They are afraid almost the same as dentists. And, as without help «Nuts», we, women, can not do without their support. After all, it is to the gynecologists that we go with all our female misfortunes, one of which is polycystic ovarian. «Understand» Doctor Gynecologist-Endocrinologist Olga Josephovna Sikirin helps him.
Content
- Why in polycystic ovary woman can not conceive a child?
- In the ovary, the process of ripening eggs is disturbed: instead of developing, they «Frozen». And this happens at the stage of formation of the menstrual function, that is, often in adolescence.
Other ovarian polycystic. It may arise at a later age due to chronic inflammatory diseases of the female genital sphere. It is clear that with completely disturbed work of the ovary, a woman will not be able to conceive a child, and doctors are diagnosed «infertility».
- What a woman should pay attention to not miss this disease?
- First of all, it should alert the irregular periods, long delays. This is the main symptom. Once the egg does not ripen, it means that the uterine mucous membrane does not ripen. Menstruation have to wait a month, the other, the third. Happen and breaks until six months.
During the formation of the ovarian function, the girl may not give much importance to such delays. At the same time, it is worried about oily skin, acne, hanged hair, but these manifestations are easily written off on the costs of puberty. But time is coming, and problems do not disappear. Then suddenly, without visible reasons, the weight of 8-10 kg can increase, the superfluous appears «vegetation»...
- Why the disease begins at such a young age?
- The reasons are most often stress, mental injuries experienced by the girl in the 10-12-year-old age. Adenoids, sharp respiratory viral infections can push the development of the disease. Wrong environmental conditions are able to provoke a poor and sharp climate change. All this knocks down the nervous system from the right Lada, it prevents it from it to allocate substances normally, «Guidelines» The work of the ovarian.
How to recognize cunning polycystic?
- Is it really nothing hurts with polycystic?
- It happens, women experience some pain, belly below as if pulls. May be painful monthly. But sharp, severe pains, as a rule, do not arise. On the one hand, well, there is no torment, on the other - bad. The patient postpones visit to the doctor and launches the disease. Meanwhile, she is to quickly appeal to the gynecologist-endocrinologist and complete the full diagnosis.
- How to be examined by girls and women who suspected polycystic?
- For accurate diagnosis, a comprehensive examination is necessary. Need to do ultrasound of a small pelvic organs in different phases of the cycle, if it is still saved. Be sure to explore the daily urine on 17-CC to determine the number of men's hormones in the body. Or make blood test for testosterone. Also need to pass blood tests from Vienna to Hormones LG and FSH, which are managed by ovaries. And three times: in the first phase, then during ovulation and in the second phase. In case the cycle phases are not expressed, the tests are taken with a break in 7-10 days.
- Is it possible to track these cycle phases?
- Yes, measure the rectal temperature in the morning (in the rectum) and draw graphs that will reflect the ripening process of the egg. By the way, on the basis of an individual temperature schedule, a woman can also detect malfunctions in the ovaries. If in the middle of the cycle, the temperature does not rise to 37°From and above, and the whole month holds at the same level, it makes sense to consult with the doctor.
Treatment of ovarian polycystosis
- How polykistosis is treated?
- Treatment depends on how many symptoms of the disease are expressed, whether the hormonal balance in the body is strongly broken. The doctor must also take into account the desire of the patient: maybe it is not interested in the problem of pregnancy, and only a cycle violation is worried.
For a long time, a single hormonal drug Diana-35 was prescribed to patients as medication treatment. Its reception is effective, but this drug belongs to the group of midded hormones and can cause weight gain, nausea, swelling. In addition, it turned out that the antandogen component of this medication is the one that suppresses the action of male hormones - not very active.
Now there are lowered drugs with a lower content of hormones, which almost do not affect weight, do not disturb the digestion, do not cause edema. And most importantly - they actively reduce the level of men's hormones.
In particular, to such drugs belongs to Silest. His reception for the first two months gives positive cosmetic results - the appearance of the skin is noticeably improved. But in order to influence the ovaries, you need to drink a medicine for several months, following the condition of all organs and systems. And then to be examined again to check whether the drug acts whether it is worth drinking.
However, hormonal drugs are treated independently I do not advise, because even the most perfect medication is not suitable for everyone and can lead to irreversible consequences.
- And if the hormones do not help?
- In this case, it makes sense to carry out laparoscopy. This is a small-acting operation at which instead of one large cut make three small. They are not even stitched, but briefly close with brackets. After healing, these places of surgery remain almost invisible. During laparoscopy from ovaries, triangular pieces are cut out. Such a violation of their integrity contributes to the release of ovarian hormones and ripening eggs.
This is a planned operation. It is necessary to prepare for it: to hand over common analyzes of urine and blood, blood for the definition of a group and a ray factor, the level of sugar, protrombin, biochemistry, AIDS, syphilis and hepatitis, check the blood coagulation rate. Also need to make ECG and fluorography.
The operation is carried out under general anesthesia, so that anesthesiologist is present on it. If the laparoscopy is held in the morning, in the evening the patient can already get up and move. On the 3-4th day prescribe an extract from the hospital.
- How quickly can the menstrual cycle and the ability to conceive after such an operation?
- Within 3-6 months after the operation, the patient restores the rhythm of menstruation. The control ultrasound is carried out (you need to see what happens with the ovaries). And already the next step of the doctor becomes stimulating ovulation — Egg release process. After all, the conception of the child is possible only during ovulation.
Stimulate the process of ovulation using synthetic analogs of hormones LH and FSH. Usually pregnancy occurs within 6-12 months after surgery. Especially long to pull is not worth not to miss the time. But if the girl is still too young for motherhood, she needs to follow the work of the ovaries, measure the rectal temperature and show a doctor regularly. May have to take hormonal drugs for some time. They are needed in order to eliminate external manifestations of excess male hormones: acne, fatty skin, exhaust.
Features of treatment during pregnancy
- During pregnancy, it also has to take hormones?
- No, in the case of pregnancy, hormones are canceled. The offensive of pregnancy is already in itself means that the woman recovered. But she still needs to be careful, follow their condition. After all, pregnancy got it difficult for her, and it is necessary for anything to keep the child. In rare cases requires supporting drug therapy.
Prevent polycystic
- What prevention measures you could recommend?
- You need to create adolescent girls with the rules of sex hygiene and intimate life as early as possible. Infections and abortions cause chronic inflammation in the appendages of the uterus, violate the function of the ovaries.
Mama is more often interested in the health of their daughters: whether periods come in time, disturbed «Cosmetic flaws». And if the daughter had some problems, you need to go to a good specialist with her.
