Polycystic ovarian syndrome is a hormonal disorder which is caused due to the enlargement of ovaries with the small cysts on the outer edges. This ensues during a woman’s childbearing year’s i.e. between 15 years to 44 years. This is a health problem which affects woman’s hormonal level, blood vessels, heart, menstrual cycle and fertility. Women’s with this syndrome have androgen level augmented which is a male hormone. This hormone imbalance causes many small cysts in their ovaries, irregular or missed menstrual cycle, facial hair growth and baldness. This also leads to many health problems like heart disease and type 2 diabetes and other pregnancy related complications. Women who can still get pregnant having this syndrome are at a high risk of pregnancy-induced high blood pressure, premature delivery, miscarriage, preeclampsia and Gestational Diabetes.
There are not such causes identified from previous studies but there is this assumption that the major reason for PCOD may be the excess of insulin which affects the ovulation of ovaries and in addition the low-grade inflammation and genetics may also lead excess androgen production thus causing PCOD.
The treatment advised for PCOD can be Non-surgical i.e. Medical Management or Surgical treatment.
Medications are prescribed depending on the diagnosis, severity, and complaints. Normally the prescription is to regulate the menstrual cycle. The medication includes combination birth control pills, progestin therapy, medications for ovulation and medicine to reduce the excessive hair growth.
Surgical interventions treatment for PCOD are of 2 types :
The Laparoscopic ovarian drilling - It is performed by a laser or electrocautery to destroy the ovary parts which leads to triggering of the ovulation. In this procedure the membranes surrounding the ovary are punctured.
Ovarian wedge resection - In this surgery the part of the ovary is removed which regulates the periods and the normal ovulation is promoted. This surgery is normally not recommended as it has more risk of having scars on the ovary.
Once complete relevant investigations are done and if the patient seems to be appropriate for the surgery, all the details and risk factor related to the surgery are explained to the patient. This procedure is performed under general anaesthesia. For ovarian drilling the surgeon will firstly make a small incision or cut, and the surgical instruments are inserted through the same incision in the abdomen at the belly button followed by making punctures in the ovary. However in ovarian wedge resection, the resection of the ovary part is done wherein a part of ovary is removed.
If you have the following symptoms then you are a candidate for polycystic ovary syndrome treatment.
After the surgery, patient can see changes in her irregular menstrual cycle like having the cycles on time and there is a spontaneous increase in the ovulation. Though the results outcome are not that high compared to direct hormonal stimulation but it escalates the deviations of pregnancy ratios and declines the chances of hazard of ovarian hyperstimulation.
The patient needs to stay in hospital for 1 day and get discharged next day. Within 24 hours of the surgery the patient can perform her normal and regular activities depending on the patient’s recovery which may take few days to 2-4 weeks.
|SNo||Name of Procedure||Cost in India (USD)|
|1||Laparoscopic Ovarian drilling||2500 - 3500|
|2||Ovarian Wedge Resection||2800 - 4500|
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