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
