Polycystic ovary syndrome is one of the most common endocrine disorders as well as genetic disease which is found in women. Generally, this disease is seen in women whose age ranged between 12 and 45 years and cause subfertility, anovulation, irregular menstruation period, amenorrhea, infertility, excessive amounts of testosterone, insulin resistance etc.
Basically, after running a test on the patient, there are two types of treatment that most doctors will prescribe for the patient; medication and surgery. Each of these medication has their own risk, advantages, and disadvantages. This is why a thorough and complete investigation should be taken before giving a proper polycystic ovary syndrome treatment to the patient.
The first type of treatment for polycystic ovary syndrome is medication. Choosing this treatment, the doctor will try to regulate the patient’s menstrual cycle. In case the patient do not desire to get pregnant, the doctor may give recommendation to consume low-dose progesterone and esterogen hormone pills, but these pills will only help in fixing the abnormal bleeding suffered by the patient by decreasing the androgen hormone production which will decrease the risk of endometrial cancer that can be caused by the polycystic ovary syndrome.
Another course of progesterone hormone pill may be taken for medication for polycystic ovary syndrome if the first medication still shows no progress. The patient may take the pill for up to two weeks every month. This medication will also regulate patient’s menstrual period and protect the patient from endometrial cancer without improving the androgen hormone level. Other medication used for the treatment is metformin which can help patient in decreasing her insulin level. This medication will improve ovulation and fix the menstrual period back to normal.
In case the patient wishes to become pregnant, the doctor should assist the patient by giving medication to help the ovulation during the polycystic ovary syndrome treatment. The most famous medication that usually used for this treatment is clomiphene citrate which is an anti-estrogen medication. The patient should take the medicine orally, along with metformin if there is no progress found. If there is still no progress after consuming both medication (chlomiphene and metformin), doctor may ask the patient’s permission to use gonadotropin, an FSH (Folicle stimulating hormone) and LH (liutenizing hormone). The medication itself will be given to the patient by injection.
Another symptoms of polycystic ovary syndrome is excessive hair growth. During the polycystic ovary syndrome treatment, doctor may recommend the patient to take birth control pills or spironolactone that can control and block androgen hormone effects on the patient’s skin. However, doctor should never recommend these medication for polycystic ovary syndrome treatment if the patient wishes to get pregnant.
In case there is no progress found to cure the polycystic ovary syndrome, doctor may recommend the patient to take laparoscopic ovarian drilling. This is a type of surgery that has become an option for women with polycystic ovary syndrome. In order to induce ovulation, a surgeon will insert a camera-attached tube through a small incision in the patient’s abdomen. Using the help of the camera, the surgeon will use electrical or laser energy to make holes in patient’s follicles.
The polycystic ovary disease has not yet received a completely successful mode of treatment. A lot of researches have been going on and let us hope that in the future, a sure-shot treatment method will emerge to the relief of the women who suffer from this disease.