Polycystic ovary syndrome, or so-called ovarian laziness, is one of the most common diseases among adolescent women and girls (PCO).
Ovarian laziness is a genetic disease. In the ovulatory cycle, about 5-6 follicles begin to grow each month, and eventually one of them grows, and that enlarged follicle sends inhibitory factors to the rest of the follicles and other tiny follicles that are circulating around it. They are growing, destroying and keeping them small.
Treatment of ovarian laziness
In people with polycystic ovary disease, the enlarged follicles cannot function properly for any reason and will not be able to ovulate well, nor will they be able to induce inhibitory factors well for the surrounding follicles. And keep them from growing.
As a result, several follicles grow and grow in half each month, and these types of follicles do not ovulate well and do not completely die. Hence, for many years each month, a few tiny follicles remain on the surface of the ovary, which are larger than normal. At this time, the surface of the ovarian shell or ovarian cortex is filled with tiny follicles.
When a person has polycystic ovary disease, an ultrasound scan of the ovarian surface shows a Necklace form of tiny follicles around her, which is why the disease is called polycystic ovary (Each ovary has 12 or more follicles of 2-9mm).
Clinical signs of polycystic ovaries
Normally, women who do not have the disease and are healthy have some male hormones in their blood, but this rate is much lower than men. Now, in cases where ovarian laziness occurs, the level of this hormone rises above normal, even if it is lower than men, but it is high for women and shows its symptoms, which are:
- Gradual increase of facial hair
- Growth of excess and thick hair in the areas behind the lips and chin (hirsutism)
- Thickening of body hair
Hair growth occurs in certain areas. For example, in the chin, face, around the breasts, the navel and under the navel, under the influence of male hormones, hair grows thicker and thicker. Women suffer from hair loss due to the increase in male hormones. Sometimes they even look like men and suffer from male pattern baldness and hair loss in the temples and middle of the head. It should be noted that these cases occur during lazy ovulation for women.
Male hormones also cause oily skin, blackhead acne and acne, and weight gain.
Insulin resistance increases in a person and causes the person to develop diabetes. It also causes high blood fats.
Finally, because ovulation is not done properly and depending on the severity of the disease, the person may develop fertility disorders or even infertility and need treatment for pregnancy.
Because good ovaries are not released, menstrual cycles become irregular, and the interval between menstrual cycles is long, and in some cases the person may not have a period for about 6-7 months if the medication is not taken.
This is very dangerous for the person and because it does not fall into the uterus under the influence of endometrial hormone. This has increased the risk of uterine cancer between the ages of 40 and 50 in women with ovarian laziness and irregular menstrual cycles.
The clinical symptoms of polycystic ovaries vary from mild to severe, depending on the severity of the disease. Therefore, do not expect all the symptoms to appear in one person, depending on the activity of the ovaries, the symptoms of the disease are different. Taking a history of the person’s condition will help diagnose the disease.
Treatment of ovarian laziness
Ovarian laziness does not have a definitive cure. Because the disease is genetically modified, the ovarian gene cannot be altered to start ovulating and ovulating like a healthy ovary. But treatment is symptomatic, meaning that the treatment is done according to the person’s diagnosis.
If a person has a problem with the menstrual cycle, medication can be given. If a person has a problem with hair loss (hirsutism), taking male anti-hormone drugs can help the patient recover. However, if the patient has infertility problems, infertility treatment is started and ovulation is stimulated to fertilize the egg.
The first and most important step in treatment is to change your lifestyle, exercise and diet, and be sure to tell these people that the disease will be with you for the rest of your life, but the severity of the disease varies and cannot be completely cured. all of these people are advised to change their lifestyle.
Getting proper nutrition through your diet and exercise can have a significant impact on your health. Because exercising does not cause obesity and overweight. People with PCO should avoid sugary foods so that they do not develop diabetes, all of which can greatly improve ovarian function.
so lifestyle is very important for these patients and it is recommended for these patients to get married at a young age and get pregnant as soon as possible, and these people should not delay the time of pregnancy because the background of ovarian laziness in it. As these pregnancies are delayed, they are more likely to have pregnancy problems.
People with ovarian laziness should be monitored and in touch with their doctor, and they should not expect a miracle from their doctor. Be consulted by a specialist and be patient in your treatment and do not constantly think about changing your treatment.
Many people who have a mild ovarian laziness problem need to take hormonal medications when they change their lifestyle, avoid environmental stress, have a proper diet, and continue exercising. Some of these people may even be monitored without treatment and treated for symptoms when they return.
Treatment of ovarian laziness
Ovarian laziness in adolescent girls
Most patients are adolescent girls with the disease, and mothers are advised that in the first two years of puberty, menstrual cycles are not expected to be very regular and timely, but after two years when they notice Your daughter has severe Hirsutism or overweight. You should take your daughters to a gynecologist for treatment before these symptoms get worse.
People with ovarian laziness should always be monitored by a gynecologist for symptomatic treatment and treatment for symptoms such as overweight, hair loss or Hirsutism to prevent the disease from progressing.
Early and timely treatment slows the progression of the disease, and this is in the patient’s best interest. As a result, our primary goal is for adolescent girls who experience symptoms of menstrual cycle problems at an early age, and treatment should be given as soon as possible.
Prevention of ovarian laziness
There is no way to prevent this disease. This disease has a genetic background, but we can prevent further symptoms.
People with ovarian laziness, getting pregnant causes the ovaries to return to normal, and it has been found that the patient’s ovaries work well until a few years later and are not lazy, and therefore have confidence in themselves. Give your daughters and be careful that their symptoms do not progress and trust your doctor and always be in touch with them so that you can prevent the symptoms of this disease from progressing.