Pcos spotting Let’s know it
Pcos spotting..There is no test to definitively diagnose polycystic ovary syndrome. The doctor is likely to start with an analysis of your medical history, including your menstrual periods and weight changes. The physical examination will consist of looking for signs of excessive hair growth, insulin resistance and acne.
Then, I could recommend you:
A pelvic exam. The doctor visually and manually checks your genital organs to detect masses, lumps or other abnormalities.
Blood test. Blood can be tested to measure hormone levels. This test can exclude possible causes of menstrual abnormalities or excess androgens that are similar to polycystic ovarian syndrome. You may have an additional blood test to measure glucose tolerance and fasting cholesterol and triglyceride levels.
An ultrasound. The doctor examines the appearance of the ovaries and the thickness of the lining of the uterus. A rod-shaped device (transducer) is placed in the vagina (transvaginal ultrasound). The transducer emits sound waves that are translated into images on a computer screen.
If you were diagnosed with polycystic ovarian syndrome, the doctor may recommend that you do additional tests to detect complications. These tests can be the following:
Periodic checks of blood pressure, glucose tolerance and cholesterol and triglyceride levels
Analysis for the detection of depression and anxiety
Analysis for the detection of obstructive sleep apnea
The treatment for polycystic ovarian syndrome focuses on addressing your individual concerns, such as infertility, hirsutism, acne or obesity. Specific treatment may involve the use of medications or changes in lifestyle.
Changes in lifestyle
The doctor may recommend that you lose weight through a combination of a low-calorie diet and moderate physical activity. Even a moderate reduction in weight, for example, lowering 5 percent of body weight, could improve the condition. Losing weight can also increase the effectiveness of medications recommended by the doctor for polycystic ovarian syndrome, in addition to improving sterility.
To regulate your menstrual cycle, your doctor may also recommend:
Combination contraceptive pills. Pills that contain both estrogen and progesterone decrease androgen production and regulate estrogen. Regulating hormones can lower the risk of getting endometrial cancer and correct abnormal bleeding, excessive hair growth and acne. Instead of birth control pills, you can use a skin patch or vaginal ring that contains a combination of estrogen and progesterone.
Therapy with progesterone. Taking progesterone from ten to fourteen days every one or two months can regulate your periods and protect you against endometrial cancer. Progesterone therapy does not improve androgen levels or prevent pregnancies. The mini-pill that contains only progesterone or the intrauterine device that contains progesterone are the best options if you also do not want to get pregnant.
To help you ovulate, your doctor may recommend:
Clomiphene (Clomid). This oral anti-estrogen medication is taken in the first part of the menstrual cycle.
Letrozole (Femara). This treatment for breast cancer can work to stimulate the ovaries.
Metformin (Glucophage, Fortamet and others). This oral medication for type 2 diabetes improves insulin resistance and reduces insulin levels. If you are not pregnant using clomiphene, your doctor may recommend that you add metformin. If you have prediabetes, metformin can also slow the progression of type 2 diabetes and help you lose weight.
Gonadotropins. These hormonal medications are given by injections.
To reduce excessive hair growth, your doctor may recommend:
Contraceptive pills. These pills reduce the production of androgens that cause excessive hair growth.
Spironolactone (Aldactone). This medication blocks the effects of androgens on the skin. Spironolactone can cause birth defects, which is why effective contraception is required while taking this medication. Its use is not recommended if you are pregnant or plan to be pregnant.
Eflornithine (Vaniqa). This cream can delay the growth of facial hair in women.
Electrolysis. A small needle is inserted into each hair follicle. The needle emits a pulse of electrical current that damages and eventually destroys the follicle. You may need several treatment sessions
Lifestyle and home remedies
To help reduce the effects of polycystic ovarian syndrome, try the following:
Keep a healthy weight. Weight loss can reduce both insulin and androgen levels and can restore ovulation. Ask the doctor if you know of any program to control weight and meet periodically with a dietitian to help you achieve your weight loss goals.
Limit carbohydrates. Diets low in fat and carbohydrates may increase insulin levels. Ask your doctor about a diet low in carbohydrates if you have polycystic ovarian syndrome. Choose complex carbohydrates that raise the blood sugar level more slowly.
Stay active Exercise helps reduce the level of blood sugar. If you have polycystic ovarian syndrome, increase your daily activity and participate in a regular exercise program can treat or even prevent insulin resistance and help you keep weight under control and avoid diabetes.
Preparation for the consultation
They can refer you to a specialist in female reproductive medicine (gynecologist), in hormonal disorders (endocrinologist) or in the treatment of sterility (reproductive endocrinologist).
The following information will help you prepare for the consultation.
What can you do
Make a list of the symptoms you have and indicate how long you have them
Make a list of all medications, vitamins and supplements you take, including doses
Includes important medical and personal information, such as other conditions, recent life changes, and stressors
Prepare questions to ask the doctor
Keep track of your menstrual cycles
In the case of polycystic ovarian syndrome, some basic questions to ask the doctor are:
What tests do you recommend?
How does polycystic ovarian syndrome affect my ability to get pregnant?
What medications do you recommend to improve my symptoms or the ability to conceive?
What lifestyle modifications do you recommend to improve my symptoms or the ability to conceive?
What are the long-term health consequences of polycystic ovary syndrome?
I have other health problems. What is the best way to control them jointly?
During the consultation, do not hesitate to ask other questions as they occur.
What to expect from the doctor
The doctor is likely to ask you a series of questions, such as the following:
What signs and symptoms do you have? How often do they occur?
How intense are the symptoms?
When did each of the symptoms begin?
When was your last menstrual period?
Have you gained weight since you started having your menstrual period? How many kilos did you increase and when did it happen?
Is there anything that improves or worsens the symptoms?
Are you trying to get pregnant or do you want to get pregnant?