SYNDROME OF OVARIES POLIQUÍSTICOS

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	SYNDROME OF OVARIES POLIQUÍSTICOS
	*SYNDROME OF OVARIES POLIQUÍSTICOS*

SYNDROME OF OVARIES POLIQUÍSTICOS

The syndrome of poliquisticos ovaries or SOP, is a endócrina disease that affects between the 5%-10% of the women in reproductive age and it is characterized mainly by the presence of two to three simultaneous problems: obesity or overweight, anovulación, that is the ovulation absence, which it causes irregular menstrual periods with tendency to be delayed and hiperandrogenismo, that is the increase in the masculine hormone production, which causes that the women who suffer it, has more hair in the face, thorax and thighs and until certain characters of masculinidad in advanced degree.

Between the symptoms and signs of this disease they are:

- the oligomenorrea that is when the interval between two menstruations is of 36 to 90 days or amenorrhoea that is the lack of menstruation.

- the lack of ovulation

- the infertility.

- Hirsutismo or excess of hair in the body caused by the excessive masculine hormone production.

- Acne.

The women who present/display this problem, have greater risk of undergoing infarcts of myocardium and diabetes 2 type or intolerancia to the glucose in their adult age, since she is frequently associated with the resistance to the insulin and hiperinsulemia and with the cholesterol and the obesity.

Recent studies have demonstrated that the application of treatments similar to the used ones for the diabetes improves the glucose levels, insulin and lipids and can revert and control the problem.

The patients must watch and control their diabetes and their cardiovascular risk, by means of the control of weight, doing exercise regularly, taking care of their diet and avoiding to smoke.

The treatment for the symptoms of the hiperandrogenismo, as they are the acne and the hirsutismo, consists of suppressing the production of testosterone of the ovary by means of oral contraceptives (estrogen and progesterone). The infertility and lack of ovulation are dealt with medicines and therapies with laparoscopía or laser in the ovaries. The infertility in women with SOP, has been treated successful, taking care of much the diet, the exercise and controlling the weight. Nevertheless, the women with SOP have shown to have greater tendency to the gestacional diabetes and problems of resistance to the glucose during the pregnancy, reason why he is recommendable in the beginning to measure the glucose levels of the pregnancy and again to the 26 or 28 weeks.

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