Doctor insights on:
Progesterone Injections For Polycystic Ovarian Disease
Yes: Pcos seems to be lifelong. It is a disorder characterized by menstrual irregularities, reversed ratio of fshto lh, elevated ovarian testosterone production, anovulation, Insulin resistance, higher risk of early uterine cancer, hirsutism and infertility. Weight is typically above normal & involves Insulin resistance & circulating testosterone levels. ...Read more
Bloodwork + sonogram: To diagnose pcos, we need 2 out of 3 of: 1. Irregular periods 2. Clinical signs like acne, hair growth and/or blood tests showing too much male-type hormones (androgens) 3. Ultrasound appearance of polycystic ovaries: high volumes or antral follicle counts. Also need to "rule out" other causes of irregular cycles, acne, hair growth: thyroid, prolactin, adrenal gland issues. See OB or fertility md. ...Read moreSee 1 more doctor answer
LH can vary: Depending upon when it was drawn. There is a surge of lh prior to ovulation. Low levels of estrogen can cause higher lh as well. No one knows the cause of polycystic ovarian disease, but it results from Insulin resistance and has a significant genetic component, plus it gets much worse with weight gain. ...Read more
Can be controlled: To have the diagnoses of pcos you need to have androgen excess (increased hair growth, elevated testosterone or acne) irregular menstrual cycles and/or pcos appearing ovaries by ultrasound (you just need 2 of these 3 criteria to be diagnosed). The symptoms can be controlled with weight loss, cutting carbs, and medical therapy (ocps, metformin etc), but its not curable. ...Read moreSee 2 more doctor answers
Yes, lower insulin: Since pcod represents the expression of the type ii diabetes gene, the primary treatment is to lower dramatically high Insulin levels due to Insulin resistance. Insulin causes the ovary to increase male hormone production that inhibits follicle development. The treatment is best accomplished through a very low carbohydrate, high fat diet. Dramatic wt loss and increased fertility occurs. ...Read moreSee 2 more doctor answers
Yes. TTC or not?: Treatment is different if trying to conceive or not. If not ttc may need birth control pills, Insulin sensitizing medications, or anti-androgens to treat symptoms and prevent health issues. If ttc you need fertility testing first, and may need fertility treatment such as Insulin sensitizing medications (metformin) and ovulation induction treatments. See ob/gyn or fertility specialist (rei) if ttc. ...Read more
Depends, TTC or not?: If not trying to conceive birth control pills are often used, sometimes with antiandrogens like spironolactone as well to decrease acne/hair growth more than bc pills alone. If trying to conceive we use Insulin sensitizers like metformin, plus ovulation-inducing tablets - most commonly Clomid (clomiphene) or Letrozole - sometimes low-dose shots or ivf if needed. Surgery for pcos is no longer a good option. ...Read moreSee 1 more doctor answer
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