Polycystic ovaries by gynecologist in Medellín

The gynecologist Juan Federico Zapata explains about polycystic ovaries from Medellín

Gynecology

Author: Juan Federico Zapata Modified date: 26/11/2020

What are polycystic ovaries?

Polycystic ovaries are a dysfunctional disorder of the ovaries that causes polycystic ovary syndrome, which is a genetic and hormonal disease that occurs mainly in women of reproductive age.

What are the symptoms of polycystic ovaries?

The symptoms of polycystic ovaries are variable and depends on the presentation of the disease in each woman and may be different in each person, it can be characterized by having a tendency to be overweight, there are patients who are not overweight but have polycystic ovaries, there may be a tendency to acne, also a tendency to hirsutism which is an excess of hair all over the body abnormal in women, and it can also be associated with alterations of the menstrual cycle, in which this is very irregular and can sometimes be absent during one, two or three months, or it can also be associated with menstrual disorders characterized by abnormal bleeding and continuous menstruation, sometimes infertility problems are also associated with having polycystic ovaries, this can alter in some cases, it is not that a woman with polycystic ovaries you cannot get pregnant but they can cause difficulty in getting pregnant.

If I have polycystic ovaries, can I get pregnant?

If I have polycystic ovaries if I can get pregnant, in fact, I have to plan like any woman, however, there are patients with polycystic ovarian syndrome who may have difficulty getting pregnant, fertility difficulties, in these cases, they may need help from treatments to induce ovulation or more advanced ones to achieve fertilization, to know if you have difficulty having a pregnancy, is that after 6 to 12 months exposing yourself to pregnancy without any contraceptive method, there is the possibility of have a fertility problem that may require evaluation and treatment and may be associated with polycystic ovaries.

What is the treatment for polycystic ovaries?

Treatment is focused depending on the patient, if she wants to get pregnant in the short term or if she does not want to, if the patient wants to seek pregnancy in the short term, she should be helped with a nutritional counseling plan, a plan of Appropriate exercises that increase caloric expenditure and see if you suddenly need ovulation induction with medications, which helps you get pregnant more easily, that in the case of patients who have had a limitation in time to achieve pregnancy in time desired, if the patient does not want to get pregnant, it is necessary to look at what symptoms are bothering her, if she has a lot of acne, it is necessary to give cream preparations to improve the acne and also hormonal preparations that block the production of excess of hormones that activate acne that are antiandrogens, if the patient has hirsutism, which is excess hair on the face and body, it is necessary to give antiandrogen hormonal preparations that help to eliminate Narrow that hair since it does not occur so much, if the patient has menstruation alterations, it is necessary to help him organize menstruation with contraceptive drugs, if the patient is overweight, obese, he should get into a nutritional counseling plan, and an exercise plan guided by a gym or a personal trainer to help her increase caloric expenditure and lose weight, if the patient has cramps with menstruation or alterations in the menstrual cycle, contraceptive medications, some especially for the ovaries Polycystic will have a great beneficial and positive effect to counteract the symptoms of polycystic ovaries.

Do polycystic ovaries hurt?

In general, polycystic ovarian syndrome is not essentially characterized by pelvic pain, but in some special cases it can be associated with endometriosis or pain with menstruation or with pelvic pain during sexual intercourse that endometriosis may affect these symptoms and can affect quality of life.

How does polycystic ovaries affect menstruation?

Polycystic ovarian syndrome can affect menstruation in two ways, one that menstruation is very absent, comes every two, three or four months, or that you have a lot of difficulty menstruating, and the second way that menstruation can affect Polycystic ovaries in menstruation is that sometimes it is so out of place that it generates many hemorrhages and cycles very closely, which generates a lot of discomfort due to excess bleeding and that is also very uncomfortable for the patient.

With what test are polycystic ovaries detected?

Basically it is detected through a transvaginal ultrasound for patients who have already had sexual intercourse and that evaluates the ovaries and evaluates the uterus, in this ultrasound a count of the follicles that exist and determine if there are polycystic ovaries can be made or not, this is one way, but there are hormonal tests in the blood that can help to determine how there is an alteration by which polycystic ovaries can arise, the other thing is that there are also relevant symptoms in the patient that can guide the diagnosis as for example, being overweight, exaggerated acne, excess hair on the body, menstrual delays.

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