Polycystic ovary syndrome, part 3

Polycystic ovary syndrome, part 3 A scheme to encourage more aggressive ovarian function is to administer exogenous human gonadotropin combined with the use of human chorionic gonadotropin (HCG) to induce ovulation.This therapy may be used in conjunction with intrauterine insemination with IVF treatment. Both forms of treatment require follow-up ultrasound to assess follicular growth and ovarian hyperstimulation, the ovulation and therefore, may occur.   Treatment protocols for IVF units vary from one to another, but usually a period of downward adjustment using gonadotrophin releasing hormone (GnRH) agonists are administered to prevent the release of LH from the pituitary gland. Endogenous production of FSH is largely prevented by the rules, so exogenous FSH is given to stimulate follicular growth and hCG, a protein similar to LH, is given to induce ovulation. Luteal support is essential as a GnRH agonist therapy interferes with the production of LH and no corpus luteum function effectively.Once diagnosed with Pcos was made and discussed treatment options, the couple may decide not to have any additional treatment and to seek advice from health professionals for the adoption or custody or remain childless. In Monarch? S study (1993), eight couples (27%) withdrew its research and treatment. All these couples were very close contact with their families and, therefore, had a good source of social support. For many couples this support will be crucial at a time when it may be the abandonment of all hope of having a child.Due to the complex nature of the polycystic ovary syndrome, women are at risk of disease in a number of forms which may require longer-term planning and management. First, there is an association with increased insulin resistance, which can lead to a disruption of glucose metabolism and the development of diabetes.Persistent anovulation and amenorrhea can cause endometrial hyperplasia, and Helmerhorst Helmerhorst and (1991 ) suggest, studies have linked to polycystic ovary syndrome with endometrial carcinoma. High levels of estrogen in women with polycystic ovary syndrome resulting from the conversion of androgens to estradiol in peripheral fat tissue. Obesity in women with polycystic ovary syndrome better than this conversion, and hyperoestrogenaemia can lead to an increased prevalence of diseases of the breast (Coulam CB et al., 1983). It was also reported that women with polycystic ovary syndrome are at risk for cardiovascular disease because of an unfavorable Lipo-protein (Wild et. Al, 1985). Therefore, it seems clear that once a diagnosis of Pcos has been done, and appropriate advice should be given the information available with regard to all these issues.Studies long-term health have shown that most men and women expect to have children and parents at some point in their lives. (Michaels, 1988, Phoenix, Woolett and Lloyd, 1991) and King (1993) points out, our society is pronatalistas. Motherhood is seen as providing an identity for women and gives them status. It is presumed fatherhood and encouraged, both within society and the media and the advertising industry believe that the norm. As discussed above, women with polycystic ovary syndrome are often obese and media images of slim, attractive and fertile women may serve to increase feelings of guilt and loss of self-esteem that can have.Every woman reacts differently to a diagnosis of infertility, but as Wills (1996) noted, many believe is his? something wrong with them? and therefore may feel socially isolated and stigmatized. More women are delaying always parents who decide to develop their career opportunities and difficulties that may develop within their relationship, when the diagnosis of infertility due to feelings of guilt associated with this delay. When in front, is associated with infertility may also fear rejection. Even the couples to improve their level of communication and understanding and their relationship can be strengthened. Sexual problems are common, while in the investigation and may be caused by a feeling of pressure to run. The need for more essential that the need for affection and closeness, and feelings of resentment and shame develop.Carole May Mallinson is a health professional with over 15 years of experience   in the field of male and female infertility. Join them and gain access to the range here   niche products with full medical entitlement commander Inteet