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The ovary becomes symmetrically enlarged and full of small follicular cysts, as many as 30 at a time, with PCOD. The cysts contribute to hormonal imbalances and the maturing egg fails to be expelled normally. The ovary becomes filled with immature follicles mistakenly called cysts and due to the imbalance it causes more cysts to develop. It is a misunderstood syndrome, patients and doctors alike seek to cure PCOD. PCOD or polycystic ovarian disease is also know as Stein-Leventhal Syndrome or Polycystic Ovarian Syndrome (PCOS). With a medical history of missed or heavy periods and the need to take hormonal tablets to induce periods women are not hard to diagnose. These women are often obese and in some cases have excessive facial and body hair know as hirsutism because of an excess of androgen. A vaginal ultrasound can confirm the diagnosis which shows enlarged ovaries, an increase in the bright central stroma and multiple cysts arranged in the shape of a necklace around the perimeter of the ovaries. Blood tests are also done to look for high levels of LH and normal levels of FSH hormones with elevated androgens. The cause of the disease is unknown but it it thought to have a hereditary component and is transmitted from mother to daughter. Obesity can aggravate the condition because fatty tissues are hormonally active and produce estrogen that disrupts ovulation. Having overactive adrenal glands can also produce excessive androgens. Insulin resistance or high levels of insulin are another characteristic women will have. Occult PCOD is usually found in thin women who have no symptoms and regular menstrual cycles. It is commonly found when they are super-ovulating and they over-respond by creating large amounts of follicles. These women tend to have miscarriages as well. Physical activity is important is treating this condition. Jogging, swimming, walking or any aerobic activity is advised. Weight loss is effective, a dietitian is often brought in to assist as it is not always easy to lose weight. Focusing on inducing ovulation to help the patient conceive is the plan doctors follow. Doctors must take special care when inducing ovulation because women with PCOD often have insulin resistance and don't respond to many drugs that would be used for this purpose. Medications that reverse endocrine abnormalities and increase ovulatary responses are utilized for treatment. Close monitoring must be done to ensure the follicles are not over-producing, there is a chance of multiple pregnancy with this regime. Ovarian drilling or laparoscopic ovarian cauterisation is done if the drug therapy is ineffective to restore ovarian function. This procedure is done on women that have large ovaries and their stroma is increased. The abnormal tissue is destroyed and it stimulates ovulation. In about 80 percent of patients they will resume their regular menstrual cycle after this surgery and 50 percent will become pregnant within a year. Prior to this a procedure called a wedge section was performed but it has inherent risks and is not done unless nothing else works. Intrauterine insemination is the next step for PCOD patients. After 3 failed cycles invitro fertilization is the next best option. It is best to find a doctor with experience with this procedure and this syndrome, it is treatable but it has to be closely watched to make sure you are not hyper-stimulated with hormones. When this happens eggs that are immature can be collected and fertilization and pregnancy rates are low. Find Further Advice On pcos treatments by visiting biogetica.com.
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