Polycystic Ovary Syndrome



What is Polycystic Ovary Syndrome?

This condition is marked by the presence of small, multiple cysts in the ovaries, along with amenorrhoea and infertility. It occurs between the ages of 16 and 30 years. Women have an increased rate of testosterone (male hormone) production; however the production rate of female hormone is usually normal.

Polycystic Ovary Syndrome Symptoms

Menstrual periods tend to be scanty, until finally they stop completely. This gives rise to infertility and is often the reason the patient comes seeking medical advice. Unwanted facial hair can be an outstanding feature, and this may send the patient to the doctor. Often there is obesity, and frequently some enlargement of the clitoris just above the vaginal entrance. The ovaries are enlarged and contain multiple small cysts.



Polycystic Ovary Syndrome Treatment

Because the exact cause is not known, treatment is controversial. It seems that “wedge resection” of the ovaries provides the most effective form of treatment and may enable the woman to become pregnant. Its use as a long-term measure to re-establish ovulation is uncertain and variable. This also enables a check to be made for possible serious underlying pathological changes in the ovaries. Clomiphene citrate has been effective in restoring ovulation in some patients with a return to fertility, but once it is stopped, it seems that ovulation may stop once more. It may be necessary to give it cyclically long-term. Bromocriptine may also be effective. In some cases, the corticosteroid drugs may be of value. Once facial hairs have become established, the symptom appears to be permanent. Your browser may not support display of this image.