Polycystic ovaries – Cause of infertility – Diagnosis & Treatment

One of the most discussed gynecological issues is Polycystic Ovary Syndrome (PCOC). An issue that seriously concerns adolescent and adult women and which is one of the most important causes of female infertility, affecting approximately 5-10% of women during their reproductive age (18-45 years).

Polycystic Ovaries & Diagnosis.

According to the Rotterdam criteria, in order for a patient to be classified as having Polycystic Ovary Syndrome, it is necessary to diagnose with ultrasound and blood tests which are performed from the 1st to the 15th day of the cycle, in order to determine the hormonal specific hormones.

The criteria that the patient should meet are the following:

  1. To present the ovaries of polycystic echomorphology.
  2. Have circulatory disorders with infrequent or sparse ovulation.
  3. Biochemical or clinical signs of high androgen concentration (hypertrichosis, hair loss).
  4. Increased body weight.
  5. Oily skin.
  6. Persistent acne.
  7. Miscarriages.
  8. Infertility problems.
  9. Pigmented thorns (thickened and dark skin on the neck and armpits).

In addition, pathological conditions that cause similar symptoms, such as congenital adrenal hyperplasia, Cyshing syndrome, ovarian tumors, prolactinoma and thyroid disease, need to be ruled out.

Since a woman has the full picture of Polycystic Ovary Syndrome and is unable to ovulate, we conclude that normal conception becomes difficult without the necessary medical support.

Early diagnosis and treatment of the disease helps the woman to achieve a pregnancy with a success rate of 90%, if of course there are no other serious factors that contribute to infertility.

SPO Treatment and Treatment

The treatment of SPO depends on the patient’s symptoms and reproductive plans.

Women who are overweight – this is known as “insulin resistance” – can improve their insulin metabolism by exercising daily (at least 40 minutes a day) and losing weight and changing their diet (low glycemic diet). and restore their ovulation.

Both acne and hair loss are treated with birth control pills and antiandrogens, in combination with Laser hair removal methods to remove unwanted hair growth.

If the patient has an abnormal menstrual cycle, she may be given birth control pills or progesterone.

If she does not ovulate at all then she will need to take ovulation preparations such as clomiphene citrate or Synthetic Ovulation hormone.

This substance acts as “antiestrogen” and thus forces the pituitary gland to function more dynamically and to secrete hormones that will stimulate the ovary.

Treatment with Synthetic Follicle Hormone Injections may be necessary after 3-6 cycles of unfortunate attempt to achieve a pregnancy.

Recent studies show that if this substance is combined with a low dose of cortisone, the conception rates increase even more.

SPO & Persistent Situations

In persistent conditions of SPO, laparoscopic procedures can be applied with great success, such as ovarian perforation or otherwise laparoscopic ovarian drilling.

During this operation, small holes are made in the surface of the ovaries. After the surgery there is no need to stay in the hospital, while the patient has no postoperative pain, does not create adhesions and shows an efficiency that exceeds 85%.

In other words, with a simple surgery we are able to permanently deal with the problem of ovulation and significantly increase the patient’s fertility rates.

Women who are being treated for polycystic ovary syndrome but are still unable to conceive naturally often turn to assisted reproductive technologies, including IVF, which record high rates of pregnancy.

The diagnosis of polycystic ovary syndrome can be stressful and upsetting. But the woman should consider that if she is properly informed, performs the necessary examinations and receives the right treatment plan, achieving a healthy pregnancy is simply the expected result.