The polycystic ovarian syndrome is a hormonal and metabolic alteration produced by a hiperandrogenemia (excess of male hormones). It is the most frequent reason for anovulatory alterations, with a prevalence of 10% in women of reproductive age, and may have demonstrations in stages prior to puberty. And is one of the most common causes of infertility in women.
PCOS occurs, in general, when a hormone called LH or insulin levels are very high without being diabetic, as a result your ovaries produce an excess of testosterone.
Not always is presented with all its manifestations, for the diagnosis is sufficient to have two of the three types of disorders.
Sometimes the treatment is simple and its enough to made habits changes and the way of life style. Loss of 5-10% of body mass sometimes is enough to reinstate the ovulation. On other occasions, it is necessary the prescription of drugs such as metformin (insulin sensitizer), or ovulations inductors clomiphene, aromatase inhibitors or gonadotropins.
If the patient does not wish to become pregnant, will be prescribed drugs that improve insulin sensitivity, oral contraceptives and antiandrogens alone or in combination to solve the cosmetic issues, especially the acne and excessive hair.