Posts Tagged ‘polycystic ovarian syndrome’
You Can Have A Family Despite Polycystic Ovarian Syndrome
Polycystic ovarian syndrome (PCOS) is a common hormonal disorder in women of childbearing age. It is the the most common cause of female infertility. This endocrine disorder exhibits enlargement of the ovaries through many, small cysts outlining each ovary. This condition of unknown origin is medically scribed Stein-Leventhal Syndrome.
The initiative of this syndrome is due to an imbalance between two hormones, the pituitary hormone (LH) and follicle stimulating hormone (FSH). The imbalance results in the lack of ovulation and increased testosterone production. Signs and symptoms of PCOS often commence after the start of menarche, typically occurring at a normal age. Sometimes there is later onset in response to considerable weight gain and infertility.
Typically, first indicators of this disorder are menstrual unpredictability that does not occur on a regular, cyclic, 28-day schedule and variance in flow. Cessation of menstruation may occur at intervals of more than three-months or longer. Menstrual flow may be scant or profuse for prolonged periods. Weight gain, acne, clitoral enlargement and masculine characteristics, such as a deeper voice and typically, male hormonally-induced hair growth or male pattern-baldness may present.
The absence of menstrual flow, amenorrhea, is classified as primary or secondary. While primary does not begin as expected by 16, secondary amenorrhea begins at an appropriate age, but ceases for three or more months in the absence of physiologic causes such as pregnancy, lactation or menopause. An-ovulation may result from hormonal imbalance, debilitating disease, eating disorders, stress or emotional disturbances, obesity and anatomical abnormalities.
Elevated male hormones carry the propensity for the acquisition of some masculine physical traits. Excess facial and body hair, acne, a deepened voice and androgenic alopecia in varying degrees can occur with increased androgen, particularly testosterone. Higher energy levels and increased sex drive are not unusual with excess androgen. Signs of excessive male hormone influence varies with ethnicity. Females from Northern Europe and Asia may not be visibly effected.
Diagnostics are accomplished through observation of the classic symptoms of amenorrhea and acquisition of masculine physical characteristics. Although, the ovarian cystic changes seen via non-invasive ultrasound are indicative they are not definitive of PCOS alone.
Endocrine imbalances seen in PCOS are detected through laboratory measurements of both male and female hormone levels with the blood. Further investigation is via laparoscopic examination that will discover ovarian appearance in typical PCOS, if present. Any remaining questions regarding causative factions are answered through endometrial biopsy.
Long-term complications from the effects of PCOS are insulin resistance, which reduces the body’s ability to regulate blood sugar levels. Roughly 1/2 of the women with PCOS are obese with a higher risk for pre-diabetes or Type 2 diabetes. A visible sign of insulin resistance seen in this hormonal imbalance is the appearance of darkened, velvet-like skin, known as acanthosis nigricans, on the armpits, inner thighs, vulva or under the breasts.
Confirmation and appropriate health care can reduce the complications of living with polycystic ovarian syndrome. The chain of cause and affect with obesity, diabetes and high-blood pressure leading to heart disease or stroke can be broken through appropriate lifestyle and medical care. Appropriate monitoring for high-risk uterine or breast cancer inherent with PCOS is advised.
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