The role of body weight in the treatment of polycystic ovary syndrome
In women with PCOS in combination with obesity, an important step in polycystic ovary syndrome treatment is to reduce body weight to normal values. In some cases, even after normalization of weight, all the symptoms of polycystic ovaries disappear: a regular menstrual cycle is established, ovulation appears, which makes it possible to become pregnant.
The mechanism of the therapeutic effect of weight loss in PCOS is as follows: adipose tissue is the place where additional amounts of androgens (male sex hormones) and estrogen are formed, which are already produced in abundance in the PCOS ovaries. patients. Reduced fat mass in some cases leads to the normalization of hormone levels in the blood and can contribute to recovery.
It is recommended to discuss the weight loss plan with your doctor, nutritionist or endocrinologist, who will help create an optimal diet. Fasting for weight loss is not recommended for women with PCOS, as during starvation the body breaks down protein. The basic principles of the diet in polycystic ovary are: restriction of carbohydrates (sugar, flour and sweets), salt, fats, excessive amounts of water. An important condition for weight loss is physical activity: jogging, gymnastics, swimming, etc.
Treatment of polycystic ovary syndrome with the help of medicine
If insulin resistance (a condition in which the body’s cells do not respond to insulin) or diabetes were found during screening in women with PCOS, the preferred treatment for PCOS is the use of metformin. Metformin improves the use of glucose in the body’s tissues, normalizes its level in the blood and reduces appetite, and may help regulate the menstrual cycle in women with PCOS. Metformin doses are individual and should be determined by the treating physician. The duration of treatment for polycystic ovary syndrome usually ranges from 3 to 6 months.
If a woman with PCOS is not planning a pregnancy in the near future, the focus during treatment is on eliminating symptoms caused by increased levels of male sex hormones (oily skin, acne, male pattern hair growth, etc.) .). See Treatment of seborrhea, treatment of acne.
For most women with hirsutism (male pattern hair growth), normalization of body weight helps reduce hair growth, however, if normal hirsutism weight persists, I recommend taking antiandrogens – drugs that block androgens ( male sex hormones).
Flutamide – a drug that blocks the action of androgens, leading to the disappearance of hirsutism, oily skin and acne. The duration of drug treatment varies from 3 to 6 months. Your doctor determines the dose and duration of treatment. During treatment, it is recommended to periodically monitor liver function.
Spironolactone – a drug that reduces the formation of androgens and blocks their action on body tissues. As a general rule, for the treatment of hirsutism, spironolactone is taken for 6 months or more. Your doctor determines the dosages of medications and the duration of admission. Read on to learn more options for treating PCOS.
The basic principles of treatment of ovarian cyst when there is infertility in women is the normalization of weight and the appointment of Metformin in the presence of disorders of carbohydrate metabolism (insulin resistance). The ineffectiveness of the measures carried out ovulation – hormonal therapy, which helps to release the egg from the ovary.
Ovulation stimulation is a drug with clomiphene citrate that is prescribed to a woman with 5 to 9 days of the menstrual cycle (when the ovary is determined by the largest (dominant) follicle with the egg).
Doses are determined by the attending physician clomiphene, ineffectiveness (lack of ovulation) increases the dose of the drug. To determine the effectiveness, clomiphene uses measurement of basal body temperature and ultrasound diagnosis. The main criterion for the effectiveness of the treatment of polycystic ovary syndrome is the presence of ovulation.
