size) with its inner wall, to look like a pearl necklace.

PCOS is a common hormonal disorder that causes women to suffer from several symptoms, the most important of which are irregular menstruation, ovulation, and an increase in the male hormone (androgens).

Symptoms

● Disruption of the menstrual cycle, in which menstruation is delayed or interrupted for long periods due to lack of ovulation.

● Difficulty ovulating.

● The increase in the male hormone, which explains the increase in the density of body hair, especially in the face.

● Overweight and obesity.

● Frequent acne on the face and body.

● High levels of psychological tension and mood swings, especially before menstruation.

● Delayed or difficult pregnancy as a result of failure to release an egg and irregular menstruation, which reduces the chance of sperm meeting with the egg until fertilization occurs.

How to diagnose

The doctors indicated that the diagnosis depends on proving the presence of 2 of the following three criteria:

1 – interruption of ovulation.

2 – an increase in the hormone androgen.

3- Detection of ovarian cysts during the ultrasound examination.

But the presence of these symptoms may be attributed to other causes. Therefore, it is important for the woman to see a doctor who has experience and accuracy in taking the history and clinical examination, to ensure that the appropriate diagnosis and treatment is reached.

Risks and complications

Studies have proven the association of PCOS with long-term symptoms and the risk of developing diseases such as diabetes, heart and mood disorders, uterine cancer, gestational diabetes, and miscarriage during pregnancy.

There is no radical solution to the syndrome by itself, but each symptom is treated separately, under the supervision of a specialist doctor. In general, the treatment plan includes the following:

● Treating obesity and losing excess weight: The woman’s attainment of the appropriate weight is the first treatment for all symptoms, in addition to its health-promoting and disease-preventing effect, especially diabetes. The decrease in fat accumulation in the abdominal area also leads to a decrease in the proportion of hormonal substances (especially free testosterone) that These fats secrete, which will enhance the balance of a woman's hormones, her menstrual cycle, and ovulation.

● Exercising: as it reduces weight and stress and stimulates blood circulation and metabolism.

● The use of safe hormonal drugs to regulate the menstrual cycle and reduce excessive hair growth, such as birth control pills.

● For pregnancy and ovulation treatment, ovarian stimulation drugs can be used under close medical supervision, such as Clomid or injections.

● Treating skin symptoms through the intention of a dermatologist, such as treating excess hair and acne through laser sessions and special creams.

Doctors stressed the importance of women who suffer from delayed and irregular menstruation to have their period at least every two months, to limit the excessive growth of the lining of the uterus, as this may lead to harmful changes in the endometrial cells and the formation of uterine cancer.

Genes are one of the main causes

Studies have confirmed the role of genetics in the incidence of PCOS, as it is a genetic characteristic that is passed down through generations.

Although it is a purely hereditary condition, the emergence and intensification of symptoms are attributed to the victim's exposure to stimulating environmental causes that irritate and provoke complications and symptoms.

Accordingly, it is possible for a woman who does not show any clinical symptoms to be examined, to reveal the presence of PCOS, but the lack of exposure to the stimulating factors led to the inactivity of symptoms and the absence of infection.

Among the most important factors that make symptoms severe are obesity and exposure to severe psychological pressure, especially psychological and physiological stress, such as that accompanying the changes of puberty.

Can birth control pills cause PCOS?

Many studies prove that birth control pills do not contribute to Polycystic ovary syndrome, and this does not necessarily mean that they do not cause side effects. The main negative effects of birth control pills are nausea, headaches, body aches, sores or enlarged breasts, and weight fluctuations.

Can we treat PCOS?

PCOS generally occurs due to an abnormal lifestyle that causes obesity or being overweight. However, if you do yoga and exercise, it can help you keep up with your normal weight which will ultimately be responsible for lowering the levels of androgen, luteinizing hormone, and insulin that regulates ovulation.

You can also follow a Keto diet rich in vitamins, protein, and fiber to regulate the metabolism and other functions of the major organs of the body.

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Some diabetes medications can also help treat symptoms of Polycystic ovary syndrome and improve ovulation.