Polycystic Ovary Syndrome
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It can cause symptoms such as abdominal bloating and pelvic pain. Birth control pills. These help to control menstrual cycles, lower androgen levels, and reduce acne. Diabetes medication. This is often used to lower insulin resistance in PCOS. It may also help reduce androgen levels, slow hair growth, and help you ovulate more regularly.
Medications to treat other symptoms. Some medications can help reduce hair growth or acne. Women with PCOS are more likely to develop certain serious health problems. These include type 2 diabetes, high blood pressure, problems with the heart and blood vessels, and uterine cancer. Women with PCOS often have problems with their ability to get pregnant fertility. Some women struggle with the physical symptoms of PCOS, such as weight gain, hair growth, and acne. Cosmetic treatments, such as electrolysis and laser hair removal, may help you feel better about your appearance.
Talk with your health care provider about the best ways to treat the symptoms that bother you. If you have missed or irregular periods, excess hair growth, acne, and weight gain, call your doctor for an evaluation. PCOS can cause missed or irregular menstrual periods, excess hair growth, acne, infertility, and weight gain. Women with PCOS may be at higher risk for type 2 diabetes, high blood pressure, heart problems, and endometrial cancer. The types of treatment for PCOS may depend on whether or not a woman plans to become pregnant.
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Women who plan to become pregnant in the future may take different kinds of medications. At the visit, write down the names of new medicines, treatments, or tests, and any new instructions your provider gives you. Health Home Conditions and Diseases. What causes PCOS?
PCOS may also run in families. It's common for sisters or a mother and daughter to have PCOS.
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What are the risks for PCOS? You may be more likely to have PCOS if your mother or sister has it. If not, blood tests can detect high androgen levels.
A blood test may also be used to check the level of prolactin, which is a hormone produced in the brain's pituitary gland. Very high prolactin levels can be caused by a pituitary gland tumor, and this problem can cause symptoms that resemble those of polycystic ovary syndrome. As long as other causes of your symptoms have been excluded, your doctor will diagnose polycystic ovary syndrome if a blood test shows a high testosterone level and you are having infrequent or absent menstrual periods. Testosterone can't be tested reliably if you are currently taking birth control pills.
Your doctor is likely to check the levels of other hormones that can be associated with high testosterone or can cause similar symptoms, to be more certain about your diagnosis. Your doctor may choose to look at your ovaries using ultrasound, especially if the ovaries feel enlarged during your pelvic examination. An ultrasound test is likely to show multiple cysts in the ovary.
The test also can be misleading.
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Some women have all the typical hormone abnormalities of this condition, but their ovaries have not developed cysts. The diagnosis and treatment for these women is no different. Because of the increased risk of diabetes and heart disease that goes along with this condition, it is very important to have your blood sugar and your cholesterol tested periodically.
The American Diabetes Association suggests that people with this condition should have periodic blood sugar tests.
Polycystic ovary syndrome (PCOS) - Diagnosis and treatment - Mayo Clinic
This problem begins in puberty and lasts until the ovaries stop producing hormones due to menopause. The insulin resistance, high insulin levels, diabetes risk and heart disease risk usually last throughout life. There is currently no way for most people to prevent polycystic ovary syndrome.
Our understanding of problems relating to insulin resistance is improving rapidly, and some scientists are hopeful that we eventually will be able to prevent some cases of polycystic ovary syndrome if we can identify and treat insulin resistance in its earliest stages. Treatment for polycystic ovary disease can prevent complications such as uterine cancer. Because you have an increased risk of heart disease if you have this condition, it is very important that you avoid smoking, maintain a healthy exercise regimen and follow a healthy diet.
If you have epilepsy and you have any features of polycystic ovary syndrome, you probably want to take other anti-seizure medicines rather than valproic acid Depakote, Depakene. This medicine affects the metabolism of some reproductive hormones within the body, and may worsen your symptoms. Weight loss, diet and exercise are recommended for all women with polycystic ovary disease to prevent obesity and to help prevent heart disease and diabetes. Other treatment of polycystic ovary syndrome depends upon your symptoms and whether you want to become pregnant.
Restoring normal menstrual cycles can help reduce the risk of cancer in the uterus. This can be accomplished using pill supplements of progesterone for 10 to 14 days each month.
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Jameson JL, et al. Hyperandrogenism, hirsutism, and polycystic ovary syndrome. In: Endocrinology: Adult and Pediatric. Treatment of polycystic ovary syndrome in adults.
What causes PCOS?
Diagnosis of polycystic ovary syndrome in adults. Azziz R. Epidemiology and pathogenesis of the polycystic ovary syndrome in adults. Jones MR, et al. Genetic determinants of polycystic ovary syndrome: Progress and future directions. Fertility and Sterility. Lobo RA, et al. Anatomic defects of the abdominal wall and pelvic floor: Abdominal hernias, inguinal hernias, and pelvic organ prolapse: Diagnosis and management.
Warner KJ. Allscripts EPSi. Mayo Clinic, Rochester, Minn. April 11, George JT, et al. Neurokinin B receptor antagonism in women with polycystic ovary syndrome: A randomized, placebo-controlled trial. Journal of Clinical Endocrinology and Metabolism. Chang AY, et al.