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The treatment is fundamental to the Polycystic Ovary Syndrome (PCOS) is the prevention of the chronic diseases to which it is associated and, fundamentally, the prevention of obesity.
Expert: Sonia Villa, gynaecologist of the Unit of Reproductive Medicine Clínica Monteblanco
Although until now there is no known cause of the Syndrome of Polycystic Ovaries (OS -P) is a common condition that affects between 6% and 10% of women of reproductive age in Chile and in developed countries, and it manifests itself in a clinical picture of varying spectrum, being its most common symptoms those caused by an increase in androgens (male hormones) circulating, that is to say:
- excess body hair
- skin with grease-increased
- hair loss with a definite pattern
Can cause -in addition - irregular or heavy menstrual periods, lack of ovulation and infertility. The metabolic alterations that are associated with the syndrome are primarily related to the metabolism of carbohydrates (“sugars”), and these are:
- glucose intolerance
- type 2 diabetes
- dyslipidemia with elevated levels of “bad” cholesterol (LDL) and triglycerides
“There is a clear family inheritance. However, it has not been found the mutation or genetic alteration that, by itself, be able to explain all elements of the syndrome and least of all its clinical variants”, explains the dra. Sonia Villa, gynaecologist of the Unit of Reproductive Medicine Clínica Monteblanco.
He adds that there is clearly an affectation environmental very important because some women with the syndrome and lead a healthy life with exercise and a healthy diet, manifest very little or no element of the disease. However, when these conditions are modified, they begin to express the elements and the syndrome becomes evident.
When you do not know the cause of PCOS has not been able to find a causal treatment potentially curative. The treatment key is prevention of the chronic diseases to which it is associated and, fundamentally, the prevention of obesity.
The fact that it is a syndrome means that a single element does not make the disease. This is why the clinical expression of this syndrome is so varied and its treatment and prognosis is different.
The diagnosis is made on the basis of 2 of 3 main elements:
- Menstrual irregularity: characterized by periods of more than 35 days between the start of a rule, and the beginning of another.
- Ovaries look polycystic on ultrasound: is there a criterion of ultrasound known, it is not only the impression of the sonographer, but are ovaries of a volume increased with multiple small follicles in its interior containing the eggs, “and that badly, in this case, we call “cysts”.
- Physical evidence: laboratory or of the excess of male hormones.
“With 2 elements present and by ruling out other diseases that could be mimicking the syndrome, the diagnosis is made,” says the specialist.