Sindromul ovarelor polichistice (PCOS)

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SOS Infertilitatea
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Re: Sindromul ovarelor polichistice (PCOS)

Mesajde SOS Infertilitatea » Vin Feb 21, 2014 6:11 pm

New fertility procedure helps PCOS patients get pregnant without hormone injections

For millions of women suffering from polycystic ovarian syndrome (PCOS), trying to conceive can be a heart-breaking experience. But a new procedure is making it easier for patients to get pregnant without hormone injections, meaning a decreased risk for certain complications.

“PCOS is an endocrine disorder where women don’t ovulate on a regular basis,” Dr. Jesse Hade, medical director at Neway Fertility in New York City told FoxNews.com. “It's usually characterized by having multiple little follicles in the ovaries that appear on ultrasound, or having irregular periods, coupled with elevated male hormone levels, or elevated androgen levels.”

Manpreet Sangari, 32, was diagnosed with PCOS after months of trying to get pregnant proved unsuccessful.

“Basically it will be very hard for me to ovulate on my own and have kids … It would be, not a miracle, but it would just, it would take a long time, and that's when [my obstetrician] told me I should go to a fertility doctor,” Sangari told FoxNews.com. “And hearing all that was just crazy because now you're adding more people into the process of baby making, which should have been so simple.”

Sangari went to see Hade, who suggested she try a less-invasive procedure like intrauterine insemination (IUI) before jumping into in vitro fertilization (IVF). But the IUI procedure did not produce a pregnancy, so Sangari tried a round of IVF.

The procedure was a success and Sangari and her husband, 36-year-old Sarbdeep Mokha, were overjoyed to learn she was pregnant with twins. But their excitement was short lived when, not long after, the unthinkable happened.

“I ended up [having a] preterm delivery on the 23rd week and the babies didn't survive,” said Sangari. “The procedure itself was successful, the IVF was successful -- the carrying of the babies was not successful.”

Three months later, when Sangari was ready to try again, Hade suggested a different kind of fertility treatment called in vitro maturation (IVM).

“Usually women with … PCOS are the primary candidates for this procedure because they have lots of little immature follicles which lead to lots of little immature eggs. We then go ahead and harvest all these immature eggs, remove them, and then mature them in the petri dish,” Hade said.

With traditional IVF, patients typically inject themselves with hormone medications for eight to 10 days to stimulate the ovaries into producing multiple eggs for fertilization. This increases the chances of creating healthy embryos for transfer into the uterus.

But hormone injections can be dangerous for PCOS patients because they have an increased risk for ovarian hyperstimulation syndrome (OHSS) – a condition that causes the ovaries to become swollen and painful. Sangari developed OHSS during her IVF trial, making her the perfect candidate for IVM.

“In in-vitro maturation, little to none of these [hormone] drugs are given initially, so what we're doing is preparing the endometrium for implantation with hormones to … prime the lining,” Hade said. “And in this process, we wait until the endometrial receptivity gets to its best point, and that's when we trigger the ovulation and remove the immature eggs out.”

The treatment is still considered experimental, so it’s not covered by insurance. But Hade hopes to change that with an ongoing IVM study he is conducting that has shown success rates of 80 percent so far.

Sangari had the procedure, and in October 2013 she and her husband welcomed a daughter, Zoya. They plan on trying for another child.

“We're hoping Dr. Hade helps us get the second baby,” said Sangari. “We had thought of having two kids, and after the first time we got one back, and we need one more.”

Sursa.
I always wondered
why somebody didn’t do
something about that,
then I realized
I AM SOMEBODY.

[...and you, and you!]

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ankuzza
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Re: Sindromul ovarelor polichistice (PCOS)

Mesajde ankuzza » Dum Feb 23, 2014 10:55 pm

Buna fetelor, v-am tot citit si se pare ca nu suntem putine cele care ne dorim un bebe si se lasa asteptat.Eu nu stiu ce sa mai cred,incerc de 1an si4 luni, am renuntat la anticonceptionale dupa 6 ani si se pare ca 3 medici mi-au spus ca am ovare micropolichistice dupa ce s-au uitat la ecograf.Un endocrinolog mi-a zis ca nu crede ca am nimic,iar ultimul ginecolog m-a lasat masca dupa ce mi-a citit analizele .Mi -a zis: " nu e foarte rau, dar nici bine nu e" ..pana sa ma incarc din nou cu rabdare sa mai incerc la alti medici poate stie cineva ce inseamna analizele astea: in ziua 3 mi-a iesit estradiolul mai mic, lh si fsh in limite, prolactina la fel, iar progesteronul era putin peste limita de jos, in ziua 21...oricum nu am ciclu de 28 zile ci de 30-34 ,deci progesteronul nu e relevant, insa estrogenul mic ce poate insemna?
Dr mi-a zis sa ma duc in aprilie sa incepem stimulare,apoi inseminare...am incercat si cu naturiste..nimic..in afara faptului ca imi mai regleaza cat de cat ciclul nu m-au ajutat..

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Re: Sindromul ovarelor polichistice (PCOS)

Mesajde SOS Infertilitatea » Vin Mar 28, 2014 8:54 pm

Imagine
I always wondered
why somebody didn’t do
something about that,
then I realized
I AM SOMEBODY.

[...and you, and you!]

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Re: Sindromul ovarelor polichistice (PCOS)

Mesajde SOS Infertilitatea » Mie Noi 26, 2014 11:15 pm

PCOS: An Infertility Issue That Is Little Understood


Sometimes medical syndromes are named long before they are fully understood.

Take polycystic ovarian syndrome, or PCOS, which affects as many as 10 percent of women of childbearing age, often impairing their fertility.

But not all of these women have polycystic ovaries, a fact that can result in misdiagnosis. As it turns out, cysts — sacs of fluid on the ovaries — are just one manifestation of a complex hormonal condition.

First described in 1935, PCOS was initially called Stein-Leventhal syndrome, for the two American gynecologists who identified it, Dr. Irving F. Stein Sr. and Dr. Michael L. Leventhal. They recognized that ovarian cysts can interrupt ovulation and cause infertility in significant numbers of women.

Irregular menstrual cycles and difficulty conceiving are among the most common symptoms, the result of ovarian follicles that fail to mature fully and to release eggs. Affected women often have enlarged ovaries and, when menses does occur, prolonged bleeding.

Over time more cysts — swollen follicles, really — may form. On an ultrasound exam, they resemble a string of pearls stretched over the surface of the ovary. Yet some experts believe cysts are a result, rather than the cause, of the syndrome.

“Whether the condition starts in the ovaries is not certain,” Dr. R. Scott Lucidi, an expert on PCOS at Virginia Commonwealth University, said in an interview.

Indeed, women with few or no ovarian cysts may be diagnosed with PCOS. According to the so-called Rotterdam criteria, a woman with any two of the following conditions may have the condition:

■ Symptoms of elevated levels of androgens, or male sex hormones, which can include acne, excessive hairiness and sometimes male-pattern hair loss.

■ Irregular menses, with prolonged periods between cycles.

■ Twelve or more follicular cysts on the ovaries, as seen on an ultrasound.

Dr. Lucidi and others have suggested that insulin resistance could be the underlying factor responsible for the disparate symptoms of PCOS.

In people resistant to insulin, the hormone does not effectively transfer glucose from blood to body cells to be used for energy. As blood levels of glucose build, more insulin is produced to try to lower it.

Excess insulin promotes fat storage and can result in weight gain and obesity. About half of American women with PCOS are obese. Insulin also can stimulate the ovaries to produce androgens.

But just as some young women with a lot of ovarian cysts do not have PCOS, some women with metabolic syndrome and insulin resistance are thin.

PCOS tends to cluster in families, with predisposing genes passed from either parent to both daughters and sons. In affected males, early balding or excessive hairiness can be a sign that the genes have been inherited. In women, symptoms can vary from being very mild to extensive.

Some experts believe that the fundamental defect may not be insulin resistance, but hormonal dysregulation by or of the hypothalamus. This small region at the base of the brain produces hormones that stimulate the pituitary gland, which in turn affects organs throughout the body.

In most women with PCOS, the pituitary gland produces excessive amounts of luteinizing hormone, which, like insulin, can stimulate the ovaries to secrete androgens, according to a practice guideline written by Dr. Robert L. Barbieri, head of obstetrics and gynecology at Brigham and Women’s Hospital in Boston.

When ovarian follicles are enlarging, women with PCOS also produce high levels of estradiol but low levels of progesterone, resulting in a thick uterine lining and over time an increased risk of endometrial cancer.

There is no cure for PCOS, and the best approach to treatment is individualized, depending on the goals of each patient, Dr. Lucidi said.

For women with prolonged intervals between menses or excessive hairiness, or both, contraceptives containing estrogen and progestin are used to regulate the menstrual cycle and suppress the production of androgens.

Often, the blood pressure drug spironolactone is also given to counteract androgen-caused acne or hirsutism in adult women.

For a woman trying to become pregnant, a different regimen is needed. Two drugs, clomiphene and letrozole, are commonly prescribed to stimulate ovulation. Both these drugs prompt the pituitary to secrete follicle-stimulating hormone (FSH), which enhances the growth of small follicles and thus can trigger ovulation.

Dr. Barbieri noted that “most women with PCOS who undergo ovulation induction go on to conceive and bear children.” Perhaps the most challenging therapy involves weight reduction. Losing 10 percent of body weight can result in more regular menstrual cycles and reduced levels of testosterone, Dr. Barbieri wrote.

For women with PCOS, the most effective diet for achieving and maintaining weight loss is low in carbohydrates, rather than low in fat.

Without being extreme, women with PCOS should reduce their carbohydrate intake overall and in particular avoid sugars and refined carbohydrates (white bread, white rice and anything stripped of its natural fiber or made with refined white flour).

They should instead select foods high in fiber made from whole grains, as unprocessed as possible. They are also advised to avoid eating carbohydrate-rich foods by themselves, and space them out during the day to keep insulin levels from spiking. Consuming four or more small meals instead of a few large ones each day is also helpful.

Regular moderate or vigorous exercise done five or more times a week is an important part of the regimen.


Sursa.
I always wondered
why somebody didn’t do
something about that,
then I realized
I AM SOMEBODY.

[...and you, and you!]

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Roxxy
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Re: Sindromul ovarelor polichistice (PCOS)

Mesajde Roxxy » Vin Ian 30, 2015 3:19 pm

sa va povestesc problema mea-rezolvata- poate ajuta cuiva........... cand ne-am votarat sa facem un pui eu am fost cea care m-am hotarat sa fac prima analizele... surpriza... ovare polimicri-chistice :( era groaznic.. nu ovulam luna de luna... am facut tratamente peste tratamente dar nimic... pana am gasit un tratament naturist... tinctura de zmeur si tinctura de mar verde.... dupa 3 luni de tratament au disparut toate chisturile si sper surptinderea mea... de 3 luni de cand fac progesteronul in ziua 21 imi arata ca am ovulat :)

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Sarah30
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Re: Sindromul ovarelor polichistice (PCOS)

Mesajde Sarah30 » Mie Feb 11, 2015 10:51 am

Roxxy scrie:sa va povestesc problema mea-rezolvata- poate ajuta cuiva........... cand ne-am votarat sa facem un pui eu am fost cea care m-am hotarat sa fac prima analizele... surpriza... ovare polimicri-chistice :( era groaznic.. nu ovulam luna de luna... am facut tratamente peste tratamente dar nimic... pana am gasit un tratament naturist... tinctura de zmeur si tinctura de mar verde.... dupa 3 luni de tratament au disparut toate chisturile si sper surptinderea mea... de 3 luni de cand fac progesteronul in ziua 21 imi arata ca am ovulat :)


Roxxy imi spui te rog de und ai facut rost de aceste tincturi deoarece eu le gasesc nicaieri:(mersi
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Camy333
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Re: Sindromul ovarelor polichistice (PCOS)

Mesajde Camy333 » Joi Apr 16, 2015 2:44 pm

HEllo everybody!

eu am fost diagnosticata acum 4 ani cu sindromul ovarelor polichistice. Am tot amanat sa ma duc la doctor pana cand am vazut ca nu pot ramane insarcinata dupa un an de incercari. am luat branca ursului dar nu a mers, asa ca m-am lasat de naturiste. am facut un consult la doct. Irina Oproiu de la Gynera , si cred ca a fost cea mai reusita alegere. am evitat sa alerg pe la spitalele de stat cu analize si nervi. ~X( poate n-o sa va vina sa credeti dar preturile de la Gynera sunt aprox. pe jumatate fata de clinici private, iar doctorii sunt atenti cu tine si te simti mai respectata ca oriunde. cel putin doct. Oproiu afost de nota 10. Acum copilul meu are aproape 2 anisori si sunt foarte fericita ca in sfarsit familia mea e completa! [carutf]

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layla
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Re: Sindromul ovarelor polichistice (PCOS)

Mesajde layla » Lun Mai 04, 2015 8:17 pm

Girls, ovarele mele u fost mereu micropolichistice. Nu-mi aduc aminte sa vad vreo eco cu un folicul mare. Ei.. astazi am vazut 3 :P Dupa prima mea stimulare cu closty.
2 au 18 mm iar celalalt 17 mm. Doctorita a facut misto de mine cu tripleti. Eu m-am speriat nitel dar parca vad ca treburile nu sunt favorabile deloc :)

Om vedea. Ce sa va zic? Multa bafta!! :)
incercari din martie 2014
Eu: 30 ani,SOP, polip endometrial, operat februarie 2015
El: 31 de ani, A+b=29%, forme normale 3%, dupa tratament cu profertil, forme normale 16%

Gynera
Mai 2015, stimulare closty Z3-Z7, 3FO<= 18mm, endometru 7.6mm, spargere cu Ovitrelle, CSD, fara sarcina (Dr Boleac&Oproiu- nu recomand)
Iunie 2015, stimulare closty Z3-Z7, 2FO~ 20mm, endometru 6.3mm Z14, 7mm Z15, spargere cu Ovitrelle, IUI cu 28 mil spermatozoizi, fara sarcina(Dr Boleac&Oproiu- nu recomand)
Iulie 2015, stimulare Femara:Z2-Z7(1cp/zi), 5XMenopur(75UI), Z12 endometru 8.1mm, 2FO(15mm,18mm),spargere Ovitrelle, IUI cu 49 mil spermatozoizi A, fara sarcina (Dr Anghelescu- recomand)

Wellborn, dr Bolintineanu
August 2015 stimulare closty:Z2,Z3(2cp/zi),10XGonal(50UI),Z13 endometru 8.3, 2FO(21mm,23mm), pregnyl X 2, dubla IUI Z15 cu 38 mil spermatozoizi, estradiol Z9 277, estradiol Z11 344 => beta Z14: 240

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Re: Sindromul ovarelor polichistice (PCOS)

Mesajde johnnybravo7 » Lun Mai 04, 2015 9:04 pm

layla scrie:Girls, ovarele mele u fost mereu micropolichistice. Nu-mi aduc aminte sa vad vreo eco cu un folicul mare. Ei.. astazi am vazut 3 :P Dupa prima mea stimulare cu closty.
2 au 18 mm iar celalalt 17 mm. Doctorita a facut misto de mine cu tripleti. Eu m-am speriat nitel dar parca vad ca treburile nu sunt favorabile deloc :)

Om vedea. Ce sa va zic? Multa bafta!! :)



Layla eu as sta linistita, sansele pt tripleti de la stimulare cu closty sunt mici, eu am avut la o stimulare 5FO si no baby.
Succes!

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Oana Elena
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Membru din: Dum Ian 10, 2016 10:23 am

Re: Sindromul ovarelor polichistice (PCOS)

Mesajde Oana Elena » Lun Ian 11, 2016 9:40 pm

Buna
Si eu am fost diagnosticata cu sindromul ovarelor polichistice in urma cu 2 ani.
Atunci am inceput sa fac sport mai intens ( inainte nu faceam deloc ), sa elimin alimentatia nesanatoasa si am luat " ulei de primula presat la rece - capsule ".
Menstruatia mi s-a reglat ,c-am 29-32 de zile , depinde de luni.
Dar ovulatie , nu am in fiecare luna.
Ne dorim din suflet sa fim parinti si luptam pentru asta, dar si sotul meu are probleme si e mai complicat.
Doamne Ajuta !

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SOS Infertilitatea
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Re: Sindromul ovarelor polichistice (PCOS)

Mesajde SOS Infertilitatea » Sâm Mai 28, 2016 3:30 pm

5 Common PCOS Myths and Misconceptions: http://food.ndtv.com/health/5-common-pc ... ns-1408178
I always wondered
why somebody didn’t do
something about that,
then I realized
I AM SOMEBODY.

[...and you, and you!]

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Re: Sindromul ovarelor polichistice (PCOS)

Mesajde SOS Infertilitatea » Mie Ian 11, 2017 10:00 pm

I always wondered
why somebody didn’t do
something about that,
then I realized
I AM SOMEBODY.

[...and you, and you!]

Grup FB infertilitate
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GeorgianaT
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Re: Sindromul ovarelor polichistice (PCOS)

Mesajde GeorgianaT » Lun Aug 21, 2017 2:37 pm

Buna ziua. Sunt noua pe forum. Nu am apucat sa citesc absolut tot si am si eu o intrebare. Am si eu acest sindrom. Fac tratament cu femoston 2/10, 2 pastile pe zi, doar cele caramizii, din prima zi de menstruatie, timp de 7 zile si clostilbegyt 5 zile, din ziua 4 de menstruatie. A mai urmat cineva o astfel de schema, pareri, rezultate? Multumesc frumos!

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Re: Sindromul ovarelor polichistice (PCOS)

Mesajde SOS Infertilitatea » Sâm Oct 14, 2017 3:47 pm

Imagine
I always wondered
why somebody didn’t do
something about that,
then I realized
I AM SOMEBODY.

[...and you, and you!]

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