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PCOS | Autor: Adrriana
Cate dintre voi se confrunta cu PCOS?...Sa vorbim despre tratamente,despre cum tinem acest sindrom sub control...sau cate dintre voi au ramas insarcinate avand acest sindrom
Aspirante si luptatoare cu PCOS:
Adrriana - 26 ani
Tratament ...
Gudinde - 28 ani
Tratament Naturist
Naprasnic,Cretisoara,Omega3,capsule Bano cu usturoi,Bio-Chrom
Gaby77 - 30 ani
Tratament Homeopat
Galuscuta - 30 ani
Tratament Glucophage
Miramar - 30 ani
Tratament Bromcriptina,Utrogestan,Ovestin
Elly_me - 26 ani
Tratament Utrogestan
Mcrissa - 28 ani
Tratament...
Rodicaosoian
Tratament Clomifen
Lorelai_Lorelai
Tratament...
Lgireada - 22 ani
Tratament...
Lala_1 - 30 ani
Tratament Metformin
Fericite gravidute:
Adimercedes 9
Sheherezada 7+
Alfa_Anca 4+
Mire79 3+
Numeioana 3+
Mamici de ingerasi:
Mayaione mami de Anamaria
Ile77 mami de Vivian
Raspunsuri
Inceputul
Pag. 2
sheherezada spune:
Eu am ramas insarcinata desi am ovare polichistice si medicul mi-a spus ca nu voi mai ovula niciodata pe cale naturala.Singurul medicament pe care l-am luat de data asta a fost duphastonul pentru a putea avea un CM regulat. sa auzim de bine.
"Nu exista culmi de neatins ci numai aripe prea scurte"
sheherezada
7+
gudinde spune:
Wow ... da poate este necesar un subiect de PCOS pe forum. Adrriana noi doua am mai tot vorbit despre PCOS. Cred ca pt inceput ar trebui sa stabilim ce este PCOS-ul Uitati aici cateva intrebari si raspunsuri cu informatii de baza despre acest sindrom.
What is Polycystic Ovarian Syndrome (PCOS)?
PCOS is a health problem that can affect a woman’s menstrual cycle, fertility, hormones, insulin production, heart, blood vessels, and appearance. Women with PCOS have these characteristics:
• high levels of male hormones, also called androgens
• an irregular or no menstrual cycle
• may or may not have many small cysts in their ovaries. Cysts are fluid-filled sacs.
PCOS is the most common hormonal reproductive problem in women of childbearing age.
How many women have Polycystic Ovarian Syndrome (PCOS)?
An estimated five to 10 percent of women of childbearing age have PCOS.
What causes Polycystic Ovarian Syndrome (PCOS)?
No one knows the exact cause of PCOS. Women with PCOS frequently have a mother or sister with PCOS. But there is not yet enough evidence to say there is a genetic link to this disorder. Many women with PCOS have a weight problem. So researchers are looking at the relationship between PCOS and the body’s ability to make insulin. Insulin is a hormone that regulates the change of sugar, starches, and other food into energy for the body’s use or for storage. Since some women with PCOS make too much insulin, it’s possible that the ovaries react by making too many male hormones, called androgens. This can lead to acne, excessive hair growth, weight gain, and ovulation problems.
Why do women with Polycystic Ovarian Syndrome (PCOS) have trouble with their menstrual cycle?
The ovaries are two small organs, one on each side of a woman's uterus. A woman's ovaries have follicles, which are tiny sacs filled with liquid that hold the eggs. These sacs are also called cysts. Each month about 20 eggs start to mature, but usually only one becomes dominant. As the one egg grows, the follicle accumulates fluid in it. When that egg matures, the follicle breaks open to release the egg so it can travel through the fallopian tube for fertilization. When the single egg leaves the follicle, ovulation takes place.
In women with PCOS, the ovary doesn't make all of the hormones it needs for any of the eggs to fully mature. They may start to grow and accumulate fluid. But no one egg becomes large enough. Instead, some may remain as cysts. Since no egg matures or is released, ovulation does not occur and the hormone progesterone is not made. Without progesterone, a woman’s menstrual cycle is irregular or absent. Also, the cysts produce male hormones, which continue to prevent ovulation.
What are the symptoms of Polycystic Ovarian Syndrome (PCOS)?
These are some of the symptoms of PCOS:
• infrequent menstrual periods, no menstrual periods, and/or irregular bleeding
• infertility or inability to get pregnant because of not ovulating
• increased growth of hair on the face, chest, stomach, back, thumbs, or toes
• acne, oily skin, or dandruff
• pelvic pain
• weight gain or obesity, usually carrying extra weight around the waist
• type 2 diabetes
• high cholesterol
• high blood pressure
• male-pattern baldness or thinning hair
• patches of thickened and dark brown or black skin on the neck, arms, breasts, or thighs
• skin tags, or tiny excess flaps of skin in the armpits or neck area
• sleep apnea#8213;excessive snoring and breathing stops at times while asleep
What tests are used to diagnose Polycystic Ovarian Syndrome (PCOS)?
There is no single test to diagnose PCOS. Your doctor will take a medical history, perform a physical exam—possibly including an ultrasound, check your hormone levels, and measure glucose, or sugar levels, in the blood. If you are producing too many male hormones, the doctor will make sure it’s from PCOS. At the physical exam the doctor will want to evaluate the areas of increased hair growth, so try to allow the natural hair growth for a few days before the visit. During a pelvic exam, the ovaries may be enlarged or swollen by the increased number of small cysts. This can be seen more easily by vaginal ultrasound, or screening, to examine the ovaries for cysts and the endometrium. The endometrium is the lining of the uterus. The uterine lining may become thicker if there has not been a regular period.
How is Polycystic Ovarian Syndrome (PCOS) treated?
Because there is no cure for PCOS, it needs to be managed to prevent problems. Treatments are based on the symptoms each patient is having and whether she wants to conceive or needs contraception. Below are descriptions of treatments used for PCOS.
Birth control pills. For women who don’t want to become pregnant, birth control pills can regulate menstrual cycles, reduce male hormone levels, and help to clear acne. However, the birth control pill does not cure PCOS. The menstrual cycle will become abnormal again if the pill is stopped. Women may also think about taking a pill that only has progesterone, like Provera, to regulate the menstrual cycle and prevent endometrial problems. But progesterone alone does not help reduce acne and hair growth.
Diabetes Medications. The medicine, Metformin, also called Glucophage, which is used to treat type 2 diabetes, also helps with PCOS symptoms. Metformin affects the way insulin regulates glucose and decreases the testosterone production. Abnormal hair growth will slow down and ovulation may return after a few months of use. These medications will not cause a person to become diabetic.
Fertility Medications. The main fertility problem for women with PCOS is the lack of ovulation. Even so, her husband’s sperm count should be checked and her tubes checked to make sure they are open before fertility medications are used. Clomiphene (pills) and Gonadotropins (shots) can be used to stimulate the ovary to ovulate. PCOS patients are at increased risk for multiple births when using these medications. In vitro Fertilization (IVF) is sometimes recommended to control the chance of having triplets or more. Metformin can be taken with fertility medications and helps to make PCOS women ovulate on lower doses of medication.
Medicine for increased hair growth or extra male hormones. If a woman is not trying to get pregnant there are some other medicines that may reduce hair growth. Spironolactone is a blood pressure medicine that has been shown to decrease the male hormone’s effect on hair. Propecia, a medicine taken by men for hair loss, is another medication that blocks this effect. Both of these medicines can affect the development of a male fetus and should not be taken if pregnancy is possible. Other non-medical treatments such as electrolysis or laser hair removal are effective at getting rid of hair. A woman with PCOS can also take hormonal treatment to keep new hair from growing.
Surgery. Although it is not recommended as the first course of treatment, surgery called ovarian drilling is available to induce ovulation. The doctor makes a very small incision above or below the navel, and inserts a small instrument that acts like a telescope into the abdomen. This is called laparoscopy. The doctor then punctures the ovary with a small needle carrying an electric current to destroy a small portion of the ovary. This procedure carries a risk of developing scar tissue on the ovary. This surgery can lower male hormone levels and help with ovulation. But these effects may only last a few months. This treatment doesn't help with increased hair growth and loss of scalp hair.
A healthy weight. Maintaining a healthy weight is another way women can help manage PCOS. Since obesity is common with PCOS, a healthy diet and physical activity help maintain a healthy weight, which will help the body lower glucose levels, use insulin more efficiently, and may help restore a normal period. Even loss of 10% of her body weight can help make a woman's cycle more regular.
How does Polycystic Ovarian Syndrome (PCOS) affect a woman while pregnant?
There appears to be a higher rate of miscarriage, gestational diabetes, pregnancy-induced high blood pressure, and premature delivery in women with PCOS. Researchers are studying how the medicine, metformin, prevents or reduces the chances of having these problems while pregnant, in addition to looking at how the drug lowers male hormone levels and limits weight gain in women who are obese when they get pregnant.
No one yet knows if metformin is safe for pregnant women. Because the drug crosses the placenta, doctors are concerned that the baby could be affected by the drug. Research is ongoing.
Does Polycystic Ovarian Syndrome (PCOS) put women at risk for other conditions?
Women with PCOS can be at an increased risk for developing several other conditions. Irregular menstrual periods and the absence of ovulation cause women to produce the hormone estrogen, but not the hormone progesterone. Without progesterone, which causes the endometrium to shed each month as a menstrual period, the endometrium becomes thick, which can cause heavy bleeding or irregular bleeding. Eventually, this can lead to endometrial hyperplasia or cancer. Women with PCOS are also at higher risk for diabetes, high cholesterol, high blood pressure, and heart disease. Getting the symptoms under control at an earlier age may help to reduce this risk.
Does Polycystic Ovarian Syndrome (PCOS) change at menopause?
Researchers are looking at how male hormone levels change as women with PCOS grow older. They think that as women reach menopause, ovarian function changes and the menstrual cycle may become more normal. But even with falling male hormone levels, excessive hair growth continues, and male pattern baldness or thinning hair gets worse after menopause.
gudinde spune:
Alte linkuri
www.emcb.ro/article.php?story=20030112215853000" target="_blank">Acneea si sindromul ovarului polichistic
www.presspro-gineco.ro/articole/gineco-165.php" target="_blank">Sindromul ovarelor polichistice - controverse si certitudini etiopatogenice
Am sa mai revin si cu alte informatii.
Adrriana ma gandesc ca daca ai deschis thred-ul si fetele vor fi interesante ar trebui sa ne organizam pe prima pagina cu cateva informatii si linkuri:
1. Cine suntem?
Ca sa incep cu descrierea mea: Gudinde 28 ani diagnosticata cu PCOS la 16 ani. Momentan tin un tratament naturist.
2. Sa avem linkuri catre articole explicative despre PCOS.
a) Ce este PCOS?
b) Cum se determina PCOS?
c) Tratamente pt tinerea sub control a sindromului:
- alopate;
- naturiste;
- homeopate.
Ce zici/ziceti? Pro? Contra? Abtineri?
Adrriana spune:
Da,cred ca era necesar un astfel de subiect...l-am deschis cu riscul de a i-l inchide moderatorii...am mai gasit ceva informatii despre PCOS,dar nu m-au multumit...Numele meu este ,26 ani,si am PCOS...Mi s-a pus acest diagnostic acum 5 ani cand am mers la ginecolog pentru a mi se prescrie anticonceptionale si in urma unei ecografii la ovare mi s-a spus ca ovarele mele sunt goale...am intrebat ce inseamna acest lucru si mi s-a spus ca s-ar putea sa am dificultati in conceperea unui copil,dar a evitat sa-mi spuna mai multe deoarece eu pe atunci nu vroiam copil...si mi-a dat o reteta de anticonceptionale Mercilon cu diagnostic PCOS...intre timp m-am casatorit...acum 1 an am mers la un control ginecologic deoarece mi-a sarit cm 3 luni...la ecografie mi-a spus ca am clar PCOS(s-a exprimat ca ovarele sunt goale,deci al doilea doctor imi spune la fel))mi-a spus sa nu ma mai protejez daca vreau un copil,si sa incerc de pe acum ...cu trecerea in varsta imi va fi mult mai greu...am luat duphaston,clomifen...nimic...deocamdata am luat o pauza,am fost racita,am luat antibiotice puternice...dupa aceasta pauza voi incepe sa iau glucophage,voi incepe sa fac teste de ovulatie si sper sa am ovulatie...sper sa am cat de curand un bebe...asa va doresc si voua,si mai asteptam pareri despre acest sindrom
gudinde spune:
Analize determinarea PCOS
Atentie! Analizele hormonale, in special Cortisolul se recolteaza doar intre orele 8-9 dimineata. Si evident a jeune (pe nemancate).
Hormonii, in special insulina au timp mic de injumatatire! Rugati asistenta sa se duca cu eprubeta la laborator imediat dupa recoltare si acolo sa fie prelucrata cu prioritate!
LH - doar in Z2 sau Z3 a CM
FSH - doar in Z2 sau Z3 a CM
TSH
17-OH Progesteron
Prolactina
DHEA-S
Testosteron
Cortisol
Insulina
Glicemie
Glicemie provocata – 3 ore (a jeune si dupa ingerarea glucozei din 30 in 30 de minute pt realizarea curbei glicemice)
Sau glicemie provocata + insulina - a jeune si apoi la 2 ore dupa ingerarea glucozei
Adrriana spune:
Gudinde,cred ca tu trebuia sa deschizi acest subiect deoarece esti mai in masura decat mine,stii mai multe...Eu am facut numai TSH si testosteron,dar astea pentru glanda tiroida ...TSH-ul a iesit in limite normale ,testosteronul a iesit in limite normale,dar pentru ca am facut analiza in a 2-a zi a cm ,dr mi-a spus ca e destul de mare...daca i-l faceam in a 4-a zi iesea peste limita normala...cred ca am deschis acest subiect in speranta ca vor fi fete care sa spuna ca au reusit sa ramana insarcinate avand PCOS...Gudinde,tu ce tratamente faci acum?...si oare suntem singurele cu acest sindrom?
gudinde spune:
Adrriana
Sunt destul de multe fete cu PCOS pe forum.
Ca modele avem o prima: sheherezada 7+
In ceea ce priveste testele tale: TSH-ul este pt tiroida. Si in cazul meu TSH-ul e superb caci nu cu tiroida am probleme.
Tratamentul pe care-l tin este naturist. Ma gasesti de altfel la thread-ul de naturiste si homeopate.
Tia spune:
sa mai discutat
http://forum.desprecopii.com/forum/topic.asp?TOPIC_ID=62687&SearchTerms=polichistic
http://forum.desprecopii.com/forum/topic.asp?TOPIC_ID=78702&SearchTerms=polichistic
http://forum.desprecopii.com/forum/topic.asp?TOPIC_ID=87949&SearchTerms=polichistic
http://forum.desprecopii.com/forum/topic.asp?TOPIC_ID=82811&SearchTerms=polichistic
http://forum.desprecopii.com/forum/topic.asp?TOPIC_ID=45333&SearchTerms=polichistic
http://forum.desprecopii.com/forum/topic.asp?TOPIC_ID=44207&SearchTerms=polichistic
http://forum.desprecopii.com/forum/topic.asp?TOPIC_ID=66928&SearchTerms=PCOS
http://forum.desprecopii.com/forum/topic.asp?TOPIC_ID=48402&SearchTerms=PCOS
gudinde spune:
Tia
Multumim pt link-uri.
Cred ca tocmai asta este problema: s-a discutat acest subiect in prea multe locuri si amestecandu-se ovarele polichistice cu sindromul ovarelor polichistice (doua lucruri diferite).
Cred ca Adrriana a vrut prin deschiderea acestui subiect un loc unde sa vorbim numai de PCOS: cum il depistam, care sunt simptomele, care sunt tratamentele (alopate, naturiste, homeopate), ce ne ajuta, care ar fi povestea mamicilor si gravidutelor cu PCOS, cum conduci o sarcina cu PCOS (caci exista riscuri destul de mari si grave), care sunt medicii buni pe asa ceva (ginecologi, endocrinologi, homeopati), care sunt ultimele studii referitoare la PCOS etc.
Adrriana spune:
Da,asta am vrut...un loc unde sa discutam numai despre PCOS...despre ovare polichistice am tot citit,dar nu si despre sindromul ovarelor polichistice care este o boala care contine si ovare polichistice...si cel mai interesant ar fi povestea fetelor(mamicilor) care au reusit sa ramana insarcinate avand PCOS...
Pag. 2
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