TREATMENT OF POLYCYSTIC OVARY SYNDROME (PCOS)

HYPERANDROGENISM
• Hirsutism, characterized by excessive body hair in a male pattern, hair above the upper lip, on the chin, mid-chest, back. . .
• Acne
• Female pattern hair loss

MENSTRUAL DYSFUNCTION
• Problems may begin as early as puberty. Oligomenorrhea occurs, which is less than 9 cycles per year. . .
• Less commonly, amenorrhea - absence of menstruation for 3 or more months. . .

POLYCYSTIC OVARIES
Multifollicularity can be observed on ultrasound even with a normal menstrual cycle, sometimes there is a tendency towards cyst formation. . .

METABOLIC PROBLEMS / Cardiovascular Risks
• Women with PCOS are overweight or obese.
• Insulin resistance is present in both lean and obese women with PCOS (30 and 70 percent, respectively). . .

● Women with PCOS are also at increased risk of developing type 2 diabetes, and many have first-degree relatives with type 2 diabetes.

STEATOHEPATOSIS / Sleep Apnea. . . less common occurrences

DIAGNOSIS

1. Symptom Complex (Oligomenorrhea / Hyperandrogenism / Polycystic Ovaries. . . )

2. Total Testosterone
17-Hydroxyprogesterone (to exclude adrenal hyperplasia)
TSH, Prolactin, FSH, LH. . .

3. Transvaginal Ultrasound
(Presence of 12 or more follicles measuring 2 to 9mm, and/or ovarian enlargement >10ml in volume)

Depending on the symptoms, we determine the phenotype:
A - Classic variant (Hyperandrogenism, Anovulation, Polycystic Ovaries)
B - Hyperandrogenism + Oligo/Anovulation
C - Hyperandrogenism + Polycystic Ovaries
D - Oligo/Anovulation + Polycystic Ovaries

TREATMENT
1. COCs, IUD, Patch, Vaginal Ring - for those not planning pregnancy

2. Sabal

3. Kirocomplex / Tekardio / Inositolo / Dikirgen - preparations containing myo-inositol, chiro-inositol

4. Spironolactone / Flutamide

5. Glucophage / Metformin (Initial dose is 500 mg per day)

6. Use gentle skin cleansers instead of soap or scrubs.
Gentle skin cleansers have a pH of 5. 5 to 7, which is close to the normal skin pH.

7. Avoid aggressive skin scrubbing - A gentle fingertip massage is sufficient for cleansing.

8. Direct or mechanical hair removal methods, including electrolysis and photoepilation (laser and intense pulsed light), are also called "permanent" hair reduction methods.

9. Diet
1. NUTRITION. . .

Increase intake of vegetables and fruits: They are rich in antioxidants and vitamins that support the immune system.
Limit red meat and processed foods. . .
Consume more omega-3 fatty acids. . .
Increase whole grain intake. . .
Reduce sugar and simple carbohydrates. . .
Avoid dairy products
Consider adding antioxidants. . .

2. WATER

Ensure adequate fluid intake to maintain hydration levels. Water, herbal teas, and natural juices can be good choices.
Drink from 1L to 1. 5L (not by force, for pleasure), in glass (Lauretana, Water UA, Evian, Fuji, Fiji, Aqua Panna),
the same water should be consumed for 1-2 months, then change,

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PCOS (Polycystic Ovary Syndrome)
Title: PCOS: Symptoms, Causes, and Treatment of Polycystic Ovary Syndrome
Description: Learn about PCOS (Polycystic Ovary Syndrome): symptoms (amenorrhea, oligomenorrhea, hyperandrogenism), diagnosis, impact on reproductive health, and treatment methods.

2. Hyperandrogenism in Women
Title: Hyperandrogenism in Women: Causes, Signs, and Treatment
Description: Hyperandrogenism manifests as hirsutism, acne, hair loss. Learn the causes of excess androgens, symptoms, and modern treatment approaches.

3. Menstrual Dysfunction: Amenorrhea and Oligomenorrhea
Title: Amenorrhea and Oligomenorrhea: Causes of Absent or Infrequent Menstruation
Description: Menstrual disorders such as oligomenorrhea and amenorrhea can begin at puberty. Learn the causes, symptoms, and ways to restore the cycle.

4. Polycystic Ovaries: Signs and Diagnosis
Title: Polycystic Ovaries: Multifollicularity and Ultrasound Signs
Description: Multifollicular ovaries and tendency to cysts are common signs of PCOS. Learn how to detect polycystic ovaries with ultrasound and what to do next.

5. Metabolic Problems in PCOS
Title: Metabolic Disorders and Risks in PCOS: Dyslipidemia and Insulin Resistance
Description: Women with PCOS are prone to obesity, insulin resistance, and dyslipidemia. Learn how to combat metabolic risks and improve health.

6. Hirsutism and Acne in PCOS
Title: Hirsutism and Acne: How PCOS Affects Skin and Hair
Description: Excessive hair growth, acne, and hair loss are signs of hyperandrogenism in PCOS. Learn how to eliminate these symptoms and improve quality of life.

7. Ovarian Thecomatosis
Title: Ovarian Thecomatosis: Causes, Diagnosis, and Treatment
Description: Ovarian thecomatosis is a rare pathology associated with androgen overproduction. Learn how to detect the disease and what treatment methods exist.

8. Infertility in PCOS and Anovulation
Title: Infertility in PCOS: Causes of Anovulation and Treatment Methods
Description: Anovulation and hormonal disorders in PCOS often lead to infertility. Learn about methods to stimulate ovulation and treat infertility.

9. Dysmenorrhea in PCOS
Title: Dysmenorrhea: Painful Menstruation and Its Connection to PCOS
Description: Dysmenorrhea accompanies many hormonal disorders. Learn how to reduce menstrual pain and cope with accompanying symptoms.