Treatment of polycystic ovary syndrome by obstetrician-gynecologist Irina Ivanovna Kulbach in Dnipro.

When consulting a doctor, patients are often concerned about irregular menstruation, lower abdominal pain, weight issues, or difficulties with conception. The doctor conducts a thorough clinical assessment, carefully reviews the complaints and medical history, and, if necessary, orders additional examinations to clarify the condition.

The patient receives a clear and understandable action plan: what to do in the current situation, which tests to undergo, and how to monitor changes over time. A distinctive feature of the doctor's approach is attentive ongoing observation and detailed explanations of each treatment stage in simple language, which helps patients better understand the process and feel more at ease with the therapy.

When to See a Doctor

If you notice symptoms or changes that cause concern or affect your quality of life, it is important not to delay consulting a specialist. This is especially true if the symptoms are recurring, your condition is worsening, or you find it difficult to manage your health on your own. You should make an appointment with an obstetrician-gynecologist if you have polycystic ovary syndrome and notice:

• irregular or absent menstrual periods
• constant or intermittent lower abdominal pain
• sudden unexplained weight gain
• difficulty conceiving when trying to become pregnant
• noticeable changes in the skin, such as increased acne or hair growth in unusual areas
• a feeling of heaviness or discomfort in the pelvic region
• recurring mood disturbances or weakness
• worsening of symptoms after stressful situations
• symptoms interfere with normal work or sleep
• no improvement despite following lifestyle recommendations
• need for a second opinion regarding treatment or examinations
• symptoms appearing for the first time or gradually worsening

It is important to remember that these symptoms can have various causes that require evaluation by a specialist. Regular monitoring and understanding the progression of your condition will help to develop the most appropriate plan of action and avoid potential complications. If you have any questions or doubts, consulting at a clinic will provide a comprehensive assessment and recommendations.

Emergency situations or when to see a doctor immediately

• sudden severe pain in the lower abdomen that rapidly intensifies
• sharp deterioration of overall condition with dizziness and weakness
• heavy bleeding from the genital area that does not stop on its own
• fever accompanied by pronounced unpleasant symptoms
• combination of pain with fainting or severe heart palpitations

If you experience any of these symptoms, do not wait for a scheduled appointment — seek urgent medical care. Our clinic offers a home visit service to provide the necessary support as quickly as possible.

Causes and Risk Factors of Polycystic Ovary Syndrome (PCOS)

In this section, we will discuss the possible causes of polycystic ovary syndrome and the factors that may increase the risk of developing this condition. This will help you understand what to check and what to pay attention to when consulting a doctor.

Main Causes / Mechanisms (Briefly)

• Hormonal imbalance affecting ovarian function
• Metabolic disorders associated with insulin resistance
• Hereditary predisposition and genetic factors
• Dysfunction of the hypothalamic-pituitary system regulating the cycle
• Chronic inflammatory processes in the body

Risk Factors

• Excess body weight and obesity
• Hormonal disturbances, including elevated androgen levels
• Poor nutrition and sedentary lifestyle
• Stressful situations and frequent emotional overload
• Woman’s age, especially during the young reproductive years
• Family history of polycystic ovary syndrome or other gynecological issues
• Coexisting metabolic disorders, such as diabetes mellitus
• Use of certain medications that affect hormones

Reversible Causes That Should Be Ruled Out

• Effects of thyroid gland diseases
• Side effects of hormonal medications or contraceptives
• Chronic infectious processes in the pelvic organs
• Unhealthy lifestyle that can be corrected

Polycystic ovary syndrome is a complex condition influenced by many factors; therefore, precise understanding of its causes and appropriate treatment requires thorough examination and consultation with a specialist.

Diagnosis

Diagnosis of polycystic ovary syndrome (PCOS) is aimed at identifying possible causes and assessing the patient's overall condition. The doctor thoroughly reviews symptoms and medical history to recommend the most appropriate tests and develop a plan for further management.

Diagnostic approach

• Taking a detailed medical history, including complaints and menstrual cycle history
• Gynecological examination to assess the condition of the pelvic organs
• Ordering basic laboratory tests as indicated
• Performing pelvic ultrasound when necessary
• Conducting laboratory and hormonal tests based on individual indications
• Evaluating associated factors and metabolic status
• Forming a preliminary conclusion and creating a plan for further examinations and treatment

Typical tests as indicated

• Pelvic ultrasound to assess ovarian structure
• Blood tests for hormones, including androgen and gonadotropin levels
• Complete blood count and biochemical blood analysis
• Insulin and blood glucose tests if metabolic disorders are suspected
• Additional examinations to exclude other causes of symptoms

What to bring to the appointment

• Results of previous examinations and test reports, if available
• A list of medications and supplements currently taken
• A menstrual cycle diary or a description of symptoms over the past few months
• Information about prior treatments or consultations with other doctors

Diagnosing polycystic ovary syndrome requires a comprehensive approach and individualized selection of tests, which helps to choose an effective action plan tailored to the patient’s specific characteristics.

Treatment

The treatment of polycystic ovary syndrome (PCOS) is aimed at reducing the severity of symptoms and normalizing the body’s functions. The therapy plan is tailored individually, taking into account the patient’s specific characteristics and examination results.

Therapy Goals

• Reduce manifestations of PCOS and associated discomfort
• Correct hormonal balance as indicated
• Restore reproductive function and menstrual cycle regularity
• Prevent possible complications and related disorders

Main Treatment Approaches

• May include medication to regulate hormones
• Non-medication recommendations focusing on lifestyle and nutrition
• Aesthetic gynecology procedures applied as indicated
• Additional methods to support metabolism used if necessary
• Therapy is always individualized and subject to regular adjustment

What the Doctor Does

• Selects and adjusts therapy based on examination results
• Considers comorbidities and possible contraindications
• Monitors side effects and therapy effectiveness
• Explains improvement criteria and next steps to the patient
• Coordinates treatment with other specialists if needed

What to Expect: Planning and Monitoring

• Regular monitoring of condition and symptoms is planned approximately
• Therapy effectiveness is assessed and modified as needed
• Repeat examinations may be required based on indications
• Therapy duration depends on individual response

Detailed information about treatment options for polycystic ovary syndrome can be obtained during a consultation with Dr. Irina Ivanovna Kulbach.

Prevention

Prevention is important in polycystic ovary syndrome (PCOS) as it helps reduce the risk of developing symptoms and complications. The prevention plan is tailored individually, taking into account the specific condition and lifestyle.

Main primary prevention measures

• monitoring and maintaining a healthy body weight
• regular physical activity according to medical recommendations
• balanced nutrition with limitations on products that affect metabolism
• avoidance of harmful habits, including smoking and excessive alcohol consumption
• stress management and timely recovery after emotional strain

Screening and secondary prevention / regular monitoring

• regular gynecological examinations as indicated
• monitoring menstrual cycle and symptoms
• laboratory tests of hormones and metabolism as recommended by a doctor
• control of comorbid conditions affecting overall health

Practical advice

• keep a symptom diary for easier monitoring
• discuss any changes in well-being or lifestyle with your doctor
• maintain a regular sleep and rest schedule
• undergo timely examinations if you have chronic diseases
• adjust physical activity according to specialist recommendations

Preventive measures for polycystic ovary syndrome help maintain health and quality of life, so discussing them with your doctor is important to choose the optimal plan.

Important to Know

The treatment of polycystic ovary syndrome (PCOS) requires a careful approach and understanding of the key aspects of this condition. It is important not only to alleviate symptoms but also to identify the underlying causes that may influence the course of the disease. Early assessment helps to choose the right strategy and reduce the risk of possible complications. In some cases, ongoing monitoring with adjustments to the treatment plan is necessary. Overall health and lifestyle—stress, workload, quality of sleep—can affect well-being and the progress of treatment.

• Identifying causes and triggering factors is more important than simply relieving symptoms
• Early consultation helps to select an effective plan and reduce risks
• Ongoing monitoring allows for treatment adjustments and tracking changes
• Stress, lack of sleep, and concomitant conditions impact the course of the condition
• Self-medication can obscure the clinical picture and complicate diagnosis
• It is important to undergo treatment under the supervision of a specialist, taking into account individual characteristics
• Our clinic provides support at all stages of therapy and monitoring

If you need detailed information about polycystic ovary syndrome, as well as treatment and monitoring options, we recommend exploring our main page with a comprehensive overview of the topic.

Self-care Before the Appointment: What You Can and Cannot Do

Before visiting Dr. Irina Ivanovna Kulbach, it is important to know how to prepare properly and what steps you can take on your own without risking harm. If your condition worsens, do not delay seeking medical help.

What You Can Do Before the Appointment

• Note when the first symptoms appeared and under what circumstances they intensify
• Keep a symptom diary, recording the severity and possible triggers
• Bring a list of all medications and supplements you are currently taking
• Measure your body temperature and other accessible indicators if possible
• Reduce physical activity and ensure you get enough rest
• Drink water to avoid dehydration, unless contraindicated
• Limit stressful situations and take care of your sleep quality
• Take only familiar, safe pain relief medications if they usually work for you

What You Should Not Do Before the Appointment

• Do not stop or change medications without consulting your doctor
• Do not start taking new medications or supplements simultaneously without advice
• Do not rely on unverified folk remedies for quick relief
• Do not try to interpret test or examination results on your own
• Do not delay seeking help if symptoms worsen or new signs appear
• Do not use remedies that have previously caused allergies or side effects
• Do not ignore discomfort that interferes with daily life or sleep
• Do not attempt to treat complications without your doctor's involvement

If you experience alarming or worsening symptoms, seek immediate assistance from Dr. Irina Ivanovna Kulbach.

As a physician, here is how I can assist you regarding polycystic ovary syndrome (PCOS):

• Analyze your symptoms and medical history to understand possible causes
• Assess the severity of the condition and associated health risks
• Evaluate the tolerability and effectiveness of any current treatments
• Develop a plan for further steps, including examinations, treatment, and monitoring progress
• Take into account any comorbidities and medications that may affect the condition's course
• Provide recommendations on lifestyle and daily routine tailored to your individual needs
• Discuss criteria for monitoring the condition and schedule follow-up visits
• Conduct an initial evaluation of causes, including differential diagnosis if needed
• Adjust therapy if there is insufficient effect or adverse reactions

Medical care for polycystic ovary syndrome is a comprehensive process involving regular observation and plan adjustments. This approach helps reduce the risk of complications and improves quality of life through a carefully designed treatment strategy and support at every stage.

Questions to Discuss with Your Doctor Regarding Polycystic Ovary Syndrome (PCOS)

Here are some questions you can discuss with your doctor, Irina Ivanovna Kulbach, regarding polycystic ovary syndrome (PCOS):

• Irregular or absent menstrual periods
• Pain or discomfort in the lower abdomen
• Difficulties with planning pregnancy
• Sudden weight fluctuations and problems managing weight
• Appearance of unwanted hair or skin eruptions
• Recurring symptoms and changes over time
• Lack of effect from previously prescribed treatment
• Need for a second opinion or review of previous examinations

In case of sudden severe pain, heavy bleeding, or a sharp deterioration in your condition, urgent medical attention is required—do not wait for a scheduled appointment. In such cases, you should see a doctor as soon as possible.

Common Questions Patients Often Ask

• What is happening to me and what could this be?
• Why have the symptoms appeared right now?
• How can I tell if this is related to PCOS or another problem?
• What examinations do I need?
• Which tests and investigations are absolutely necessary?
• How should I properly prepare for examinations and the doctor’s appointment?
• What treatment options are available and how do they differ?
• Is it possible to completely get rid of the symptoms or is this a chronic condition?
• What should I do if the prescribed treatment does not bring improvement?
• Can I avoid medication or surgery?
• How long does treatment usually last and how often is follow-up needed?
• What signs indicate that my condition has improved or worsened?
• What should I do in case of sudden worsening or flare-up of symptoms?

During your appointment, the doctor will thoroughly review your complaints, assess your condition, and develop an appropriate plan for examinations and treatment. This helps to promptly identify potential risks and select the best measures to improve your quality of life.

If urgent symptoms appear, it is important not to delay seeking medical help.

How the consultation goes

A consultation with a doctor involves a thorough review of your complaints, an assessment of your condition, and the development of a plan for further action. The scope of examinations is determined individually, based on indications, your symptoms, and health specifics. It is not possible to make a complete diagnosis in one appointment, but the doctor will provide a preliminary evaluation and create a plan if needed.

1. Clarifying complaints and the purpose of the visit: understanding what troubles you, how long symptoms have been present, and what affects them.
2. Collecting medical history and risk factors relevant to polycystic ovary syndrome and overall health.
3. Discussing previous examinations and treatments; it is recommended to bring test results and a list of medications.
4. Conducting an examination and basic tests as indicated to assess the condition of the pelvic organs.
5. Forming a preliminary conclusion with an understanding of possible causes and exclusion of serious conditions.
6. Justifying the need for additional studies, which may include:
   • ultrasound examination of the pelvic organs,
   • blood tests for hormones, and
   • general and biochemical analyses.
7. Developing a treatment or management plan focused on reducing symptoms and improving quality of life.
8. Discussing follow-up timing and recommendations on when to return for a repeat visit or come earlier if changes occur.

If this is your first visit, the consultation will aim to fully clarify symptoms and identify causes of the problems. If previous treatment was ineffective, the focus will be on analyzing reasons for the lack of effect and possible adjustments to the therapy plan.

This approach helps you feel more at ease and understand that your care and support are under the supervision of a specialist.

Preparation for the Appointment

To ensure an effective consultation with the obstetrician-gynecologist regarding polycystic ovary syndrome, it is important to prepare in advance and bring the necessary documents. This will help the doctor understand your situation more quickly and develop the right plan for examination and treatment.

• Bring a list of all current medications with their names and dosages, if known.
• Take any previous test results and examination reports with you, including pelvic ultrasound, hormonal profile, and complete blood count.
• Make notes on when and how your symptoms begin, as well as what worsens or alleviates them.
• Do not stop taking prescribed medications without your doctor's approval.
• Come to the appointment without makeup or skincare products if examinations or procedures are to be performed.
• If recommended, arrive fasting — do not eat or drink for 8–12 hours before the appointment (unless otherwise instructed).
• Prepare a list of questions you want to discuss with the doctor.
• If possible, bring extracts and reports from previous consultations or examinations.

If you have any doubts about preparation, it is better to clarify the details by phone when making the appointment and avoid changing medications on your own.

About the Doctor

Irina Ivanovna Kulbach is a highly qualified obstetrician-gynecologist with over 40 years of experience. She often works with patients requiring treatment for polycystic ovary syndrome, including those experiencing recurring symptoms and lack of effectiveness from previous therapies.

In her practice, the doctor emphasizes ongoing monitoring and provides detailed explanations of the treatment plan in simple terms. Patients receive not only an assessment of their current condition but also a clear understanding of the next steps to improve their health and comfort.

Why Patients Choose Dr. Irina Ivanovna Kulbach

When treating polycystic ovary syndrome (PCOS), Dr. Irina Ivanovna Kulbach pays special attention to thoroughly analyzing the underlying causes and taking a comprehensive approach to therapy. She works with patients considering the complexities and comorbidities, which helps develop an effective and safe treatment plan. A key distinguishing feature is the detailed explanation of each stage of therapy and monitoring progress to make timely adjustments.

• Clear treatment plan with defined stages: current measures, monitoring, and follow-up visits
• Diagnostics prescribed strictly based on indications, avoiding unnecessary procedures
• Consideration of comorbidities and medications for safe and compatible therapy
• Monitoring treatment effectiveness and quick adjustment if no results are seen
• Review of previously prescribed medications and assessment of tolerance to optimize therapy
• Explanation of all risks, goals, and treatment options in simple language without medical jargon
• Management of patients with complications and complex cases throughout the entire course of therapy
• Opportunity to discuss and interpret results of existing tests

This process enables patients to receive a structured and transparent treatment plan tailored to their individual needs. Dr. Kulbach’s approach focuses on maintaining comfort and safety while ensuring timely adaptation of therapy depending on the body’s response.

Case Studies

Initial Consultation for Irregular Menstrual Cycle

A middle-aged female patient presented with complaints of irregular menstruation and periodic lower abdominal pain. It was important to exclude other possible causes of reproductive system dysfunction and to assess hormonal status. Examinations were conducted to clarify the condition of the ovaries and metabolism. Over time, improvements in cycle regularity and reduction of pain were observed. Regular follow-up and therapy adjustment as needed are planned.

Treatment Adjustment in the Absence of Effect

A young woman complained of persisting unpleasant symptoms after previously prescribed treatment for polycystic ovary syndrome. The physician reviewed prior prescriptions and evaluated side effects. The treatment strategy was adjusted considering comorbid factors and individual characteristics. At the follow-up visit, stabilization of the condition and reduction in symptom severity were noted. Monitoring continues with possible additional changes to the treatment plan.

Chronic Course with Comorbidities

A patient with a long history of the disease also suffered from metabolic disorders. It was important to consider potential drug interactions and risks of complications. The doctor developed a comprehensive plan that included management of the primary disease and support of reproductive function. Positive dynamics with stable disease control were observed over subsequent months. Regular monitoring and therapy adjustment based on test results are recommended.

Symptom Exacerbation and Stabilization Plan

A woman presented with increased pain and menstrual cycle disturbances. It was necessary to promptly exclude dangerous conditions and adjust treatment. Diagnostic procedures were performed and therapy was modified considering current complaints. During the controlled period, symptoms diminished and the condition stabilized. Supportive treatment and monitoring are planned to prevent recurrent exacerbations.

Patient Requesting a Second Opinion

A woman sought consultation due to questions about previous examination results and treatment. The physician conducted a detailed review of documents and medical history, assessing the appropriateness of previous prescriptions. An alternative management approach was proposed considering individual characteristics. As a result of observation, the condition became more stable and symptom severity decreased. Regular monitoring and therapy effectiveness assessment continue.

How long does the consultation last?

The duration is usually 30–60 minutes; please confirm when booking.

How should I prepare for the appointment?

It is recommended to write down your main complaints, bring a list of medications, and results of previous examinations.

What should I bring to the consultation?

Bring test results, imaging, medical records, and a list of medications you are taking.

Do I need to come on an empty stomach?

Usually no, unless otherwise specified when making the appointment.

How many visits are usually required?

The number of visits depends on the situation; typically, several meetings are needed for monitoring.

When can I expect the first results of the treatment?

This is individual and depends on the course and specifics of the therapy.

What should I do if my condition worsens before the appointment?

If your condition worsens and there are red flags, seek urgent medical attention or call for help immediately.

Can the treatment be combined with my current medications?

Discuss this with your doctor; do not change medications on your own.

Is online consultation available?

Yes, online consultation is possible with a stable condition and by prior arrangement.

Can I come with tests I have already done?

Yes, you may bring existing results for analysis and evaluation.

Do I need to come for follow-up visits, and how often?

The frequency of visits is determined individually based on the disease dynamics.

Can I get a second opinion?

Yes, the doctor is willing to review your materials and provide an additional opinion.

What should I do if symptoms return after improvement?

Contact your doctor for evaluation and adjustment of the treatment plan.

What examinations are usually prescribed?

The approach depends on the cause, stage, and coexisting conditions; examination choices are individual.

Can I stop taking medications on my own?

It is not recommended to stop medications without consulting your doctor.

How can I tell if the treatment is working?

Effectiveness is assessed during follow-up visits based on symptoms and test results.

What should I do if the treatment does not help?

The doctor will discuss possible reasons and adjust the therapy plan during the appointment.

Can I discuss pregnancy-related questions?

Yes, the consultation covers all related questions, including planning and management of pregnancy.

Can treatment be combined with other medical drugs?

Be sure to inform your doctor about all medications to ensure safe therapy selection.