scholarly journals Problems and Complications During the Treatment of Infertility in Women with Polycystic Ovary Syndrome

2016 ◽  
Vol 22 (2) ◽  
Author(s):  
Müberra Namlı Kalem ◽  
Ziya Kalem ◽  
Timur Gürgan
Keyword(s):  
Polycystic Ovary Syndrome ◽  
Reproductive Medicine ◽  
Chromosomal Abnormalities ◽  
Polycystic Ovary ◽  
Wide Spectrum ◽  
Treatment Protocol ◽  
Success Rates ◽  
Ovary Syndrome ◽  
Detailed Evaluation ◽  
Selection Of

<p>Polycystic ovary syndrome (PCOS) is the most frequent endocrine disorder existing in women in their reproductive years and it is one of the most evaluated and discussed subjects of reproductive medicine with regard to its diagnosis and treatment.<br />Patients with PCOS constitute the most difficult population in the management of infertility. The factors that increase the success rates in the treatment of PCOS infertility are: pretreatment changes in life style, dietetic and psychological support, a detailed evaluation of the couple and the appropriate selection of the treatment protocol, a wide-spectrum approach to maintaining ovarian and endometrial synchronization in the management of the cycle, and well-developed laboratory conditions to support embryonic quality. However, even if these conditions are provided, OHSS, cancellations of the cycle, poor oocyte, and embryo qualities, unsuccessful fertilization and implantation, chromosomal abnormalities and early losses may still be experienced.</p>

scholarly journals Fertility Treatment Options for Women With Polycystic Ovary Syndrome

2019 ◽  
Vol 13 ◽  
pp. 117955811989086 ◽  
Author(s):  
Shital Sawant ◽  
Priya Bhide
Keyword(s):  
Polycystic Ovary Syndrome ◽  
Polycystic Ovary ◽  
Treatment Options ◽  
Multidisciplinary Care ◽  
Reproductive Age ◽  
Fertility Treatment ◽  
Success Rates ◽  
Ovary Syndrome ◽  
Nonpharmacological Intervention ◽  
Selection Of

Polycystic ovary syndrome is the most common endocrinological disorder in women of reproductive age. It is commonly associated with anovulatory subfertility, for which there are a range of treatment options available to help them conceive. These options are given in a step-wise manner with an appropriate selection of patients to maximise success rates with minimal complications. This review discusses the importance and involvement of multidisciplinary care when offering treatment to women with subfertility. Multidisciplinary care gives an excellent opportunity to identify, assess risk, and potentially prevent future morbidities and complications while treating women for fertility issues. We have also summarised the various options available for fertility treatment: pharmacological treatments, nonpharmacological intervention, and assisted reproductive technology.

Optimal management of polycystic ovary syndrome in adolescence

2015 ◽  
Vol 100 (11) ◽  
pp. 1076-1083 ◽  
Author(s):  
Natalie Hecht Baldauff ◽  
Silva Arslanian
Keyword(s):  
Polycystic Ovary Syndrome ◽  
Polycystic Ovary ◽  
Wide Spectrum ◽  
Clinical Manifestations ◽  
Signs And Symptoms ◽  
Sleep Apnoea ◽  
Treatment Modalities ◽  
Hormonal Contraceptives ◽  
Lifestyle Modifications ◽  
Ovary Syndrome

Polycystic ovary syndrome (PCOS) is a heterogeneous disorder of reproduction and metabolism, which emerges at puberty, and is characterised by a wide spectrum of signs and symptoms of hyperandrogenism, anovulation, hyperinsulinaemia and associated comorbidities. Unlike adult PCOS, there are no agreed-upon diagnostic criteria for adolescent PCOS, but hyperandrogenaemia remains the sine qua non for its diagnosis. Many adolescent girls with PCOS are overweight/obese, and have a heightened risk for comorbidities such as dysglycaemia, dyslipidaemia, fatty liver disease, sleep apnoea and cardiovascular disease. Therefore, early and accurate diagnosis is essential for implementation of appropriate treatment and management. Available treatments include lifestyle modifications, hormonal contraceptives and insulin sensitisers. However, there are limited data on the best treatment modalities in adolescents. The objective of this review is to describe the clinical manifestations of PCOS in adolescents and the appropriate diagnostic work-up. The optimal treatment modalities based on a review of the available adult and adolescent literature will be discussed.

scholarly journals HEALTH ORIENTATION AND DISORDERED EATING ATTITUDE IN WOMEN WITH POLYCYSTIC OVARY SYNDROME (PCOS)

YMER Digital ◽  
2022 ◽  
Vol 21 (01) ◽  
pp. 181-191
Author(s):  
Ashima Narula ◽  
◽  
Dr. Mamata Mahapatra ◽  
Keyword(s):  
Polycystic Ovary Syndrome ◽  
Disordered Eating ◽  
Reproductive Medicine ◽  
Polycystic Ovary ◽  
Health Anxiety ◽  
Eating Attitude ◽  
Significant Implication ◽  
Ovary Syndrome ◽  
Significant Difference ◽  
Health Related

Reproductive medicine in the field of health psychology deals with the psychological aspects of the reproductive system and its consequences. Reproductive medicine provides an opportunity to understand the process of the menstrual cycle, pregnancy, hormonal conditions and illnesses, sexual behaviour, menopause by not merely from a biological point of view but also in light of psychological and social processes. Aline to this view, the study explored health orientation and disordered eating attitude in women diagnosed with Polycystic Ovary Syndrome (PCOS). The study captured the health-related behavior and attitude, which is a key component of the development of psychological distress in PCOS. It also examined the differences for the same in PCOS and Non-PCOS women. Total of eighty women, from the age group of 18-30 (young adults) were included in the study. The results highlighted, a significant difference among PCOS and Non-PCOS women on health image concern, health anxiety, health esteem and confidence, health expectations and health status. Finding also implied that there was a significant difference in disordered eating attitude of women diagnosed with PCOS and healthy women. These findings could have a significant implication for prevention, clinical practice and intervention in women with PCOS. The incorporation of medical and psychological actions to enhance their health-related quality of life may help these women.

scholarly journals Polycystic Ovary Syndrome in Teenage and Young Women

2019 ◽  
Vol 37 (2) ◽  
pp. 78-82
Author(s):  
Kamrun Nahar
Keyword(s):  
Polycystic Ovary Syndrome ◽  
Young Women ◽  
Reproductive Medicine ◽  
Polycystic Ovary ◽  
Human Reproduction ◽  
Ovulatory Cycle ◽  
Ovarian Dysfunction ◽  
Ovary Syndrome ◽  
Metabolic Derangement ◽  
American Society

Polycystic ovary syndrome (PCOS) is an inherent ovarian dysfunction. It is a common health problem that can affect teen girls and young women. PCOS is characterized by hyperandrogenism, irregular ovulatory cycle and metabolic derangement , including glucose intolerance and hyperinsulinaemia. Hyperandrogenism is a clinical hallmark of PCOS. Hypersecretion of androgen by the stromal theca cell of polycystic ovary is cardinal clinical manifestation. Though the exact cause of PCOS is not known , the syndrome can result from disturbance in the hypothalamo pituitary ovarian axis and hyperinsulinaemia. Several definitions have been produced to describe the disease. European society of human reproduction and embryology and the American society for reproductive medicine in 2004 define PCOS as manifestation of two of the following three J Bangladesh Coll Phys Surg 2019; 37(2): 78-82

scholarly journals Features of the course of pregnancy in women with polycystic ovary syndrome

2020 ◽  
Vol 69 (5) ◽  
pp. 105-112
Author(s):  
Igor P. Nikolayenkov ◽  
Tatyana U. Kuzminykh ◽  
Marina A. Tarasova ◽  
Darya S. Seryogina
Keyword(s):  
Diabetes Mellitus ◽  
Polycystic Ovary Syndrome ◽  
Reproductive Medicine ◽  
Metabolic Disorders ◽  
Polycystic Ovary ◽  
Cervical Insufficiency ◽  
Ovary Syndrome ◽  
Early Gestation ◽  
Surgical Methods ◽  
Methods Of Treatment

Polycystic ovary syndrome is one of the most common pathologies in the practice of an obstetrician-gynecologist. Overcoming infertility characteristic of this syndrome is an important problem of endocrinology, gynecology, and reproductive medicine. Innovative therapeutic and surgical methods of treatment can correct hormonal and metabolic disorders, induce ovulation and achieve a long-awaited pregnancy. Early gestation periods in patients with polycystic ovary syndrome often occur with miscarriage, and the risks of developing gestational diabetes mellitus, cervical insufficiency, gestational arterial hypertension, preeclampsia, and placental insufficiency increase. We have analyzed modern ideas about the effect of various pathogenetic links of polycystic ovary syndrome on the course of pregnancy.

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