DRHC Dubai Gynecology Clinic

Polycystic Ovaries - DRHC Dubai Obstetrics and Gynecology Clinic

It is a common condition affecting 1 in 5 women, causing hormonal imbalance resulting in several symptoms which vary from patient to patient. It has no cure. Many women are unaware of having it.

Common symptoms may include:

  • Irregular periods or delayed periods for several months.
  • Difficulty in getting pregnant due to failure of ovulation or infrequent ovulation which may lead to infertility.
  • Excessive weight gain and difficulty in losing weight due to insulin resistance.
  • Excessive hair growth (hirsutism) mainly on the face and body (chest, back, buttocks) due to excess male hormone (androgen).
  • Hair fall.
  • Very oily skin with acne and dark spots (skin hyperpigmentation).

Diagnosis:

  • Insulin resistance (will have abnormal glucose tolerance test).
  • Hyperandrogenic status (high testosterone level).
  • Absent ovulation can be found by low serum progesterone done on day 21 of the woman's period or failure to form an egg during pelvis ultrasound for ovulation tracking on Days 11, 13, and 15 of the cycle.
  • Reverse of hormonal ratios LH/FSH.

Causes of PCO:

  • Hereditary, family history of PCO.
  • Obesity causes metabolic syndrome and hormonal imbalance, with high BMI.
  • Inflammation, many women have low-grade inflammation causing excess androgen in their blood circulation leading to symptoms of excess hair growth, skin pigmentation, and acne.

Future risks to your health:

  • Type II diabetes mellitus.
  • Gestational diabetes.
  • Pregnancy-induced hypertension.
  • Fatty liver – cardiovascular disease.
  • Endometrial cancer.
  • Depression and anxiety.
  • Infertility.

Treatment:

  • Lifestyle modification is the main way to control it by doing daily exercises and avoiding high carbs in your diet.
  • Medications: Oral contraceptive pills to make your periods regular and to protect for ovaries and uterus (endometrial cancer protection).
  • Ovulation-inducing drugs if aiming for pregnancy.
  • Anti-androgen drugs to reduce and cure acne and reduce extra hair growth with thinning of hair.
  • Metformin and other insulin-sensitizing drugs for weight reduction and improving ovarian function.
  • Surgeries and laparoscopic ovarian drilling improve fertility. Many patients get pregnant spontaneously after drilling.
  • IVF in the form of induction of ovulation, collection of eggs, and combining them in the laboratory which will lead to forming embryos, and finally embryo transfer with a high success rate in infertility patients.

Early diagnosis and treatment may help to avoid all complications and maintain ovarian function.

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Dubai Obstetrics and Gynecology clinic at DRHC now provides top male and female gynecologists in Dubai to enhance the service on Cosmetic Gynecology, Surgical Gynecology, Contraception, Menopause, Labiaplasty, and so on. DRHC offers the best Endometrial cancer treatment. Dial +97142798200 to learn about abnormal uterine bleeding treatment, abnormal uterine bleeding symptoms, and dysfunctional uterine bleeding causes.

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