Polycystic ovaries need surgery?
I am very scared & nerves. and so many questions in my mind.
1.How many hours surgery it would be?
2.will it permanently reduces my periods problem?
3. can I conceive after this surgery? If yes, can I give birth to healthy baby?
4. How much it is safe?
5.does it has any side effects?
6.should i go for it?
answer:
Polycystic ovary syndrome (PCOS) is commonly diagnosed in young women with anovulatory infertility, oligomenorrhoea or hyperandrogenic problems such as hirsutism and acne. Although associated with obesity, the syndrome is also frequently seen in women of normal body habitus. While
most attention has been paid to the management of the presenting complaint (infertility, hirsutism,etc.), it has become clear that the polycystic ovary phenotype is linked to a number of metabolic disturbances, including type II (non-insulin-dependent) diabetes and possibly atherosclerotic
conditions. PCOS is frequently diagnosed by gynaecologists and it is therefore important that gynaecologists have a good understanding of the long-term implications of the diagnosis.
Anovulation associated with PCOS has long been known to be amenable to surgical treatment, and a recent long-term cohort study up to 20 years after laparoscopic ovarian electrocautery has shown persistence of ovulation and normalisation of serum androgens and SHBG over many years in over 60% of subjects.
Surgery
Insulin resistance and serum lipids were not assessed, but women with PCOS treated with ovarian diathermy for reproductive reasons might obtain long-term benefit over and
above resumption of ovulation and menses. The long-term benefits of ovarian drilling, including alterations in endocrine profile, have recently been confirmed in a second publication.
However, at present, the risks of surgery do not justify recommendation of this treatment purely in an attempt
to ameliorate the chances of developing diabetes or coronary artery disease in later life.