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Polycystic Ovarian Syndrome (PCOS) Information
- Polycystic ovary syndrome (PCOS, also known clinically as Stein-Leventhal syndrome), is an endocrine disorder that affects 5-10% of women. It occurs amongst all races and nationalities, is the most common hormonal disorder among women of reproductive age, and is a leading cause of infertility. The symptoms and severity of the syndrome vary greatly between women. While the causes are unknown, insulin resistance (often secondary to obesity) is heavily correlated with PCOS...
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Medical treatment of PCOS used to be directed mainly at the symptoms (ovarian and adrenal suppression and anti-androgen therapy) and at restoring ovulation. Some medications used for these purposes are:
Oral contraceptives (ovarian suppression): Because these cause regular menstruation, they reduce the risk of endometrial carcinoma
Spironolactone or finasteride (anti-androgen therapy): These reduce the excessive hair growth by blocking the effects of male hormones
Clomiphene citrate, human chorionic gonadotropin, or dexamethasone: Induce ovulation
Low-carbohydrate diets and sustained regular exercise are also beneficial. More recently doctors and nutritional experts are recommending a low-GI diet in which a significant part of the total carbohydrates are obtained from fruit, vegetables and wholegrain sources. These diets help women with PCOS to maintain steady blood sugar and insulin levels and may assist in weight loss. A diet composed of mainly low-GI foods combined with regular exercise will also help to combat the effects of insulin resistance.
Many women find insulin-lowering medications such as metformin hydrochloride (Glucophage?), pioglitazone hydrochloride (Actos?), and rosiglitazone maleate (Avandia?) helpful, and ovulation may resume when they use these agents. Many women report that metformin use is associated with upset stomach, diarrhea, and weight-loss. Such side effects usually resolve within 2-3 weeks. Both symptoms and weight loss appear to be less with the extended release versions. Most published studies use either generic metformin or the regular, non-extended release version. Starting with a lower dosage and gradually increasing the dosage over 2-3 weeks and taking the medication toward the end of a meal may reduce side effects. The use of basal body temperature or BBT charts is an effective way to follow progress. It may take up to six months to see results, but when combined with exercise and a low-glycemic diet up to 85% will improve menstrual cycle regularity and ovulation.
- Click to expand
Health Blogs
Posted in
A less invasive way to improve the lives of those suffering from
Uterine Fibroids: One in five women may have fibroids during their
childbearing years, and fibroids are present in half of all women
by the age of 50. Sadly, fibroids are also one of the leading
causes of hysterectomy. A new option for the treatment of uterine
fibroids has just
... Read More »
Do you ever wonder where the ideas come from for groundbreaking
surgeries? There are skulls from Egyptian times with holes bored in
them…were these the first attempts at brain surgery, and who
thought it would be a good idea to drill a hole in someone’s head?
Well, this past month, a groundbreaking surgery took place in the
field of fertility,
... Read More »
Posted in Menopause by Dr. Sharon Orrange on May 01, 2012
Women asking for relief from hot flashes, without taking a pill,
may now have a good answer. Currently, the best complementary and
alternative medicine treatment for hot flashes is hypnosis. A
five-session hypnosis program reduced the frequency and severity of
postmenopausal hot flashes by 80%, according to results of a recent
study, which is
... Read More »
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1.
Metformin
78%
of the time -
2.
Oral Contraceptives
76%
of the time -
3.
Clomid
52%
of the time -
4.
Provera
85%
of the time -
5.
Progesterone
80%
of the time -
6.
Aldactone
73%
of the time -
7.
Depo-Provera
51%
of the time -
8.
Laparoscopic Surgery
73%
of the time -
9.
hCG (Human Chorionic Gonadotropin)
82%
of the time -
10.
NuvaRing
70%
of the time
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MembersJoin DailyStrength's Annual Pet Appreciation Month by joining this Member Group. Share your fa ... -
MembersIn the spirit of summer, which often represents a time to slow down, book a vacation, enjoy time wi ... -
Membersjust to come and talk about PCOS and how you are dealing with it or if you just need a friend to ta ...
