One of the reasons for infertility

One of the reasons for infertility!

Can not be pregnant, men may have hair like hair, irregular menstrual etc. Problems with polycystic ovarian syndrome Most of the time it takes time to calculate the disease in the body. However, if there is little change in living conditions, it can be saved in many cases from the disadvantages of the disease. Written by Bangabandhu Sheikh Mujib Medical University's Associate and Professor of Gynecology Dr. Rezaul Karim Kajol

In short, the disease is known as PCOS. It is better to treat polycystic ovarian syndrome by treating low-like illness. Basically one kind of hormonal disorder, which is usually found in puberty and reproductive (15 to 45 years of age) women.

In many cases women are infected with PCOS; But can not know. Although day after day he is in trouble. Many people think that the disease is a natural disadvantage of women. Such as irregular menstrual, excess weight, etc. But these can be symptoms of PCOS. In many cases when women are unable to bear children, it is often seen that they are actually infected with PCOS.

The symptoms of the disease are:
ে Disability or infertility in children

ে Extra hair on the lips and in different parts of body

Black spots on the back of the neck

তে Difficulty swallowing

♦ buggle, thighs darkened

♦ Hormonal imbalance

♦ Heart and blood vessel disease
য়ে Many smaller cysts in the ovaries

টে Pain in the abdomen

♦ More blood flow during menstrual period

♦ More leaking

Why is that?
Many researchers believe that it can be due to genetic (hereditary). Because the family of mothers, sisters, aunt and grandmother in PCOS, the girls born in that family have a higher PCOS rate. But this kind of history can be PCOS. So, it is not known what exactly is the cause of the disease. Another reason for PCOS is that the hormonal imbalance Because of PCOS, the male hormone endogenous and insulin hormone levels increase in the female body.

Inability to have children
The egg is mature by the effects of some hormones (LH, FSH) in girls ovaries. Usually two weeks after the start of the menstruation, the ovate leaves out of the ovaries. It is called ovalmentation. These mature ovules then join the sperm and form the embryo. Human beings are born from this fetus.

PCOS-infected ovaries do not produce these hormones properly or have hormonal discrepancy. Because of this, ovulation can not be out of the ovule or ovulation on time in maturity. Because of this, the embryo is not formed by joining the sperm; So there is stability. These untreated ovaries are seen as small cysts or fossils in ultrasonsography. So the disease is called polycystic (many cystic uterus) ovaries.

Diagnosis
Generally, symptoms are thought to be the disease or not. But to be sure, some hormone tests are also important. Among them-

♦ Check the levels of LH, FSH hormone levels on the second day of the menstrual cycle

♦ Blood tests of AMH and testosterone levels

♦ Blood sugar levels

♦ Ultrasonography

PCOS-related fertility treatment
PCOS can not be completely erased. However, many areas can be controlled. Even pregnancy is possible.

Changes in living conditions
Most of the affected women have extra weight. So weight control is very important. Because weight loss is normal in ovulation, which increases the child's capacity. Diabetes risk reduces and hormonal compatibility returns. As a result, monthly is also regular.

The fat and carbohydrate in the list of foods will be reduced as much as possible. Such as potatoes, sugar, flour, rice Red loaf bread can be eaten if needed. Rather eat vegetables every day. Sweet fruits like mango, jackfruit, banana, grapes will be eaten less. Other fruits will be eaten. Vegan and fast food can not be eaten. At least 30 to 45 minutes walk in the morning or in the afternoon. If possible, regular exercise is also possible.

Clomifen citrate or lactrous drug
With the help of these drugs, most PCOS-related steroids are started with treatment for women suffering from problems. The main goal of these medicines is to make the ovulation or ovulation pus.

Metformin with chlamype cetrate lactosezol
Treatment is usually given to women who are overweight. It increases the likelihood of ovulation or ovarian bust and helps reduce body weight.

Gonadotropin injection
Those who do not work in the above treatment, these injections are given to increase the number of ovarian bone and egg.

Intrauterine Insemination
In this process, the ovaries are initially made by medicine and the sperm is given directly to the mother's womb through the sperm syringe. Through this treatment, women with 20-30 percent PCOS can be pregnant.

Laparoscopic ovarian drilling
It is a type of surgical treatment. It can be done in such cases, even after having treated someone with a drug or injection for at least six months and one year. In this, there are several holes on the ovaries through the advanced laparoscope machine. So this process is called ovarian drilling.

Test tube baby
If the medicines and other treatments are not worked, then the help of the test tube baby system is taken. Although it is expensive treatment; But through this, 60 percent of PCOS women are able to conceive (under age 35).

Remember
For most PCOS-related infertility, reducing weight reduces weight and helps prevent pregnancy. So those who have PCOS should control their weight and adjust them regularly