Content
- 1 Causes
- 2 evidence
- 3 Diagnostics
- 4 therapies
- 5 Multicystic ovaries and pregnancy
- 6 Forecast
- 7 conclusion
Normally, a woman's body in the course of life experiences hormonal changes. This may be due to pregnancy, childbirth, physiological maturation and aging. Under pathological changes in hormonal levels can form a variety of diseases, one of which is multikistoz ovaries.
Causes
In the formation of multiple, but immature follicles in the ovaries are involved biologically active substances called hormones. Ascertain the cause of imbalance in the hormone system in this pathology is quite difficult. There are a number of factors that can be the starting signal in the development of ovarian multikistoza:
- Genetic predisposition. It is transmitted through the maternal line.
- Inflammatory diseases of the pelvic organs. Particularly drawing attention to the disease is prolonged, with the transition to the chronic form.
- In the history of the patient, there are cysts, as well as other entities on the ovaries, the uterus having a hormonal nature.
- Changes in the body after birth.
- Overweight, and then by the diagnosis "obesity", considered the most common cause of multikistoza.
- Thyroid disease, associated with both the insufficient production of its hormones, and excess.
- Constant nervous stress, which is harmful to the whole body as a whole.
evidence
If the reasons for the emergence of the disease in women can be quite different, the symptoms are the same:
- cycle disorders: menstruation with multikistoze ovarian or irregular, or may be missing altogether. cycle length is increased (over 40 days);
- infertility - because pregnancy is not possible due to the fact that ovulation does not occur;
- due to violations of hormonal woman notes of oily skin and hair, because of what is necessary to wash your hair more often;
- on the face and chest and back pimples and acne;
- enhanced appearance of body hair in places where it is often, in general, should not be;
- can sometimes be voice changes timbre.
Diagnostics
The woman often comes to the gynecologist with complaints of irregular cycle and the inability to conceive a child in the presence of a regular sex life and a healthy partner. When these symptoms it is advisable to make the ultrasound organs located in the pelvis. Ovaries changed multikistozom will be increased in size, have an uneven surface.
They can be seen a large number of bubbles - a follicle containing a liquid. Yellow is not possible to identify the body, because ovulation does not occur. Following this study, the final diagnosis can be made.
It is also an important role in the diagnosis of ovarian multikistoza plays a blood test for a number of hormones, it is also called "reproductive panel." All biologically active substances affect one another, so the state of some hormones often affects the amount of the other. When multikistoze will dominate the male sex hormones (androgens) over female (estrogen).
therapies
Treatment of this disease is aimed at:
- correction of hormonal women;
- eliminate (if possible) the factors that could cause the development of multikistoza.
In most cases, prescribe hormone therapy in the form of oral contraceptives. They restore oocyte ovulation process and reduce the number of follicles in the ovary. Increased progesterone levels and hormone imbalance is corrected. Such preparations are chosen doctor depending on comorbidities, age and personal preferences.
For women with a high body mass is made special diet aimed at weight loss, maintaining hormonal levels in the complex treatment multikistoza. To power added feasible exercise for correction of body weight.
If abnormalities of the thyroid gland, which is now not uncommon, is appointed an endocrinologist therapy depending on the level of hormones.
In the presence of neural surge and stressful situations it is recommended as far as possible to change the rhythm of life, in some cases, be preferable to turn to a psychologist for advice. The nervous system is not only reflected on the hormonal background, and on all the organ systems, it is particularly important to know how to cope with stress.
By the more radical methods gynecologists include:
- Stimulation of production in the pituitary FSH, LH. This is done by injecting specific hypothalamic releasing hormone.
- Introduction of pituitary hormonesWhich directly without intermediaries stimulate the sexual glands on the development of the proper amount of hormones.
Multicystic ovaries and pregnancy
Without correction of pregnancy is impossible, because ovulation does not occur, therefore, the egg is not yet ripe for fertilization and is not ready. But with the right treatment the chances of a favorable bearing of pregnancy are quite high: it occurs in 65% of cases within 6 months after treatment.
Important! Multikistoz ovary has a tendency to recur, so doctors recommend to wait for the pregnancy after the passed six months of therapy.
Forecast
When normalization correlation level of estrogens and androgens, and fenced body from exposure to risk factors can forget about this disease. The menstrual cycle is normal, mature follicles have formed, if desired, a woman may become pregnant.
conclusion
Multikistoz ovarian disease is difficult, because it leads to the impossibility of the women to have children. But pathology is good enough to diagnose and treat. A few months after successful therapy can start to plan for pregnancy. The main thing is to consult a gynecologist when the first symptoms.
The information and materials on this website are provided for informational purposes only. You should not rely on the information as a substitute for the actual professional medical advice, care or treatment.