Although in the tactics of PCO treatment in recent years there have been some significant changes, conventional medicine uses still mostly only two types of treatment - hormonal and surgical. However, as already stated, the various forms of polycystosis have different pathogenetic mechanisms.
Hormone therapy is usually applied at the initial stage of polycystosis using oral contraceptives (Mercilon, Loestrin, Diane-35 and other estrogen-progestin preparati-ons), a continuous period of 3 menstrual cycles.
As a result of course, menstrual cycle become normal and ovulation occurs; progression of hirsutism is slowed and the size of the ovaries decreases. The authors of one study reported that estrogen-progestin therapy promotes spontaneous recovery of the hypothalamic-pituitary-ovarian system function.
True, I can not understand, how taking estrogen and progestogen you can regulate the processes of neurotransmitter metabolism in the hypothalamus and pituitary; is it really spontaneous?.. By the way, many women on the Internet forums have reported that hormone treatment does help to get pregnant, but after the abolition of all back to square one, and new cysts are frequently found. Hundreds of thousands of patients are forced to drink synthetic antiandrogens months and years. So what is talking about any kind of recovery?
Please note: contraceptives do not cure polycystosis! They only temporarily lead menstrual cycle to norm and eliminate the imbalance of hormones, but do not eliminate the causes of PCO. After discontinuation of treatment, all comes back, aggravated by withdrawal syndrome, which causes severe deterioration of the skin and hair loss.
Moreover, because the carcinogenic effect of oral contraceptives is proved, risk of cancer considerably increases to age. But doctors do not always warn you about it.
In the ovary, adrenal, and a mixed form of polycystosis, hormone therapy performed in cycles, with different drugs depending on the phase of the menstrual cycle and the addition of corticosteroids (prednisone or dexamethasone). If hormone therapy fails, surgical treatment of polycystosis appointed, using minimally invasive laparoscopic methods that provide reduced trauma and faster recovery after surgery.
However, surgical treatment should be initiated with the ineffectiveness of hormone therapy for 6 months and at the age after 29 years, as well as with the risk of developing endometriosis. But in real life, often it depends on persistence of the surgeon and degree of fear the patient.
By the way, it is noted that the surgical treatment of polycystosis can cause rapid ovarian failure. And, of course, there can be no question of any "spontaneous recovery" of neuroendocrine function, and after the operation the patient again assigned to hormone therapy. And with secondary polycystosis, surgery generally provides only a temporary effect, which lasts about a year.
Since PCO syndrome in most cases connected with infringement of insulin metabolism, there is a risk of developing metabolic syndrome (diabetes type 2, hypertension, disorders of lipid metabolism, atherosclerosis).
Therefore, in women with the PCOS, there is throughout life an increased risk of coronary heart disease, myocardial infarction, stroke and peripheral vascular disease, including venous thrombosis and blockage of the arteries. Long-term hormone replacement therapy seriously increases the risk of endometriosis, mastopathy, breast cancer.
So there is a direct sense not limited to "traditional" methods of treatment, but to try also "unconventional", especially if you are afraid "to be hooked" on hormones.
We'll get along without hormones?
Since it is known that a certain role in the development of polycystic ovaries are the primary metabolic disorders, in the first stage of treatment is necessary to normalize body weight and make a correction of metabolic disorders.
In the case of secondary polycystosis (PCO syndrome), as well as at the initial stage of polycystosis in prepubescent period, is contraindicated to begin treatment with hormonal ovulation stimulants, and this is directly spoken by many medical scientists. Especially it concerns surgery.
Hormone therapy may be given only after the correction of metabolic abnormalities. In the presence of obesity, hormones should be appointed only after reduction of initial body weight by 12-15% and with continued anovulation or luteal phase deficiency.
Before you for a lifetime will be hooked to hormones, or, moreover, decide on surgery, try sparing the natural methods that include low-carbohydrate diet, moderate exercise and receive herbal remedies, normalizing metabolism. Sometimes this is enough to relieve PCO syndrome and restore the cycle.
To reduce body weight is also recommend limiting the use of water and salt. But I do not know... In my opinion, the restriction of drinking as a measure for weight reduction has long outlived itself. F.Batmanghelidj, for example, recommends to weight loss drink 2.5-3 liters of water a day and make sure every morning one-hour walk to start the mechanism of processing fat reserves to energy.
Weight loss favorably affects the metabolism, reducing insulin resistance in tissues. According to Dr. Mussin (1989), in PCO patients with obesity after diet treatment in hospital, recurrence of menstruation was restored in 80% and 33% of patients become pregnant.
Preparations of chromium picolinate well help to reduce insulin resistance; these increase the sensitivity of the cells insulin receptors. The fact that chromium deficiency is a very common phenomenon; it is often the cause of insulin resistance, and in the future - diabetes mellitus type 2.
Chromium also controls cholesterol and triglycerides in the blood, reduces appetite. Chromium picolinate (GTF) has been used successfully for weight loss for several decades. This is the most active and biologically available form of chromium, while completely safe for health.
Many vitamins and mineral elements contribute to the normalization of insulin and androgens, reduce testosterone production. These include B-vitamins, vitamin C, vitamin E, magnesium, zinc, chromium, calcium and selenium. These substances are contained as biologically available forms in multivitamins and mineral complexes.
Many plants contain phytoestrogens and other natural substances that help normalize metabolism and hormonal balance. At the same phytoestrogens, unlike synthetic hormones, even after prolonged use does not have carcinogenic effects and do not suppress the production of the body's own hormones.
Dietary supplements containing vitamins, minerals and extracts of medicinal plants can be used by themselves, and as part of comprehensive treatment, increasing efficiency and removing the side effects.
In the correction of metabolic disorders is crucial to normalize the liver function, as the liver recycles all the hormones. Liver Aid (Liver support) contains in its composition extract of milk thistle, which is one of the most effective natural remedies for the protection and regeneration of liver cells.
Mega q-Protect, Mega Vitamin E-400 and Digestive Enzymes also contribute to normalization of the liver, gallbladder and pancreas.
Proper weight loss is not an easy task. The fact that the various restrictive diets often the weight decreases not due to fat loss, but due to loss of muscle component and fluid. For effective weight loss is necessary to ensure the body adequate amounts of nutrients to support muscle tone.
For this purpose, special supplement were developed - Slim Formula. You can read about the principles of effective weight loss and choosing of nutritional supplements in the article "Lose weight or get healthier?"
Metabolic failure may be caused by dysfunction of the thyroid gland (hypothyroidism). In this case, the body loses its ability to dispose of accumulated fat, so lose weight become problematic. The main factor of thyroid health is ensuring adequate iodine. To achieve this, you can use supplements containing organic iodine - Ocean 21 and Spirulina Chlorella Plus.
The role of parasitic agents in the genesis and development of polycystosis is poorly understood, however, taking the high prevalence of parasitic infestations in recent years (according WHO, more than 4.5 billion people in the world is infected with parasitic diseases, including one in three in Europe), it seems quite real. If you suspect a contagious nature of polycystosis, be sure to take antiparasitic therapy.
"Golden Formula" of hormonal balance for women is VitalWoman, which help to restore the balance of estrogens and androgens. It also helps to reduce oily skin and hair, reduce hair growth on the body.
The action VitalWoman is good complemented by Menopausal Formula. This multicomponent complex is designed to support women's health during the decay of hormonal activity, but can also be used to normalize the hormonal balance at any age.
Components of Menopausal Formula - Siberian ginseng, Angelica Chinese, horsetail and licorice root - activate the metabolism of hormones and shift hormonal balance in favor of estrogen.
Of course, herbal therapy is not 100% guarantee of cure, for that matter, as traditional methods of polycystic ovaries treatment. However, since polycystosis causes at the same time numerous violations in the operation of the organism, so treatment also should be carried out simultaneously in several directions.
The use of herbal remedies helps to mitigate the adverse effects of hormone therapy and accelerate rehabilitation after surgery, to prevent recurrence of the disease and the development of consequences of the metabolic imbalance - cardiovascular disease and diabetes. And, anyway, herbal help come off the hormone therapy that would otherwise be needed to you throughout life.
Diet in polycystosis
When insulin resistance syndrome which provokes PCO, you need a diet with low glycemic index, to reduce the intake of simple sugars. This does not mean that you should completely eliminate the foods that contain carbohydrates, since carbohydrates are the body's main energy source. Danger is just "fast" carbohydrates that contain simple sugars easily cleavable, which instantly absorbed in the intestines and provoke a surge in blood sugar.
Therefore most suitable for polycystosis is low-carb diet of Dr.Atkins. That is, if you decide to do diet therapy at home, but if you lose weight under control dietitian, best is to stick to its recommendations, checking from time to time with the Atkins Plan and avoiding foods from a restrictive list.
So here's products you should be avoided:
1. Sugar, white flour and starch are the real poison for your body. Intemperate use of products made with white flour and sugar confectionery may nullify the results of any diet and any medication.
Do not use:
white bread, lavash, biscuits, crackers, sugar, potato, starch, potato chips, dry powder to mashed potatoes, breaded products, the cutlets with the addition of bread, jam, candy, cookies, cakes, halva, honey, pudding.
2. Dairy products are low in fat. The higher the percentage of fat, the better for you. Food fats in moderate amounts (even rich fats!) do not increase your weight and does not harm the body. Natural butter is allowed, margarine is strictly contraindicated, spreads - in limited quantities.
pearl barley, millet, barley, barley bread, rice (except brown), corn flakes and flour - must be eliminating.
4. Fruits. During treatment you should completely refrain of fruits, especially tropical fruits, berries and various candied fruits. Canned fruit and coconut milk also are prohibited. Apples are allowed.
5. Drinks. Definitely - sweet carbonated drinks, ready-made fruit and berry juices and nectars, any alcoholic drinks. Freshly squeezed vegetable juices are useful in any quantity.
From time to time, you can allow yourself:
- Tangerine, pomegranate, grapefruit, cherries, kiwis, plums, gooseberries;
- New potatoes, corn;
- Black dark chocolate (cocoa content above 75%), fruit bread, pasta from durum
- Unsweetened baking yeast puff pastry, a slice of pizza, cheese cake, pancakes,
cheese with jam;
- compote, cocoa.
I recommend drawing attention to diet for blood group of Dr. Peter D'Adamo. In people of different blood groups, certain foods cause a slower metabolism and promote fat storage. In addition, for each blood type there are categories of products, the use of which violates the timing of metabolic processes and contribute to hormonal imbalance. In the treatment of polycystosis, these products must be included of your restrictive list.
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