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IS POLYCYSTIC OVARY SYNDROME AN OBSTACLE TO HAVING CHILDREN?
There are many reasons that cause the problem of infertility. So, does the most common endocrine disease in women, polycystic ovary syndrome, lead to infertility? Obstetrics, Turkey Medicals Ankara JCI medical hospital Gynecology and In Vitro Fertilization Specialist Operator Doctor made important statements on the subject.
Obstetrics, Gynecology and In Vitro Fertilization Specialist Operator Turkish Doctor, “If there are at least two signs of menstrual irregularities, body hair growth, acne, hair loss, and polycystic ovary morphology, patients are diagnosed with polycystic ovary syndrome. The clinical manifestations of this health problem are variable. The incidence varies in between. In the case of the presence of polycystic ovary syndrome (PCOS), if we detail the most common signs;
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OLIGO/ANOVULATION
A woman between two pieces of 35 days or more than 35-day or 200-day (average 6 months) pieces can be seen.
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HYPERANDROGENISM
It is a condition in which one of the signs of male pattern hair loss is detected in the body, acne formation, male pattern hair loss, or one of the levels of free testosterone, dehydroepiandrosterone, and androstenedione, one of the androgen hormones, rises.
The most common manifestation of clinical hyperandrogenism in PCOS is Hirsutism. The diagnosis of hisrutism is made by performing hair growth scoring according to the Ferriman-Gallway Scale in 9 different body regions. scoring above 8 is considered Hirsutism.
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MORPHOLOGY OF POLYCYSTIC OVARY
There are at least 12 follicles with a diameter of 2-9 mm or increased ovarian volume (>10 ml) lined up in the form of pearl grains in the ovarian cortex,” he said.
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IS POLYCYSTIC OVARY SYNDROME AN OBSTACLE TO HAVING CHILDREN
A diagnosis is made if there are at least two of the signs.
IVF Specialist Doctor, “in the United States, the National Institute of Health (NIH) and the American Society of Reproductive Medicine / European Association of Human Reproduction and Embryology (ASRM/ESHRE) proposes as oligo/anovulation, insulin resistance, polycystic ovarian morphology, and the presence of at least two of the findings of the patients in the case of “polycystic ovary syndrome” is diagnosed. Of course, in addition to this; obesity, insulin resistance, hyperinsulinemia, high LH levels and high LH /FSH ratio are also important findings that may accompany this syndrome,” he commented.
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INFERTILITY ASSOCIATED WITH POLYCYSTIC OVARY SYNDROME
IVF Doctor, “In patients we are considering a diagnosis of polycystic ovary syndrome, it is of great importance to distinguish other diseases that mimic the characteristics of this syndrome, to apply the right approach and the right treatment to the patient. A large number of women with polycystic ovary syndrome apply to us because of the problem of infertility, that is, infertility. Although the main cause of infertility may seem to be oligo/anovulation, endometrial (uterine membrane) changes that prevent implantation (embryo retention) and obesity are also factors that lead to infertility. In cases where we cannot find a different cause in women with polycystic ovary syndrome who have applied to us for infertility, we think that infertility management associated with polycystic ovary syndrome is necessary,” he said.
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IS IT POSSIBLE TO CURE IT?
Doctor, “At the first stage of treatment, we offer patients a lifestyle change. We make this recommendation to both obese and thin women with PCOS. The combination of diet and exercise provides an improvement in the hormonal profile, while assisted reproductive techniques increase the response to their treatment. It also reduces the risk of complications that may occur during pregnancy. The first step in the treatment of infertility due to Polycystic Ovary Syndrome is medical treatment after lifestyle changes. In PCOS-related infertility, if there is no positive response from the drugs used by the patient in a certain dose, there is no response to ovulation induction treatments, or if october are additional infertility factors, we use the Turkey In vitro fertilization (IVF) method,” he said.
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