تخمدان پلی کیستیک (PCOS) یا همان تنبلی تخمدان، یکی از شایع‌ترین اختلالات مرتبط با تخمدان‌ها است که به دلایل مختلفی مثل مقاومت به انسولین، التهاب، و ژنتیک بروز می‌کند. این سندروم با علائمی مثل قاعدگی نامنظم، ناباروری، رشد موهای زائد، آکنه و افزایش وزن همراه است. تشخیص به‌موقع این اختلال از طریق بررسی علائم، سونوگرافی و آزمایش خون نقش مهمی در درمان هر چه سریع‌تر آن دارد. خانم‌های مبتلا به تخمدان پلی کیستیک در صورت رعایت دستورات پزشک، مصرف دارو و پایین آوردن وزنشان می‌توانند باردار شوند.

انواع کیست تخمدان :

تخمدان‌ها دو عضو کوچک و بادامی شکل در دو طرف رحم هستند که بخشی از دستگاه تولید مثل خانم‌ها را تشکیل می‌دهند. این دو عضو، از طریق لوله‌های رحم با قسمت‌های دیگر سیستم تناسلی در ارتباطند و وظیفه اصلی‌شان تولید تخمک و ترشح هورمون‌های مهمی مثل استروژن و پروژسترون است.

کیست تخمدان زمانی تشکیل می‌شود که کیسه‌ای پر از مایع یا مواد نیمه جامد روی تخمدان یا داخل آن به وجود می‌آید. این اتفاق در خانم‌ها بسیار شایع است و با اینکه در هر سنی امکان بروز آن وجود دارد، اما اغلب اوقات در سنین باروری یعنی از بلوغ تا یائسگی ایجاد می‌شود. Most of these cysts are asymptomatic and harmless and disappear on their own within a few months, but sometimes, in conditions such as polycystic ovary (PCOS), a large number of cysts are formed in the form of immature follicles in the ovary and cause specific symptoms.

There are different types of ovarian cysts, which include the following: 👇

Follicular cyst

This type of cyst occurs when the ovarian follicle is not ruptured during ovulation and the egg is not released. In this case, instead of disappearing, the follicle becomes enlarged and filled with fluid. Follicular cysts are often asymptomatic and disappear by themselves within a few menstrual cycles. In cases where the cyst is enlarged, a person will experience mild pain in the pelvic area or a feeling of heaviness. The doctor usually uses ultrasound to diagnose this type of cyst. In most cases, there is no need for special treatment, unless the size of the cyst is very large or it causes a lot of pain.

Cyst of corpus luteum

After ovulation, the remnants of the follicle called the corpus luteum help produce hormones in the body. In some cases, this structure becomes filled with fluid or blood and becomes a corpus luteum cyst. These cysts are usually absorbed by the body within a few weeks to a few months. If the cyst ruptures or bleeds, it causes severe pain in the pelvic area. In such a situation, you should see a doctor to take the necessary measures. The treatment of these types of cysts usually includes periodic monitoring and, if necessary, surgery.

Hemorrhagic cyst

Hemorrhagic cyst is caused by internal bleeding in an ovarian cyst. These cysts usually cause severe and sudden pain in the abdomen or pelvis. Sometimes internal bleeding increases the size of the cyst and causes more severe symptoms. The doctor uses ultrasound and other tests to diagnose this type of cyst. Many hemorrhagic cysts resolve on their own, but in cases where the bleeding continues or the pain becomes more severe, surgery is needed.

Dermoid cyst

The dermoid mass consists of embryonic cells and often contains tissues such as hair, fat and even teeth. These cysts are more common in young women and usually grow slowly. If the cyst enlarges or twists the ovary, it causes pain and other symptoms. For treatment, surgery, which is usually performed laparoscopically, is the best option, however, you can Laparoscopy Cost by See the best laparoscopy doctor in Tehran. These types of cysts are usually benign, and with their timely diagnosis and treatment, more serious problems can be prevented.

Endometrioma cyst (chocolate)

Endometrioma or chocolate cyst occurs when the inner tissue of the uterus (endometrium) penetrates into the ovary and produces a dark brown liquid. These cysts are often accompanied by severe pelvic pain and, if advanced, cause infertility. The adhesion caused by these cysts damages the ovaries and fallopian tubes and disrupts their function. Endometrioma cyst treatment is a laparoscopic surgery that is performed to remove the cyst and reduce adhesions.

Adenoma cyst cyst

Adenoma cyst is caused by the abnormal growth of ovarian tissue and usually contains thick fluid or mucus. These cysts usually enlarge and cause symptoms such as abdominal pain, heaviness, or swelling by putting pressure on nearby organs. Adenoma cyst usually does not respond to medical treatment and surgery is required to remove it. Early diagnosis of this type of cyst and careful examination through imaging methods play a very important role in reducing more serious complications.

Is polycystic ovary dangerous

Ovarian laziness or polycystic ovary syndrome (PCOS) is a common hormonal disorder among women in which a large number of small cysts develop inside the ovary for various reasons. Polycystic ovary itself is not a fatal disease, but if it is not diagnosed and treated in time, it leads to more serious problems.

This condition disturbs the hormonal balance and gland function. This hormonal disorder, in turn, causes complications such as type 2 diabetes, high blood pressure, obesity, and increased risk of uterine cancer. In addition, ovarian laziness causes problems in pregnancy.

Symptoms of polycystic ovary

Since ovarian cyst is a common disease among women, it is very important that women see a gynecologist for further investigation as soon as they notice any abnormal symptoms. In this context, Dr. Giti Ghezi - specialist in gynecology, obstetrics and laparoscopy - can have a great impact on improving your quality of life and alleviating your concerns by accurately diagnosing and providing effective treatment methods.

Symptoms of polycystic ovary are:

• Irregular menstruation or reduced number of periods
• Excess androgen that causes extra hair growth
• Severe and treatment-resistant acne
• Large ovaries or with many cysts
• Weight gain, especially in the abdominal area
• fatigue
Vaginal dryness
• Infertility
• Hair loss with male pattern and baldness
• Dark or thick skin spots in certain areas of the skin (neck, armpits, under the breasts)

Polycystic ovary syndrome

When the hormonal balance in the body is disrupted, the secretion of female hormones estrogen and progesterone and male hormone androgen, undergoes abnormal changes in a person's body. This hormonal imbalance has a negative effect on the natural process of ovulation and changes it. In this case, the eggs do not develop and the ovary cannot release them. Therefore, the ovarian follicles remain there and turn into numerous small cysts and eventually into polycystic ovary syndrome or ovarian laziness.

The cause of ovarian laziness is not yet known precisely, but several factors play a role in its occurrence. One of these factors is insulin resistance, which makes the body not use insulin properly. This increases the amount of insulin in the body. The increase in insulin, in turn, increases androgen production in the ovaries and disrupts ovulation.

In addition, genetics and the presence of inflammation in the body are also involved in the occurrence of this disease. Due to the increase of cortisol hormone, stress and anxiety worsen the hormonal condition of the body and affect ovulation.

The best pill to treat polycystic ovary

The doctor prescribes different medicines to treat ovarian laziness, depending on the patient's symptoms and conditions. If the goal is to regulate the menstrual cycle, birth control pills, duphaston or medroxyprogesterone are usually prescribed. These drugs also help to reduce acne and excess hair.

For patients who face insulin resistance or need to lose weight, the doctor recommends metformin or glucophage. For women trying to get pregnant, clomiphene citrate or letrozole are usually prescribed to improve ovulation. In cases where acne or excess hair growth is severe, the doctor prescribes spironolactone. If oral drugs are not effective, gonadotropin injection will be an option to stimulate ovulation.

It is very important that all these drugs are taken under the supervision of a specialist doctor and with his prescription. Choosing the best pill to treat polycystic ovary depends on the symptoms and causes of the complication, so avoid recommending your medications to others and always prioritize seeing a doctor.

The probability of pregnancy with polycystic ovary is several percent

For many women, the question arises, is it possible to get pregnant with ovarian laziness? In answer to this question, it should be said that yes, pregnancy with polycystic ovary is possible, but it needs management and treatment. Having the right weight and regulating blood sugar are the most important factors in improving ovulation, because these two factors have a direct effect on hormonal function. So if you have ovarian laziness and you want to get pregnant, prepare the conditions for better ovulation by following a healthy diet and regular exercise.

Many women with ovarian laziness have experienced a successful pregnancy with continuous follow-up and under the supervision of Ms. Hope and patience, along with choosing the right doctor, will pave your way to have a healthy pregnancy, and the general question that women who have undergone laparoscopy and want to get pregnant is

The best doctor to treat ovarian laziness (polycystic)

Ovarian laziness has a great impact on fertility, hormonal balance and quality of life, and failure to treat this disorder on time leads to problems such as diabetes, high blood pressure, heart diseases and even infertility. For this reason, it is very important to see a skilled and experienced doctor who can make an accurate and quick diagnosis.

Dr. Giti Ghiasi, a specialist in gynecology, obstetrics and laparoscopy, is one of the best doctors in this field. In addition to treating ovarian cysts, they also specialize in the treatment of various women's diseases such as Bartholin's cyst, ovarian cancer, and cervical ulcer. Professional ethics, high knowledge and the use of modern treatment methods have made him a reliable option for improving women's health.

Frequently Asked Questions

How to prevent polycystic ovary?

To prevent this complication, you must keep your weight balanced. Exercise regularly, control your stress and blood sugar, and if you have a history of this disease in your family, see a doctor to check for hormonal problems.

What is the diet of ovarian laziness?

Final recommendations for polycystic cyst treatment

Polycystic ovary syndrome, in addition to directly affecting fertility, also affects the general health of the body and causes problems such as obesity, acne, and excess hair growth. Adhering to a balanced and low-carbohydrate diet along with regular exercise to control weight and reduce insulin resistance is an important step in the treatment of this disorder. Fortunately, the pregnancy rate in women with this syndrome increases significantly with the use of appropriate drug treatments such as clomiphene, metformin or gonadotropins. In cases where these methods are not effective, the doctor uses more advanced techniques such as IVF or IUI.