{"id":18100,"date":"2020-05-25T15:19:29","date_gmt":"2020-05-25T12:19:29","guid":{"rendered":"https:\/\/www.mitera.gr\/?p=18100"},"modified":"2020-06-03T09:14:53","modified_gmt":"2020-06-03T06:14:53","slug":"polycystic-ovarian-syndrome-hormonal-imbalances-amp-mood-swings","status":"publish","type":"post","link":"https:\/\/www.mitera.gr\/en\/health-articles\/polycystic-ovarian-syndrome-hormonal-imbalances-amp-mood-swings\/","title":{"rendered":"Polycystic Ovarian Syndrome:\u00a0\u2028hormonal imbalances &#038; mood swings"},"content":{"rendered":"<p class=\"p1\"><span class=\"s1\">By <a href=\"https:\/\/www.mitera.gr\/en\/doctor\/poludoropoulos-nikolaos\/\"><strong>Dr Nikolaos Polydoropoulos<\/strong><\/a>, MSc, MML, DFFP, MFMLM<br \/>\n<\/span><span class=\"s1\">Obstetrician &amp; Gynaecologist, IVF specialist<br \/>\n<\/span><span class=\"s1\">MITERA Assisted Reproduction Unit (IVF)\u00a0<\/span><\/p>\n<h3><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-18013\" src=\"https:\/\/www.mitera.gr\/wp-content\/uploads\/2020\/05\/shutterstock_1671670819.jpg\" alt=\"\" width=\"600\" height=\"440\" \/><\/h3>\n<h3 class=\"p1\"><span class=\"s1\"><b>What are polycystic ovaries?<\/b><\/span><\/h3>\n<p class=\"p3\"><span class=\"s1\">Patients are really concerned when they come across the term of \u201cpolycystic ovaries&#8221; as this may refer to ovaries filled with cysts. However, it is necessary to clarify that polycystic ovaries are not a disease but an ultrasound finding, meaning that the ovaries are filled with many immature follicles that failed to mature and kept accumulating. They are also known as \u201cpolyfollicular ovaries\u201d and affect around 20% of women. Some women with polycystic ovaries may suffer from polycystic ovarian syndrome, which is a condition marked by hormonal imbalances, irregular menstrual cycle, infertility problems, excess hair growth, male-pattern baldness, increased skin oiliness and acne, pigmented skin lesions, sleep disorders and snoring, hypercholesterolaemia, weight gain with difficulty losing it, and mood swings.\u00a0<\/span><\/p>\n<h3 class=\"p3\"><span class=\"s1\"><b>What causes polycystic ovarian syndrome?<\/b><\/span><\/h3>\n<p class=\"p3\"><span class=\"s1\">Although we do not know the exact causes, it has been observed that mainly two groups of hormones play a major role in this syndrome.\u00a0<\/span><\/p>\n<p class=\"p3\"><span class=\"s1\">Androgens, such as testosterone, may be somewhat elevated in certain women with polycystic ovarian syndrome. In addition, women with polycystic ovarian syndrome may develop resistance to insulin (a hormone that regulates the blood sugar levels). As a result, this hormone is over-secreted, creating conditions of unavoidable continuous weight gain.<\/span><\/p>\n<h3 class=\"p3\"><span class=\"s1\"><b>What problems can polycystic ovarian syndrome cause?<\/b><\/span><\/h3>\n<p class=\"p3\"><span class=\"s1\">Women with polycystic ovarian syndrome may develop diabetes after a few years due to irregular glucose metabolism. In addition, they may also develop cardiovascular problems accompanied by hypertension. Due to the hormonal imbalances, the menstrual cycle frequency is affected significantly, to the extent that these women may menstruate rarely or not at all. This signals absence of ovulation and, by extent, may affect fertility. Women with fewer than three cycles in one calendar year may develop thickening of the endometrium (the lining of the uterus), with accompanying hyperplasia. We should also consider the mental problems associated with this condition including low self-esteem due to obesity, excess hair growth and infertility.\u00a0<\/span><\/p>\n<h3 class=\"p3\"><span class=\"s1\"><b>Can it be prevented?<\/b><\/span><\/h3>\n<p class=\"p3\"><span class=\"s1\">A healthy lifestyle, combined with a balanced diet and daily exercise that lead to a Body Mass Index (BMI) of 19-25, is exactly what the body initially needs. Making the right dietary choices, increasing the consumption of natural fibers, and consuming carbohydrates and caffeine in moderation, can help immensely. Workouts that combine entertainment and fun have been found to be most effective. Weight loss on its own can reduce insulin resistance and cardiovascular problems, regulate the menstrual cycle and ovulation, increase fertility, reduce excess hair growth, and improve general mood and self-esteem.\u00a0<\/span><\/p>\n<h3 class=\"p3\"><span class=\"s1\"><b>Is there a cure?<\/b><\/span><\/h3>\n<p class=\"p3\"><span class=\"s1\">Since there is no specific treatment, a healthy lifestyle is the top priority for this patient group. Working with a nutritionist, dermatologist, psychologist and endocrinologist often offers fantastic results.\u00a0Certain treatments aim at reducing insulin resistance so that carbohydrate metabolism can be improved. The metabolic condition of a patient may also be modified by using vitamins combined with the right supplements. However, a targeted, personalised approach based on age, accompanying symptoms and possible fertility problems leads to successful treatment.<\/span> <span class=\"s1\">On many occasions, it is necessary to regulate all the other known factors before a woman with polycystic ovarian syndrome undergoes fertility treatment, which initially consists of medications targeting ovulation. The improvement of factors, such as weight loss and carbohydrate metabolism regulation,\u00a0can effectively prevent pregnancy related complications.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>By Dr Nikolaos Polydoropoulos, MSc, MML, DFFP, MFMLM Obstetrician &amp; Gynaecologist, IVF specialist MITERA Assisted Reproduction Unit (IVF)\u00a0 What are&#8230;<\/p>\n","protected":false},"author":3,"featured_media":18013,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"inline_featured_image":false,"footnotes":""},"categories":[60,232,464],"tags":[],"class_list":["post-18100","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-fertility","category-health-articles","category-ivf"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Polycystic Ovarian Syndrome:\u00a0\u2028hormonal imbalances &amp; 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