Nursing

Poly Cystic Ovarian Syndrome/Disease (PCOD), signs and symptoms of ovulatory dysfunction, polycystic ovaries, and hyper and rogenism, Management and treatment for PCOD

Polycystic ovary syndrome (PCOS) is a disorder that includes ovulatory dysfunction, polycystic ovaries, and hyper and rogenism. It most commonly occurs in women under 30 years old and is a cause of infertility.

What are all the Causes

* The causes are unknown.

What is the Signs and Symptoms of poly Cystic Ovarian Syndrome

* Hormonal imbalance

* Ovulation fails and multiple fluids filled cysts

* Irregular menstrual periods

* Amenorrhea

* Hirsutism and obesity. (80% of women)

* Oligomenorrhea and infertility

* Insulin resistance

Management

* Early diagnosis (pelvic ultrasound)

* To improve quality of life and decrease the risk of complications

* OCPs are useful in regulating menstrual cycles

* Hirsutism may be treated with spironolactone

* Hyper and rogenism can be treated with flutamide and a GnRH agonist such as leuprolide

* Metformin (glucophage) reduces hyperinsulinemia

* Improves hyperandrogenism

* Restores ovulation

* Fertility drugs may be used to induce ovulation.

Nursing Management

* A woman with PCOD includes teaching about the importance of weight management

* Exercises to decrease insulin resistance

* Obesity exacerbates the problems related to PCOD

* Monitor lipid profile and fasting glucose levels

* Support the patient as she explores measures to remove unwanted hair

* Stress the importance of regular follow up care to monitor the affective ness of therapy and to detect any complications

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