Polycystic Ovarian Syndrome (PCOS)
Symptoms
- Obesity
- Acne
- Hirsuitism
- Acanthosis nigricans
- Irregular periods
- Subfertility
Causes
Abnormal hormones levels resulting in high LH: FSH ratio causes PCOS
Findings
- Scan
- Unruptured follicles (which contain eggs) appear like a pearl
- Chain on USS.
Lab
- High LH:FSH ratio
- High androgens.
Reasons
- 1. Genetie predelition,with diabetic history in family.
- 2. Metabolic disorder due to excessive food intake in childhood
Treatment For infertility Medicines
- Clomephene Citrate
- Letrozole
- Gonadotrophic injections .eg recombinant FSH,urinary FSH
- Metformi
Surgery
Laparoscopy and ovarian drilling.
Laparoscopy drilling for PCOS
Polycystic Ovarian Syndrome is a hormonal disorder where women tend to produce higher than normal level of
luteinizing hormone (LH), insulin and the male hormone testosterone. This hormonal imbalance can affect your
menstrual cycle and cause fertility problems.
Laparoscopic Ovarian Drilling is a surgical procedure performed to regulate your hormone levels and it also
improves your ovulation and menstrual cycle providing you better chances to get pregnant. The surgery is
performed in women who did not respond to fertility medications.
Procedure:
General anesthesia is given to the patient.
The surgeon then makes small incisions in the abdomen at the belly button.
He then places a tube to fill the abdomen with carbon dioxide gas, so that he can insert the laparoscope
without making any damage to the internal organs.
The surgeon can insert surgical instruments through the same incision or by making other smaller incisions
in the pelvic area.
At GIFT-GYNO IVF CENTER
our expert doctors and
staffs strive to provide you with the best treatment for infertility.
Life style modification
- Diet with less carbohydrates
- Regular exercise
- Weight reduction
