Doctor insights on:
Treatment For Polycistic Ovarian Disease
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
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
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 7 more doctor answers
Estrogen replacement: Depending on your symptoms that may be early ovarian failure, tests can be done to see if your estrogen level is low. You can also obtain an amh level to determine if your ovarian reserve is truly low. If you need to take estrogen supplementation, Progesterone will need to be given each cycle as well if you still have a uterus. Your age and any medical issues may determine if you can take estrogen. ...Read more
Hormone Balance: The signs and symptoms that arise for pcos are due to excessive estrogen. Any way that you can decrease estrogen exposure may help. Others may also recommend balancing your excessive estrogen with additional progesterone. You can explore decreasing your estrogen by reading: the anti-estrogen diet. ...Read moreSee 1 more doctor answer
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
Yes: The management of polycystic ovarian syndrome involves treatment of individual components of the syndrome, which include hirsutism, oligomenorrhea, infertility, glucose intolerance, and obesity. Oral contraceptives are used to manage the first two problems. Weight loss with diet and exercise is important. ...Read more
What is the possible treatment for polycystic ovarian disease. I also have gout and antiphospholipid syndrome?
Metformin.: As you may already know PCOS is often associated with insulin resistance. Many women are treated with metformin which is a diabetes drug. there are good meds for gout. Antiphospholipid syndrome is associated with blood clots which may be very dangerous. I thinkits time to see your physician who has to be very smart. ...Read moreSee 1 more doctor answer
What type of treatment is better for pcod in women. Which treatment will cure pco completely. Polycystic ovar?
Many treatments: There is no cure for PCOS. It is something you are born with and a lot of it is genetic. It can be treated in many different ways. Every women is a little different. It depends of how much pre-diabetes or diabetes you have, what your periods are like, and any other problems. Maintaining normal weight is essential ...Read more
Varied: For the pain of a current ovarian cyst, over the counter pain medicines and occasionally prescriptions are necessary. Toward prevention, i suggest regular exercise, limiting processed foods, carbs, artificial sweeteners, and caffeine in your diet. If these are unsuccessful, you may want to discuss w your doctor the option of taking hormonal therapy like birth control to ovulation and thus cysts. ...Read moreSee 1 more doctor answer
Prevention.: Most hereditary ovarian cancer is caused by BRCA genes. The key is prevention. US, blood work and a physical exam every six moths. Oral contraceptives can decrease risk of ovarian cancer. If BRCA positive then removal of tubes and ovaries at about 35 or after childbearing. Need to make a cancer prevention plan with doctor. Also need close relatives to be aware of risk. Hope this helps. ...Read moreSee 1 more doctor answer
What are the fertility treatment options for a woman diagnosed with non classic congenital adrenal hyperplasia?
PCOS: Fortunately, we have great treatments for pcos. Some pcos patients may begin to ovulate if they loose weight, but others are not overweight. Metformin, a diabetic medication, often resets ovulation. Clomid (clomiphene) or letrezole are fertility pills that often work quite well for pcos. If you are facing infertility, i wrote a book about my own infertility - tick tock. ...Read moreSee 1 more doctor answer
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