يصاحب تكيس المبايض العديد من الاعراض مثل فرط نمو الشعر في الوجه، السمنة، حب الشباب، عدم انتظام أو انقطاع الدورة الشهرية ومشاكل الحمل وغيرها يفرز المبيضان …
Peace and blessings of God be upon you
I am Adel Abdelnaser, a medical student and presenter of videos about Health Education.
In this video, I will talk about Poly-cystic Ovary syndrome (PCOS).
affects 4 – 6 % of female in the reproductive age
its etiology is unclear but mostly there is familial and genetic tendency
characterized by persistent ovulatory dysfunction and loss of normal hormonal cyclicity
It's the commonest cause of amenorrhea, anovulation,hirsutism and infertility
and assosiated with obesity
According to the ovarian pathology :
the ovarian size enlarged 2-4 times
with thick ivory white tunica albuginea
with multiple small cyst filled with clear fluid
with increase the level of all hormones
except the Progesterone hormone which secreted from the ovary
and FSH hormone which secreted from pituitary gland
the suggestive symptoms are : Hirsutism and Acne which occur due to increase the level of Androgen hormone,
anovulation,infertility,70% acanthosis nigricans and 50% obesity
how to diagnose Poly-cystic ovary syndrome ?
1- From the history : according to its Symptoms and Signs which are mentioned
2- By Ultrasound : we note that
the whole ovarian volume is increased >10cm
filled with multiple microcysts
arranged in Necklace appearance
3- By Hormonal level :
we note that increase the level of these hormones : estrogen,LH,androgen,Insulin,Prolactin
and decrease the level of these hormones : Progesterone and FSH
treatment ?
1- General measure : weight reduction,smoking is withheld and oral hypoglycemic agents
2- medical treatment :
according to the patient complaint
If pregnancy not desired and the main compllaint is irregular uterine bleeding
the treatment will be
1- medical : Synthetic estrogen and progesterone
2- D&C
3- Hysterectomy : if there is atypical hyperplasia or endometrial carcinoma
If the main complaint is Hirsutism : the treatment will be
Synthetic estrogen and progesterone with anti-androgen drugs
But if pregnancy is desired
the treatment will be
1- Medical : Induction of ovulation
2- Surgical : Laparoscopic ovarian drilling or Cauterization
3- Assisted Reproductive Technique (ART)
Long term risks of PCOS ?
Type 2 DM,Hypertension,coronary heart disease, Endometrial hyperplasia, carcinoma and fatty liver

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