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Polycystic Ovarian Syndrome(PCOS)


 

Symptoms

  • Obesity
  • Acne
  • Hirsuitism
  • Acanthosis nigricans
  • Irregular periods
  • Subfertility
pcos treatmentNormal Woman &Obesity woman

pcos treatmentAcne

pcos treatmentHirsuitism
infertility treatmentAcanthosis nigricans

 

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

  1. clomephene citrate
  2. Letrozole
  3. Gonadotrophic injections .eg recombinant FSH,urinary FSH
  4. 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

  1. Diet with less carbohydrates
  2. Regular exercise
  3. Weight reduction

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Authored by Dr. Anitha Mani - Infertility Specialist & Laparoscopy Surgeon

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