Long-term complications
There are many long-term consequences of PCOS. If PCOS is not properly treated there is a bigger chance of having long-term consequences. One of these consequences is type II diabetes. Women with PCOS frequently have hyperinsulinism and insulin resistance. Women who have irregular ovulation tend to have more insulin resistance. Insulin resistance is a precursor to diabetes, so PCOS patients are more at risk of developing diabetes. It is also shown that women with PCOS are more at risk of having glucose intolerance. Researchers found that women with PCOS also have an increased incidence of mortality related to diabetes complications (Nandi et al., 2014).
There is an increased prevalence of cardiovascular disease in women with PCOS. Obese women with PCOS, women with infrequent menstrual periods and women having signs of hirsutism tend to have higher systolic blood pressures leading to hypertension. PCOS patients are also at risk of atherosclerosis. Those who are
…show more content…
So, research’s suggest clomiphene citrate as the best treatment of infertility in PCOS patients. Letrozole can also be combined with metformin to help induce ovulation. Gonadotropins injections and laparoscopic ovarian drilling are second-line interventions if clomiphene fails to induce ovulation. Laparoscopic ovarian drilling is a procedure that involves a laser used to destroy parts of the ovaries that are preventing ovulation. Vitro fertilization is where mature eggs are taken from the ovaries and are fertilized by sperm in a lab setting. Vitro fertilization is used as a last resort when all other treatment is unsuccessful. Women with fertility problems also need emotional support to help prevent depression, poor self-esteem and negative body image (Goodarzi et al.,
Polycystic Ovary Syndrome is a common endocrine disorder that can affect many women. It is also “an incurable disorder that affects 1 in 10 women and over 50% do not know they have it” (PCOS Awareness Association, 2014). An ultrasound exam can reveal that women with PCOS have a collection of follicles on enlarged ovaries. The particular cause of polycystic ovary syndrome is unknown. It could be connected to long-term complications; therefore, doctors recommend weight loss to reduce this risk. Also, early diagnosis and treatment can have an impact on deciphering if a woman will have long-term complications. Such complications include type 2
The motive of this paper is to present a analysis of current research on polycystic ovary syndrome more commonly known as PCOS. Pcos is one the most common endocrine disorders in women of reproductive age, affecting 5-10% of the population. Despite it's prevalence, pcos remains largely unknown. The main focus of this paper will be explaining what PCOS is, the causes, the diagnosis and the treatment of polycystic ovary syndrome.
Polycystic ovarian syndrome (PCOS) is a heterogeneous collection of signs and symptoms that together for a spectrum disorder with a mild presentation in some but a severe in others. The pathophysiology of PCOS appears to be multifactorial and polygenic. (Fox, 2011)
One study done on one hundred patients with PCOS showed that administration of metformin and pioglitazone shows 50 percent effectiveness in helping menstrual cycle irregularities by the end of six-months of treatment. Both medications also showed a decrease in LDL and an increase in HDL overall, but this was seen more in the pioglitazone group. This study showed that 64% of women with PCOS also had hyperinsulinism. HOMA-IR, used to assess insulin resistance, was shown to have a 15% decrease with metformin and a 50% decrease in patients who used pioglitazone. Thus, for protection from diabetes pioglitazone may be the better treatment. Ovulation was shown to be restored in up to 56% of patients on metformin and pioglitazone. This study showed that pioglitazone may be a new and better option for treatment of PCOS since it can delay onset of type II diabetes, help with signs of hyperandrogenism, and regulate menstrual cycles (sangeeta,
Polycystic Ovarian Syndrome also known as Stein-Leventhal Syndrome, occurs in 5% to 10% of women and is one of the causes of infertility. PCOS is observed by ultrasound as a number of small cysts on a woman’s ovary, and it’s
Since PCOS is the most common endocrine disorder for women of reproductive ages, Questions to explore are: How does lifestyle factors such as obesity impacts the development of PCOS, how does PCOS affects a women quality of life and what are the best treatment options?
For this article there were no research questions, but the authors wanted to focus on the pathogenesis, diagnosis and treatment of PCOS. They found that polycystic ovary syndrome (PCOS) is common in women, with a10% prevalence in women of reproductive age. Polycystic ovary syndrome is defined as ovarian dysfunction with polycystic ovaries. It also includes androgen excess which is shown by testosterone levels being elevated. Increased levels of testosterone can be seen through excess body hair. Obesity is seen in many women with PCOS, this can lead to insulin resistance and Type II Diabetes. Genetics has an impact on polycystic ovary syndrome with 20-40% of people with PCOS having first-degree relatives with the syndrome.
The purpose of this paper is to discus the etiology, symptoms, diagnoses and treatment of polycystic ovary syndrome. Polycystic ovary syndrome is also known as PCOS. Polycystic ovary syndrome is a common endocrine disorder found in women of the reproductive age. First identified in 1935, polycystic ovary syndrome is diagnosed by the presence of polycystic ovaries, menstrual irregularities, and clinical or biochemical hyperandrogegism. “Symptoms of PCOS include changes in the menstrual cycle, such as: Not getting a period after you have had one or more normal ones during puberty (secondary amenorrhea), Irregular periods that may come and go, and be very light to very heavy. Other symptoms of PCOS include: Extra body hair that grows on the chest, belly, face, and around the nipples. Acne on the face, chest, or back, and skin changes, such as dark or thick skin markings and creases around the armpits, groin, neck,
I chose to write about PCOS because I myself suffer from this disease. PCOS is short for Polycystic Ovarian Syndrome. PCOS is a type of disease where your ovaries fill up with follicles filled with fluid (cyst). It causes mainly infertility and type 2 diabetes. This disease is more common in women who are in the reproductive stage. Not only can it cause the infertility and type 2 diabetes, but it can also cause an irregular menstrual cycle and can cause your body to produce more of a male hormone called androgen. Some other things it may cause is depression, anxiety, high blood pressure, sleep apnea, high blood sugar and many other health problems. The cause of this disease has not been yet identified, but it is said one of the ways could be
Polycystic Ovaries Syndrome (PCOS) is an ovulation disorder and infertility that occurs in many women. Polycystic ovaries syndrome dates back to 1845 where it was described in a French manuscript as being "changes in the ovaries". It was called "sclerocystic". Polycystic ovaries syndrome is a problem that occurs in with the ovaries. A "polycystic ovary is characterized as being a tough, thickened, shiny white covering overlying a layer of many small cysts just under the ovarian surface." (Thatcher, 10). That was the description that was found in the French manuscript and is still being used to this day for doctors to define polycystic ovaries. A wedge resection in
Despite the possible positive impacts of menopause on PCOS symptoms, it should be noted that life-long health risks persist even after the onset of menopause. As women with PCOS age, they tend to have high levels of insulin, impaired glucose metabolism, and higher insulin resistance compared to women without PCOS. These conditions can eventually lead to cardiovascular diseases, type 2 diabetes, and metabolic syndrome. It should also be noted that hirsutism or abnormal hair growth can remain long after the onset of menopause.
Polycystic ovary syndrome is an endocrine disorder that affects at least 10% of women living in the United States. Insulin Resistance plays a large part in fertility for women who have polycystic ovary syndrome. Myo-Inositol improves fertility, and alleviates many of the symptoms associated with polycystic ovary syndrome and insulin resistance.
The Mayo Clinic (2016) defines PCOS as a common endocrine system disorder among women of reproductive age (p1). In short, the syndrome is a hormonal malfunction in a woman’s body. Physicians and scientists are unsure of a cause but seem to shift towards a genetic glitch (1). Normally the pituitary gland in the brain releases two hormones, Luteinizing Hormone and Follicle Stimulating Hormone which stimulates the pancreases to increase insulin production (9). The Follicle Stimulating Hormone [FSH] does just that, it stimulated the follicles in the
There is no cure yet, but there are many ways you can decrease or eliminate PCOS symptoms and feel better. There are different medicines that can treat symptoms such as irregular periods, acne, excess hair, and elevated blood sugar. Fertility treatments are available to help women get pregnant. Losing as little as 5% excess weight can help women ovulate more regularly and lessen other PCOS symptoms. The ideal way to do this is through nutrition and exercise.
A less understood element of PCOS are the psychological impacts such as severe mental health issue in the form anxiety, depression, body dissatisfaction, decreased sexual satisfaction, eating disorders, and decreased health-related quality of life (McCook et al., 2014). Additionally, comorbidities like obsessive-compulsive, interpersonal sensitivity, depression, aggression and psychoticism scores in comparison to health matches. Investigators concluded that PCOS significantly increased the risk for psychological morbidity (McCook et al., 2014). Infertility is a hallmark indicator of PCOS, and is often in initiator of diagnosis. Women who are unable to conceive from PCOS experience a significant decrease in quality of life (McCook et al., 2014).