Polycystic ovary syndrome is a hormonal disorder, which leads to lack of ovulation (no egg release occurs) and infertility. 5% to 10% of women in reproductive age suffer from polycystic ovaries. Nowadays the polycystic ovary syndrom is believed to be one of the most common causes of female infertility.
The gynaecologic department at the Clinic of Friedrichshafen offers the newest methods of conservative and surgical polycystic ovary treatment. Head of the Department MD Hans-Walter Vollerts is an experienced gynecologists, whose focus of scientific activity is diagnosis and minimally-invasive treatment of ovarian disorders. The interdisciplinary team of experts, consisting of gynecologists, endocrinologists and surgeons closely cooperates in investigating and treating the polycystic ovary syndrome.
The major causes of polycystic ovary syndrome correlate with the disorders in regulating brain systems - the hypothalamus and pituitary. The pituitary produces follicle-stimulating hormone (FSH) and luteinizing hormone(LH), which are responsible for the growth of follicles and the release of an egg (ovulation). The increase of LH leads to more intensive androgen production in the ovaries as well as the increased secretion of male hormones by the ovaries.
The main diagnostic characteristics of polycystic ovary are:
In a certain proportion of patients with polycystic ovarian long-term chronic exposure to estrogen and lower amounts of progesterone (corpus luteum hormone) can cause hyperplastic processes accompanied with uterine bleeding. Besides polycystic ovary can be regarded as a risk factor for cervical cancer. Polycystic ovary proven correlates with insulin resistance, obesity, diabetes, hypertension and atherosclerosis (stroke, myocardial infarction), steatohepatitis (liver inflammation caused due to excess fat). Therefore, patients with suspected polycystic ovarian syndrome are recommended to consult a physician as early as possible.
Symptoms of polycystic ovary syndrome are
The development of the polycystic ovary syndrom can be launched by a chronic inflammation of the or pharyngeal tonsils, acute respiratory viral infections. Besides the disease can be provoked by poor environmental conditions, and abrupt climate change.
One of the main symptoms of polycystic ovary syndrome is infertility. Pregnancy is not possible in the absence of a mature egg during ovulation. However, timely diagnosis and competent treatment not only eliminates the symptoms, but also help restore reproductive function.
Now infertility treatment is usually started with the appointment of hormonal drugs. An important treatment measure is to stimulate ovulation and reduce the level of male sex hormones, the formation of which is increased in this disease. In the presence of obesity it is absolutely necessary to is to reduce body weight.
To date, the first-line drugs in the treatment of polycystic ovaries are metformin, anti-androgen drugs (spironolactone, cyproterone acetate), estrogens (ethinylestradiol in a separate formulation or in the pill), progestins, low doses of dexamethasone (0.5-1 mg in case of suppress of adrenal androgen secretion).
If pregnancy does not occur, the specialists of Friedrichshafen offer a minimally invasive laparoscopic surgery. The operation can be done in two ways:
The cost of surgical ovarian treatment makes up about 7 000 – 10 000 euro, depending on the method and the clinical picture. Within a few months after surgery, the ovulation normalizes and the woman continues to try to get pregnant. Sometimes it is also recommended to stimulate the ovulation process by using synthetic analogues of the hormones LH and FSH. Normally, the pregnancy occurs within 6-12 months the after surgery. If the surgical treatment did not led to pregnancy, the alternative methods of conception - such as in vitro fertilization can help to achieve the healthy pregnancy.
If you have questions or need more information about treatment of PCOS, please don’t hesitate to get a primary telephone consultation at our International office in Friedrichshafen.