Likuvannya and signs of sclerocystic ovaries in females. Also sclerocystic disease in men

For the purpose of developing a disease, sclerocystic disease of the ovaries, varietal etiology, pathogenesis and methods of diagnostics. Pathology є hostile gonads (bogies) of women. In inheritance, there is no delay, because of the failure and the forecast of the disease.

In simple words, sclerocystic disease of the ovaries in the course of changes in the structure of the appendage, so that the follicles become vivid together and grow in size. Zazvyhay obsyag one illumination will not change 10 mm. Visually viglyadaє yak grono grapes. The serous membrane above the slides is depressed і maє sіro-bіliy colіr.

From the data of morphological, cytological and hormonal dosage of patients, sclerocystic degeneration of ovaries - May the direct links to dyshormonal disorders, vicious reductions in female hormones - estrogens.

The term Stein-Leventhal syndrome, names for the honor of a medical child, which described the clinical and morphological characteristics of pathology, is widely used in the history of dzherels.

cause development

The ethiological factor of sclerocystosis in women is often very important, because it is more likely to be infused into the body of a woman. chimalo more important introduced psycho-social stresses with regular stresses and emotional changes. The change in female and male hormones in relation to androgen levels is indicated.

Formation of sclerocystic disease of the ovaries is important in to a young person... Vypadki of obsession with females of pubertal period with the appearance of the first menstruation - menarche - were restored. These types of diagnostics are genetically determined, and diagnosed in the closest relatives in the family by life line.

Also, the adjustment of the level of hormones in the supernatant is to develop the development of insulin resistance. red diabetes... Early manifest nonspecific and pathology to appear vaguely, if the classic symptoms of endocrinopathy occur.

Main reasons:

Chronic extragenic in the diagnosis of infection without proper therapy: tonsillitis, sinusitis, pharyngitis.
Chronic gynecological ailments in the ignition center of the cells and uterine tubes.
The folding process is important to the process of flooring.
Numerical medical criminal abortions (more than two).
Revision of the mass of tila increased by 10% as a result of the index. Supervise the change of metabolic and hormonal reactions on the blood pressure.
Destruction of the hypothalamic-hypophyseal connection. The appearance of stimulation of cells for viroblasting is not typical of a high level of human hormones.

Until one of the theories of sclerocystic disease in ovaries in children, there is a change in the tropism of stimulating speech. So, to replace the inflow of the hormone of the hypothalamus on the gonad, to stimulate the singing viddilіv of the nadnirnikov, (which occurs adrenarche in the pubertal period). Secondary articles are often formed to indicate the cholovy type, and then to be replaced by the female type.

See sclerocystosis:

For the mechanism of development of sclerocystic disease in ovaries:

central;
yєchny;
supranirkovyh.

For hikings, they are classified as low and deep.

Symptoms of sclerocystic ovaries

When sclerocystic ovaries degenerate in a woman, the menstrual cycle breaks down, the appendages do not function in the world. It is evident that there is a soreness in the millennial, the vision is small. This cycle is marked with signs of catching with an early ear.

With the growth of amenorrhea, if there are thousands of bloodsheds, ovulation of the ripened ovules comes out of the day, and the follicles, in their own heart, grow. In the period of amenorrhea, acyclic hemorrhage and uterine bleeding occur. Podbniy stan will go off without pliddyam.

With a moderate and severe interruption of illness, symptoms of masculinization are indicated with the appearance of hair behind the cholovich type, a coarse voice. The growth of hair follicles along the edge of the areola of the nipple, along the middle line of the abdomen, below the navel, and breast cancer mіzh milky vines. There are thick Pushkov hairs on the face. Replace the horizontal growth of pubic hair, form a vertical yak at the head.

The robot sniffs oily and sweaty. It is especially pleasant in adults and females up to 25 years, if there are no comedones on the skin of an individual, acne and burnt clogged ducts.

Women skip for a change in milk swelling, hypertrophy of the clitoris, hair loss in the temporal zone of the head, fat in the area of the breast and abdomen.

To navigate with a normal, well-balanced habits prevent over-growth of the adipose tissue from becoming obese. The zagalny camp burns through the growth of glucose levels in the blood: spoiled, unsuccessful, weakness, spraga, parts of the positive until secular, dryness in the mouth.

Methods for the diagnosis of sclerocystosis

More importantly, you can borrow money quickly for medical aidі diagnostics of sclerocystic ovaries. Gynecologists consider a favorable prognosis for early illness and rapid development of therapy.

Hardware diagnostic techniques:

The woman independently can start the phase of the menstrual cycle by way of basal temperature... At the early hour, without getting up from the lid, the tip of a thermometer for 3-5 chilines is inserted into the rectum. With sclerocystic ovaries, ovulatory temperature changes will not occur.

Laboratory Doslidzhennya:

Assessment of the hormonal profile - hyperandrogenism, hypoestrogenia. Viznennya active speeches thyroid gland, Nadnirnikiv, gipofiza.
Analysis for tolerance to glucose, value of blood sugar.
Colpocytogram (smear) і іshkrіb endometіyu - single-phase menstrual cycle from the daytime of the ovulatory phase.
Analysis of a smear for sterility and pathogenic microflora.
Biopsy of discarded biological material as a result of scrubbing and laparoscopy.

It’s insanely, it’s necessary to carry out the necessary analysis of the values of the indicators in the clinical and biochemical blood warehouse, zagalny analiz Sechі, Wasserman's reaction (diagnostics of syphilis).

Treatment of ovarian sclerocystosis

For the improvement of the zagalny camp and the reduction of the mastiff of the bazhan for the way of life and food. A decrease in the index of weight is possible, with an individual choice of food from a doctor (reduction of a diet without hunger), with regular physical options, Which positively infuses on the sensitivity of the fabric until it is insulin (to move), when the lykarsky zasobiv: Metformin (Glyukofazh, Siofor), thiazolidinedioni (Glutazone, Avandiya).

Therapeutic treatment of sclerocystic disease in ovaries:

The incidence of vaginosity on aphids of sclerocystosis of the ovaries due to hormonal conditions. In the capacity of the basic treatment, the following types of preparations are indicated:

antiandrogenic - lowering the cholovic hormone androgen: cyproterone acetate (Androkuru), oral contraceptives (Jess, Yasmin), Flutamid (FLUTAN), Finasteride with increased testosterone;
estrogen-gestagen: logest, Trisiston, Mikrolut;
Combinations: Mirella, Miniziston.

The dose, the multiplicity of the intake and the triviality of the course, should be prescribed by a strictly eligible gynecologist. In addition, in addition to gynecological and hormonal medications, it is recognized that there are some problems with extragenic pathology.

In some therapeutic treatment, it does not bring results, but most often it is associated with sclerosing and infringement of the gonadal membrane, so that the ovum cannot ovulate. In such a situation, an operation is shown.

Surgical treatment of sclerocystosis:

In women of the reproductive cycle, carry out an important organ-preserving, low-traumatic surgical treatment... Viboru method -.

See the operation:

wedge-like resection - a visible tissue of the appendage in the form of a wedge by name;
decortication - part of the liquidation of the sclerosed sheath (electrical puncture, perforation);
additional wedge-like resection and decortication;
demodulation is a visible middle part of the gonad.

Total and subtotal ovariectomy is indicated for malignancy.

Potency in sclerocystic disease of the testicles

With adequate therapy, the onset of vaginosti in sclerocystosis is possible. At the end of the therapy, ovulation inducers are recognized: Clomifen, HCG (Pregnil, Profazi), follicle stimulating hormone (Merional, Menogon).

We are predictive and friendly to get involved:

seduction of the endometrium of the uterus;
renewal of menstruation;
cyclic hormonal therapy;
change of follicles during the phase of the menstrual cycle.

The delay of adult egg production for therapeutic treatment is possible in 3-4 months, and for surgical intervention - in 6-7 months.

Improvement in case of untimely elimination of pathology

Dominant not bazhaє accelerated women of reproductive disease in the appearance of amenorrhea, acyclic blood smear, without. If there is a patient in the perimenopausal period and if symptoms are known, then you can come to the next:

development and progress of red diabetes type 2;
hypercholesterolemia;
development of indicators of lipoproteins of low and even low level, such as inheritance, atherosclerotic lesions of the heart, brain and other organs;
malignancy (endometrial cancer, yachnikiv).

Primed on statistical data, it is important to promptly carry out the check and review of the gynecologist not earlier than once per day.

prevention of illness

first and foremost professional- go to sclerocystic disease directly on the advance development of sickness and include the maintenance of a healthy way of living, balanced shot of food, taking into account the special hygiene, interfacing with the physical, regular, life-saving. Bazhano planuvati vіtnіst, schob uniqnuti abortion, wear clothes for the season, do not get cold, see shkіdlivyh ringtone, There are a variety of different articles of communication and often a change of article partners. For viklyuchennya infektsii, scho is passed by the state route to fix a condom before coitus.

Secondary prevention - sclerocystic disease is based on the use of time-consuming therapy of obvious disease. It is recommended to start the first prevention algorithm, as well as undergo instrumental and laboratory support, take lіkuvalny drugs, Vipisani gynecologist.

sclerocystic disease- the fall of the female reproductive system, to bring to the destruction of the menstrual cycle and without. For the help of hardware and laboratory techniques, it is good to visualize and diagnose. Likuvannya is recognized only as proficient fachivts with urahuvannya scarg and results in a condition: gynecologist, endocrinologist, immunologist, geneticist.

Sclerocystic disease of the lactose is a tset, when in the body there is a formulation of other emptyings up to 1 cm in size. It is a natural result of untreated. Progression of ailments Veda to the sutta deterioration of the reproductive health of a woman. According to the statistics, up to 70% of all types of endocrine failure are explained by the most common pathology.

Sclerocystic disease of the testicles - how are they? Viznennya that code for MKX-10

In the International Classification of Ailments (ICD-10), the pathology is encrypted under the code E28.2. There is also polycystic ovary syndrome (PCOS), which is a mediator of the discussed disease. All category E28 is common dysfunctional damage in the robotic gonads, including the primary and unspecified ones.

Sclerocystosis of ovaries becomes up to 4-5% of all gynecological pathologies. According to medical statistics, 11% of women of reproductive vitality are ill. The structures of all the reasons for endocrine failure in the diagnosis of sclerocystosis of the ovaries are close to 70%, and it is worth reaching a great sum of money to talk about the seriousness of the disease. It is also mentioned that pathology occurs in 60% of women who suffer from hirsutism.

In gynecology, sclerocystic disease of the ovaries is also a phenomenon, when in the tissues of the organs, some empty pieces are formed. It is not a swindler's camp with polycystosis of lynchians - the forerunner of this pathology. It is necessary to develop and understand the understanding - as it is necessary to get involved in the variant of norms. All the time there may be similar signs, so when diagnosing, they are foldable. It is important to investigate the particular symptomatology of sclerocystosis, and it is often possible to identify pathology and cause the treatment of severe complications to the process.

Causes of sclerocystic ovaries syndrome

The exact reasons and mechanisms for the development of the ailment are not vivocation. See the number of theories for the diagnosis of sclerocystic disease in women:

Zbіy in the robotі of the hypophysis and hypothalamus. In the development of pathology, it is of great importance to break down the viroblation of gonadotropin-releasing hormones from puberty.
Supraspinous activity of measles of supra-nirkoval zalosis, which can lead to defects in the synthesis of steroid hormones.
Insulin resistance - a decrease in sensitivity to insulin. Metabolic start I fold the lance of perversion, as a result of which the rhythm of the vibration of the power hormones changes.
Slump. It is noted that half of all types of sclerocystosis of the ovaries are genetically mummified.

There are a lot of drugs, so in the basis of the pathology there is an excess of luteinizing hormone (LH) and a decrease in the level of follicle stimulating hormone (FSH). On a whole, the concentration of estrogen decreases and the synthesis of androgens increases. The robots of the eggs will be driven, and replaced by the brush, in the form of a capsule. This is how the syndrome of polycystic ovaries develops, on the basis of which there is already sclerocystic disease - atresia and replacement of follicles with the resulting tissue.

Symptoms of sclerocystic ovaries

Sclerosis of the cortical ball of eggs should be produced before the appearance of such characteristic signs:

Disruption of the menstrual cycle is associated with menarche - the first in the life of menstruation. Already in the midst of an oligomenorrhea, in every month, it comes at intervals of 35 days or more. Menstrual vision is small and not more than 3 days. In general, the situation is not overpowering.
Uterine bleeding, tied with overworld growths of the mucous ball of the uterus.
The duration of menstruation (amenorrhea) lasting 6 months and is more likely to develop in case of unconventional pathology, and more often it appears in women over 30 years old, who are hungry for obesity. With a normal body mass, such a symptom can be prevented from an adult onset.
Ozbitochnoe hairiness for the cholovic type (hirsutism).
Vugri on the face of the til.

Traditionally, sclerocystic disease in women is confronted with obesity and hirsutism, but the situation has changed in the last few years. All often at the reception before the gynecologist, women come with normal vagina and mild hair growth.

Sclerocystic disease of the lungs and vaginism: how much is it possible?

In the body great women schoomyatsya yde ripening follicles. For 6 days, the stench grows, for which in the middle of them you see one dominant (more kilka). Such a follicle is called graafovim bulb, and the ovum is in the new one. At the moment of ovulation, the ovule is transferred from the ovary, and when the spermatozoa is developed, it is consumed late.

In case of sclerocystic disease of the cells, the mechanism is given by nature. The overwhelming concentration of the luteinizing hormone must be produced before the follicles do not ripen, but at the same time, empty empty spaces are formed. Ovulation does not take place, ovulation does not take place. The conception of a child with such a distribution is not recognized.

Chronic anovulation is the main cause of failure in sclerocystosis of the ovaries. Zavagіtnіti with th pathology is possible only after a trivial course of treatment. Stimulation of ovulation is not expected to be successful. Sclerosed ovaries are rotten to therapy. In neglected situations with an unoccupied long hour of pathology, medicine is powerless.

I'm 34 rocky, kids are dumb. I am unsuccessfully grasping without success for a stretch of 3 rocky, or no result. Likar, it seems, the reason for everything is sclerocystosis of the ovaries. How can you start when you have ailments and how can you get sick? Anastasia, 34 rock.

Bezplіddya - tse regular infants to the syndrome of sclerocystic ovaries. In therapy, the development of the scheme will be stagnant, and the only way to get involved in the day is to take hormones. Yakshcho for three rocky efektu not wanting to go, varto think about the operation. For laparoscopic resection or for large women to conceive of a child by stretching out to fate.

diagnostic scheme

When displaying a diagnosis, look at the criteria presented at the Rotterdam Consensus in 2004. There are three signs in the ma buti woman:

Oligomenorrhea and / or anovulation.
Hyperandrogenism.
Ultrasound signs of sclerocystic ovaries.

To detect pathology, the following methods are used:

Gynecological survey. On palpation, the uterus of normal size and increased ovaries appear. In neglected situations and in severe sclerosis, the gonads change. For an hour, I’ll look around the beast, and I respect the signs of hirsutism, superfluous masa tila.
Laboratory Doslidzhennya. In the blood analysis, the adjustment of luteinizing hormone and the change in the amount of LH / FSH is increased by 2.5 times. Promote the growth of testosterone - a representative of human hormones. Four women have prolactin.
... On the ultrasound scan, there is an increase in the number of yachniks, the appearance of cystic inclusions - other follicles in sizes up to 1 cm in number not less than 10.
Doppler sonography. When assessing the blood flow, it is indicated that the dam is rotated in the stroma of the organ.
Aspirations of biopsies of endometrics are carried out only when uterine bleeding... Sclerocystic disease of the uterus often occurs at once with the hyperplasia of the endometrium - a stump, when the mucus ball of the uterus grows. Chim more term zvoryuvannya, tim vishche ymovirnist development of such pathology.

Diet with sclerocystic disease

Correctly eating is the most important stage of therapy. Meta dієti - the desire to reduce the mass of tila and increase the sensitivity of the client to insulin.

Headline principle:

Frequent shotguns: 6 times a day in small portions.
Vidmova vidroi, spicy, greased їzhі. You can also eat pickles, smoked meats, saline from the fence.
The priority is given to dishes, steamed or baked in the oven.
Dobova calorific value of їzhі - not more than 2000 kcal.
Ridini's head office - not less than 2 years.

When choosing a menu for childish food go to the glucose index (GI). The basis of the race is based on low GI products. The stench will often get used to the body and not to produce quick advices glucose in the blood. As soon as such a graphic is seen, a hundred polish will be available in 4 days.

Medication for treatment of sclerocystic disease in ovaries

Meta therapy:

Renewal of ovulation and normalization of the menstrual cycle.
Usunennya hyperplasia endometriya.
Increasing fertility and increasing the ability to conceive a child.
Decreased mass of tila (for women with an overworldly wagon).
Usunennya symptoms (acne, hirsutism).

Drug treatment is carried out in a few stages:

Advancing the sensitivity of fabrics to insulin. Stagnate Metformin and yogo analogs in the course of up to pivroku.
Stimulation of ovulation. Clomiphene is prescribed in the minimum dose from the step-by-step increase. When there is a daytime, there is a problem with the following: Metrodin, Menogon, etc. P.
Preparations that normalize the viroblasting of gonadotropic hormones: LH and FSH.
Make sure you regulate the exchange of estrogen and androgen. Allow yourself to be confused about concomitant hirsutism.

Competently prepared medication therapy for supplemental normalization hormonal background, Start ovulation and conceive a baby.

Hirurgic treatment for sclerocystic disease

In case of absence of the effect of conservative therapy, an operation is indicated. Hirurgicne involvement carried out by the way of laparoscopy. The doctor robs a spike in a cranial wall, to introduce an instrument and a vison one of the offensive procedures:

Wedge-like resection of the ovary is a hanging part of the body.
Cauterization of the ovary - the ruining of the stroma to the organ with the aid of a laser or an electric knife.

The vibrating method is based on the technical capabilities of the clinic. During the laparoscopy, the ossification of the yarn tissue changes, which produces androgens, and the capsule collapses. All systems are optimal for the maturation of egg production and ovulation.

The duration of the laparoscopy infusion is 6-12 months. As soon as you stretch out the first three ovulation cycles, you should try not to give in, it is shown that the hormones are indicated. In the case of Clomifen, oral contraceptives are combined with a large amount of estrogen (Diani-35). When anovulation begins, the woman should go to the EKO.

Likuvannya of sclerocystic disease in women with folk diseases

Recipes for alternative medicine are set only in combination with traditional methods of therapy. Popularity to criminate like this people zasobi:

Fresh juice of potassium berry in the sum with honey.
Pivonia Quotes Available.
Burdock juice.
Tamponi from the mummy.
Tincture from a hog uterus or a red scrub.

Rіznі lіkarskі grasses become stasis і solo, і in complex gatherings. The course of treatment should be at least 3 months. It is important to remember: people do not relieve sclerocystosis, but they do not help normalize hormonal levels. Additional methods for storing in complex treatment with the help of stimulation of the immune system and the stimulation of the body tone to the body.

Five years ago, the diagnosis of sclerocystosis of the lungs was diagnosed. I took the hormones, took Diani-35 and did it all, but didn’t get away from it. Lykar is directing to the operation, but I will not bother. I want to try to drink a woman's grass - a hog's uterus and a chervon's brush. why help folk methods Likuvannya of sclerocystic disease in patients

People get involved, including grass zbori, Supplementing the hormonal background and starting ovulation, ale effective stench only in the complex with medications. Even for 5 years, I didn’t reach the success, but I’d think about the operation. folk recipes in any vipadku it is unlikely to help conceive a child.

You can submit your food to our authors:

Among the common types of pathological organisms of women, which often appear in puberty, there is a great respect for the clientele of the past few years, the problem of sclerocytic wines in women, in this case, is called the syndrome.

The story of Ya.K. Khachkuruzov (1915), and the description of V.K. Lisovoy (1928) and E.E. Stein and Lowenthal (1935) received a significant number of literary materials devoted to this food. The wake, from the impotent robots of the last rocky after seeing the monograph by P.G. Shu-Shaniya, collectively edited by A.S. ) і ін.

The main signs of sclerocytic changes in women are to achieve equally two-sided growth in women and the appearance of a childish blue and a mother-of-pearl-white shell (so called great old women), In the cortical ball of cells, the number of primordial and mature follicles has been changed. The semi-tissue stroma of the inner sheath of the follicles of the hyperplastic, the superficial balls of the skin and the formation of the sudin are fibrosized. On the gas gynecogram, one can clearly see the contours of both grown eggs. The number of acidic and neutral mucopolisaccharides is adjusted.

Yak pidkreslyu B. І. Zhelezov, before the hour of histological pre-examination, there is a macroscopic increase in the number of changes in the disease in the absence of grapes for the appearance of sclerocystosis of the gonads in the type of hypertecosis or tekomatosis; at the last moment, there is a change in the cells, and the very diffuse hyperplasia and luteinization of the stroma. On razrіzі fabrics on small cells іnerіvnomіrniy аbo diffusion zhovty kolir, Surrounding luteinized clitines, which grow out of sight of some or many groups; cystic-atresized follicles develop in a small number of cases, or to go from day to day. Bilkov's shell is not ravished, but it has been railed nervously. Hypertecosis, sparing not only in, but in females of an early age, a number of vipads appear in the midst of hyperplasia of the cystic zone of measles supra-nirkovy. The changes in the stroma of the testicles with hypertecosis are superficially androgenic, which is clinically manifested in patients with symptoms or hirsutism. For an hour, it is indicated that the cancer of the uterus (Ya. V. Bokhman) or a lactic acidosis is diagnosed.

Numerical robots have provided a detailed analysis of food jugular genesis of sclerocystic changes in the gonads , About the stance of hypothalamic-hypophyseal structures in case of a wide incidence and about the role of the adrenal factor in the presence of frequent viril syndrome in patients of the whole category.

The main factor in the disease is the destruction of the process of biosynthesis in the cells. If in the physiological minds of the development of estrogens and androgens of the ovaries to become 7: 1, then in ailments with sclerocystic ovary syndrome, serous enzymatic damage appears, as in two strains.

In a part of the ailments, there is a misconception of ways of exchanging steroids; The biosynthesis of the hydroxyandrosterone is important in the cells of the hyperplasia of the inner shell with the most significant amounts of up to hydroxyandrosterone, which is very strong androgenic. In case of other options in the presence of a breakdown in the hormone biosynthesis, it is not possible to reverse the conversion of apdrostenedol into; win accumulate in excess amount in follicular "penzlik" at the same time with 17-cc-hydroxyprogesterone and testosterone-alternatives of estrogens, so that the power of androgens is generated.

Damage, scho zumovlyuyut defect in the synthesis of estrogens by the cells, may genetically mummate, disfigure the character. Vislovyon poppushennya, scho ethiological factor in the development of sclerocystic ovaries syndrome foreign infections on chromosomal type, especially in groups A, C and in. (Sterba, Sturma).

There can be 4 etiologic types of sclerocystic ovary syndrome. Prior to them, it is considered: 1) the first battle on the level of the hypothalamus; 2) second test on the level of hypothalamus (with congenital hypercorticism); 3) overseeing the biosynthesis of hormones on the basis of aromatization; 4) monitoring the biosynthesis of hormones on the basis of Z-epi-P-ol-dehydrogenase. To that, it is permissible to become ill, such as the syndrome of micropolysty lynchiks, which includes a few of the clinics.

At the same time, the blockade of biosynthesis of estrogens in women is not the same in the same way.

In a part of vipadkiv it appears to be unbarred for menarche, manifested in viglyadi to reach persistent anovulatory damages and bezpliddya; only in general develop secondary hypothalamic-hypophyseal breakdowns on the ground; Some of the symptoms have characteristic symptoms - a complex of symptoms, for example, due to mental trauma, sometimes due to an ear of life, due to abortions. It is not common for ailments to appear and polyglandular endocrine problems with increased labileness nervous system... That, perhaps, has a significant role in the pathogenesis of the development of the primary destruction of hypothalamic-hypophyseal diseases central camp, In addition to the impairment of the cyclical secretion of gonadotropin-releasing factors and gonadotropins, as well as the impairment of the biosynthesis of steroids in the cells due to the appearance of anovulatory cycles.

In a number of vipadkіv there may be a change in the function of measles supranirkovy. Viroblyaє to overshoot in the ovaries androstenedione block the form of an enzyme of measles supranircus; wines based on dysfunctional pathological androgenic infusion into the organisms of women. It is said that it is allowed to respect ailments that are not uniform in pathogenesis, but also explain the development of the picture of ailments and different types of diseases, and some of them can be intertwined with the mechanisms of different structures of water.

Up to the most frequent key symptoms get sick damage to the menstrual cycle, the nature of the hypomenstrual syndrome, anovulatory cycles (which end with trivial bleeding), and hirsutism.

I want the pathology of the millennial and non-wired hairiness to appear in the majority of ailments in puberty, however, the symptoms of sickness do not appear very often in deputy women, Oskіlki bezplіddya, one of the main manifestations of the syndrome, win over to yourself the respect for some of the rocky life of your friend.

The frequency of key signs, such as supernatant sclerocystosis of the ovaries, is approximately as follows: ruptured menstrual function is 95%, hirsutism - 87%, bezoplasia - 71%, uterine hypoplasia - 45%, obesity - 36% of hypoplasia, obesity - 36% . bloodless, 1971).

Unimportant on significant changes in yachniki, mayzhe in 20% of ailments, it is early to infuse the vagina, as it often ends with an unauthorized abortion or an accelerated canopy.

One of the most persistent signs of sickness - hirsutism - beckon to appear in a dozen hours after the ear of menstrual cycle rupture.

Pathological hair growth is seen on the face, on the nose, on the white line of the abdomen, near the navel and on lower kintsivkakh... However, in the row of vipads, the upper pubic hairline is horizontal, behind the female type. It may be a bit of a female vigilance with a characteristic fat growth in the pediatric cells and the development of muscles behind the female type.

Yak pidkreslyuє D.A. morphological changes yachnikiv, described in Stein-Leventhal syndrome, not specific; bloom, hypomenorrhea, hirsutism, bezoplіddya and bilateral іbіldshennya lachnikov spares і with Postpubertal forms, and in the case of vegetative-guilty diseases - when N. DA Palchik saw 3 key variants of sclero-cystic ovaries, and itself: 1) a type of non-releasing form with ruptured menstrual cycles; 2) an accelerated form, when there is a deterioration in the menstrual function, it is accompanied by sudden changes in vegetative-freezing conditions, often in conjunction with a deterioration of fatty and carbohydrate metabolism and emotional and mental symptoms; 3) atypical clinical form, when they firstly passed the vegetative changes, sometimes for a few rocky before the deterioration of the function of the students.

N. I. Bloodless also saw on her great material 3 key forms Syndrome: 1) the most common type of form (73% of the number of ailments) with characteristic disorders of the menstrual cycle; 2) Ridkisnu form (3.8%), which is characterized by Metroragia; 3) change in shape (19.6%), with a good fit, the regulator was scared with Chergovy blood loss.

Vvazhayuchi the most correct statement about the role functional breakdowns in the area of hypothalamic centers, which appear in the period of the new state function, N.I. It is bloodless to look at the Stein-Leventhal syndrome of the following facts:

Clinically manifest the syndrome in young rock, especially in puberty;
Monotonous excretion of hormonal hormones from the onset of rhythmic bowel movements in the presence of FSH and LH;
werewolf character menstrual problems in a number of vipadkiv with a free hormonal and head rank with surgical treatment.

In case of active pre-illnesses, except for frequent (but far from oblique) hysutism, it appears unbarnly when a few thousand people appear, or when a cob of menstrual cycles breaks down, If there is a clear increase, then for a more accurate diagnosis, go to the gas gynecography. However, traditionally, it is not true that on pneumopelveograms the size of the cells becomes approximately 3/4 of those of the uterus, it is often inconsistent, since when there is a change in the size of the remaining ones, it is wrong to report about the increase in the annual changes.

Slid mother on uvaz, scho in okremikh vypadki, as ordered by B. I. Zheleznov, sclerocystic ovaries to admit with the newly established: dermoid cyst, arrhenoblastoma, from the middle stromal hyperplasia, or hilusno-clinical hyperplasia of ovaries; teka-clitinna і granulosis-clitinna puhlina і etc.

Collegiate studies have shown, after the tribute to N. I, Bezkrovnoi, the versatility of tributes; however, the characteristic is the visibility of the two-phase cycle.

In a third of the proliferative and atrophic changes in the vaginal epithelium, the symptoms of the androgenic infusion were reduced. Endometrial tissue in 77% of cases is hypoplastic and only in 5% of cases is atrophic. Mayzhe among all ailments there are signs of secretory transformation of endometrium. Anovulation was established in 92.7% of the patients.

For B. I. Zheleznov, endometriy in 20% of the population is in the hyperplasia. N. I. Bloodlessly into the distance, stand on your own material the manifestation of reliable correlations between androgenic activity and the stage of hysutism in people with illnesses.

For the shedding of dzherel hyperproducts of androgens (yachniki or nadnirniki), I can greatly help you with a fraction of 17-KS, as well as storing tests for stimulation and stifling of the functions of supernatant lobes.

The author, in 6 vipadki, in the distance, to establish the manifestation of the Stein-Leventhal syndrome of hyperfunctional measles of supra-nirkoval hallux. Even in the physiological minds in the female body, it is not more than 1 mg of testosterone that can be consumed (half of the product of a seizure on the testes, and half on the overheads), then in the destruction of the body's biosynthesis of testosterone production, there can be zokrem, for the transformation of androsten-diol into testosterone and pregnenolone into dehydroepiandrosterone, which is converted into testosterone), which is based on the values typical for the human body.

Schneider and spivavt., Vyvchayuchi oskretsіyu androgens in case of Stein-Leventhal syndrome, were set, but the value of epi-testosterone in food 10 mcg for good at a greater situation of women, and as a result of stimulation of good vidsotkiv).

Oskіlki pіslya rezektsії yaєchnikіv (and dekіlkoh vipadkah pіslya їh Povny vidalennya) occurred rіzke znizhennya vidіlennya testosterone i epіtestosterona, slіd vvazhati scho viznachennya zmіstu epіtestosterona in sechі to i pіslya stimulyatsії horіonіchnim gonadotropіnom Je good test for viznachennya funktsії yaєchnikіv with anovulatory cycles.

Zgіdzhennіy DA Palchik, vivchennya ekskretsії 17-KS showed normal numbers in 29 ailments, altogether increased (11 - 19 mg for dobu) - in 35; sposterization of the most active fractions of 17-KS: dehydroepiandrosterone and androsterone.

Established by D.A. Palchik, changes to the character of the 17-KS and those fractions in the minds of stimulation of the choriohonins (1500 od.

With the introduction of apdrostenolone in this section, the introduction of Horio-Gonin is not victorious in the case of pregnanthriol and 17-KS, due to the decrease in the amount of androstepolone and due to the reduction of the rate of fermentation in the family. With a low amount of androstepolone in the section, the introduction of lHG leads to an increase in the amount of pregnanthriol, 17-KS and androstepolone in the case of an insignificant change in the amount of steroid

In case of hirsutism of the testicular progesterone, an additional progesterone test is necessary, until the decrease in the 17-KS vision, and also in the smaller world to the 17-hydroxycorticosteroids.

Vischevkazanі probi add clarify the pathogenesis of the diseaseі lied to see the so-called wandering forms, if є a day before the defeat of the eggs and measles of the supra-nirkovy halls. In obscure vipadki bazhano, as already zgaduvalosya, storing suprarenography for viznachennya razmіrіv nadnirnikіv.

Until the end of the hour, there was a day out of the United Classification, which hunts for all forms of deterioration in the development of children, as they manifest themselves with variable symptoms during the period of state maturity and state of maturity. From the point of view of merit, in respect to V.I. Bodyazhina, L. G. Tumilovich, M. N. Kuznotsovo, Є. A. Bogdanova zagalnaya classification destructive state development, in which the pathogenesis and clinical manifestation occur.

Sclerosis of the testicles turn in the way epithelial tissue First for all the highly organized hairs, and also for those fabrics to be replaced by the simplest fabrics (fibrous). It remains to step by step to decline and even more (every month and to the rock) to get overwhelmed. In old males, males in important and even neglected conditions with a lack of years of bathing, sclerosis () in women, they do not suffer from growth.

Sclerosis will be weakened, we will get rid of it, as if in the ailing process of obtaining the whole egg, it would be partial, mousse, vognischev, if it was an enemy of the egg. The reason for sclerosis is the head-on process of microbial and toxic nature (state and chronic oophority), which expand to the ovary from the tops of the uterine horns. The tops of the horns will compete in the results of the fierce fire uterus and horns are most often due to important accelerated canopies, obscuring the last, infectious abortion, abdominal abortion, or piecemeal, etc.

The main direct clinical sign of sclerosis of the testicles is even stronger in the area or in the area. Yachniki melt nibi trees, todi yak in the normal stench of shilno-elastic.

In case of ovarian sclerosis, the ovary will increase the main function of the follicle and egg cells; in case of a private urazhenny tsya function will be destroyed in a larger world, than a larger volume of circular dalyanoks.

Diagnosis of sclerosis of ovaries is established only for rectal diseases.

Recurrent sclerosis of both cells in males is very rare. Most of the time in old males. Partial sclerosis of one or both women is not so rare in males.

The prognosis in case of repeated cirrhosis of both women in old men is desperate or mayzhe desperate. In case of partial cirrhosis of both men, the prognosis is less than less than the less severe and older than the dog. In case of partial cyrosis of one ovary, the prognosis of splendor. Behind our caution, in the males, the livy yachnik is significantly more active than the right statistic function. The growth and maturation of the follicle in the left cell grows significantly more often (by 20-30%), lower than the right one. We do not have a tribute to explain this caution. V practical robot when assessing the fertility of males, for some enemies are a painful process of rights, and in the first one is a louse, I see a different one.

Sclerosis (cirrhosis) of ovaries is chronically and even more and more miserable and unavoidable. We know a lot, if a kobili (a purebred Arabian with a nickname Pletka, Terskiy Kinny Plant) has a strong turn (even more) cirrhosis of both men and women, five years of sleep, bully shows a number of statues of a cycle and an endurance. Tilki on the 6th ric in one of the natives, after a significant growth of the fibrous tissue, the follicle spreading, the male became late and normally foaled. Frequently there are strong turns of cirrhosis of both men є a direct cause of singleness of males stretching for 2-3 years. For an hour, it is significant to smoothen the tissue. in yachniki, for which state the cycle and fruitfulness of the car is introduced.

Likuvannya strong and old sclerosis of both children in old males in a tricky hour and do not expect a result. Even older males with more or less heavily swirled cirrhosis of both cells are fully vibrated from the fruit warehouse and robotic, as with normal minds a year, reducing and recovering tissue formation accelerates the process of detoxification. Kobilas with a cirrhosis of laggards need to get a normal robot beforehand (with a saddle, and more beautifully in a harness), correctly fixing that year.

Krym, the necessary energy massage of the eggs through the rectum. The triviality of the skin procedure is 3-5 chilines. Massage every other day, stretching 10-20 dib and more (course), in the fallowness due to infection with cyrosis.

To massage the yachnikiv, insert the hand into the rectum. Hvory the junkie will gasp in the menu, bring him to the black inguinal point, or until the middle of the club's basket, and press it with small interruptions, besides, the myakus of his fingers will press on the entire surface of his. The health and the onslaught of the guilty ones are significant, ale not overwhelming, and will not injure the mucous membrane of the rectum.

Razmoktuvannyu fibrous tissue in egg yards spriy dіathermіya.

However, there are organopreparations (ovaryolizate) and hormones (ovarian and inn.), Then the stench with strong lesions of cystic disease is far from being positive. In addition, these and other drugs are often expensive. That is why it is recommended to fix them only for pedigree, especially valuable males, if they are not old and not very vivid, they are not too old, and they are usually used in conjunction with a robot and a massage. Polyanol is not true to itself in case of an important problem of students in our practice. At the same time, you will be given a tissue therapy in all forms, i.e.

"Tissue therapy", m Rostov-Don, 1950; article Nesterenko 3. M. "Tissue therapy in veterinary and medical practice", journal "Veterinary" No. 2, 1951); in the form of pediatric ones (div. article by N. I. Kobyakov “Dosvid of tissue therapy for mastitis and with internal ailments in tvarin”, the journal “Veterinary Medicine” No. 8, 1951); in the form of biogenic stimulants in water solution(In ampoules), prepared with a synthetic route according to the method of Acad. Filatova (drug FIBS of the Odessa Chemical-Pharmaceutical Plant). Prolongation of tissue therapy of fatigue is the process of dehydration of ailments of tissue and the process of regeneration of healthy cells and tissues.

Prevention of sclerosis (cirrhosis), as well as chronic heat yachnikiv polyagaє in the pre-established rules of veterinary sanitation and zooogіnіy at a steep parvana and zmіst kobil.

Approximately in five of the number of patients diagnosed with gynecological illnesses, they diagnosed "sclerocystosis of men". As well, if it is not a skin woman, then it’s a lot of diagnoses to diagnose it without a skin. First of all, approximately the third part is quiet, in whom they have a pathology, their mothers cannot be found. Ale have the best chances of finding a healthy baby.

Sclerocystic disease of the lungs can be called Stein-Leventhal syndrome, which was first described by two American gynecologists - Irving Stein and Michael Leventhal. Tse became rotsi in 1935. Over the course of fifty years of coming years, the pathogenesis of the disease, the disintegration of the methods of its treatment and diagnostics, have been thoroughly implanted, and even now, for the first time, I do not know all the reasons for this diagnosis.

As soon as you have been given such an insignificant diagnosis, and even if you want more children, you don’t need to fall into your head. In our statistics, we will try to find out everything about sclerocystic disease of the testicles and about the methods to allow you to fit in with it.

Yak vashtovani health yachniki

It is more beautiful than intelligence, as it is associated with sclerocystosis of the cells and vaginism, it is necessary for the nobility, as it is vlashtovani and organisation as the smell of praction, as there are no pathologies in them. Yєchniki є zh_nochimy young statute organs. Їх can be imagined among the viglyadi of wild mice, memorized by the cerebral speech. Walls of yachnikiv whistle ball with good fabrics, A ball of cortical speech should be put on a new one. Win a foldable Budova and more important meaning. It is in the whole sphere that follicles are established - specific structural elements, in which eggs develop. Follicles, called the first ones, in the number of approximately one or two million are laid in the organisms of the skin child at the stage of the fetus. With a hand of life, repaired during the period of the state of maturity and ending with the period of menopause, the stench is gradually lost, but it will not be established again. The hour will come for that, if the supply runs out.

It is practically not possible to see the follicles from women of the early age; On the right, in the їkh stage-wise ripening for an hour, we spend a lot of time. The axis of the stench and the blame for the fact that the vagina is not so important. Moreover, the wrong development of follicles in a hundred of ailments.

Yak there is a child's hand and a visit to the vagina

If a woman grows into a state of vision, in her organisms it is included in the process of ripening the primary follicles, which is like biting until the end of the day. The whole process will take place cyclically. In the skin cycle, up to about 15 follicles are "prokidayutsya". Smell from the FSH hormone, which is violated by hipophysis, is launched into growth, increasing in diameter from 50 to 500 microns. In the whole period in them, the follicular ridina is established, and in the most of them there is an empty one. The whole foliage is becoming dominant, it grows up to 20 mils, and it grows. In the middle of the rapidly developing ovum. The Rashta folikuli from the group "threw in" one after the other to go and get wet. As soon as everything goes by the rules, in the organism of a woman it is included in the robot endocrine system. As a result, hormones, estrogen, progestins and androgens, are released, and the dosage of the dominant follicle is infused further away. When the hormone of the luteinizing hormone (luteotropin, lutropin, LH is fast) is released, the ovum is released into the uterine tube, and it itself is transformed into zhovte tilo and step by step get wet.

I don’t pick it up, I don’t see the ovum to regenerate, but at the moment of the follicle, it’s growing out of the cherry of a bunch of eggs. Tі z "threw" follicles, as they didn’t rise to zagyuyut, so it is re-created in the brush, only menshі for size. The cyst, which has settled down from the follicle, has only grown up to significant growths (40-60 milimeters), but at the same time, you may not show any signs of it. It is not necessary for the children to skar on the pains in the field of yachniki in some cases. In order for a woman to normalize hormones, she will slowly get wet. Even though the woman had ovulation, it was obvious that at that time the woman didn’t get the vagina, but the woman had grown to a size of 90 millimeters, and it was necessary to see hirurgic path.

cause sickness

At the same time, I know in detail how sclerocystosis of the cells can take place. The cause of this phenomenon has not been established for sure, є it is deprived of it. Oscillations in the normal development of the follicle and the release of the ovum, the role of hormones, the main reason for the diagnosis of sclerocystosis of the ovaries is involved hormonal damage, I seedlings in the mechanism of synthesis of estrogens. These are the causes of hormonal damage:

recession;
anomalies in the structures of genes;
destructiveness in hypocritical systems;
mental trauma;
accelerated delivery of abortions;
infectious and gynecological ailments;
accelerated production of canopies;
zm_ni funkts_y of measles supranirkovykh zaloz.

Clinical symptoms

Unfortunately, it is possible only in the earliest period of the state of maturity to develop sclerocystosis of the ovaries in the girl. Symptoms on the whole stage of the change and in the main polarity in the disturbance of the menstrual cycle. Ale in this phenomenon, there can be a lack of reasons, not tied to the ailments of the eggs, right up to the nasty food and nerve problems. Up to twenty, up to a maximum of twenty five years, girls have more symptoms of sclerocystosis of the testicles. The main thing and earlier was the deterioration of the cycle and the nature of menstruation (in 96 patients). More often than not, there are trivial views of the millennials (close to the season and more), as well as the backward fewer of the vision.

Some of the symptoms that make it possible to suspect sclerocystic disease of the lungs are:

hirsutism (in approximately 90 children, the hairy area near the nipples, back, abdomen, and over the lip);
overhead carriage (70 units of children);
oblivion and prischі on faces (develop no more than 40 vipadkіv);
deyakі changes in proportions tіla;
breakdown in the robotic nervous system;
asthenic syndrome;
zbіlshennya yachnikiv (appear as a gynecologist when looking around).

In addition, in some women, there may be symptoms that are in the back of the sick: pain in the lower parts of the abdomen;

Laboratory dosage

At the beginning of the disease, there is a sign of sclerocystic disease of the ovaries in the absence of suspicion, and the residual diagnosis is put on the basis of additional conditions. Such є:

analysis of blood for testosterone (zagalny is guilty of buty in the range of 1.3 ng / ml, in women up to 41 rocks - in the range of 3.18 ng / ml, and up to 59 rocks - not more than 2.6 ng / ml);
analysis for glucose absorption, for blood sugar and triglycerides;
colpocytogram (the material is taken from the beginning, the data for the analysis are shown, the number of ovulations, and also the indication of the colpocytogram indexes in the patient and the phase of the menstrual cycle);
zishkrib endometriyu (it is allowed to judge about the broken functions in the yachniki);
control of basal temperature changes;
analyzes of thyroid hormones, hypophysis, ovaries (LH, FSH, PSH, prolactin, cortisol, 17-hydroxyprogesterone);
the value of the value of the estrogen.

Infection of a patient can independently carry out a simple test, so that it is possible to perceive a cystic confirmation of the test. A microscope is required for this (you can buy it in pharmacies). Vrantsi, only having thrown and not yet shed or vipivy, need to put a drop of your sludge on the laboratory skeleton and let it dry out. Before the hour of ovulation, you start to move the rivn of estrogens, which, in its own right, is a sludge warehouse. When ovulation occurs, the microscopic microscopic view of ovulation is near the fern leaf, and if there is no ovulation, it is near the dots.

hardware diagnostics

As a rule, for an accurate and residual diagnosis, patients are assigned to the complex for additional medical equipment.

Naybіlsh sparing and absolutely painless method є Ultrasound diagnostics of sclerocystosis of testicles. The procedure is transabdominal (through life), transvaginal (the most highly informative way), transrectal (carried out only in young women and women of a sick child).

With the help of ultrasound, the difference between the cells, their shape, structure, the number of follicles in them, the diameter of the follicles is up to 8 mm, the appearance or the appearance of the dominant follicle, the appearance of the prevalence of the follicles.

Another type of skinning is a gas pelveogram, which shows the response from the norms of the growth of the uterus.

One of the most common types of diagnostics is laparoscopy. Vaughn will be held in the stationary pid gallant anesthesia... The algorithm for carrying out an offensive: patsієnttsі surgery to prevent the puncture of the wall of the queue і to introduce in the middle of the apparatus, so that the gas is pumped in carbon dioxide, then it is added to the queue in order to make the organization more comfortable. A laparoscope is introduced into the patient's room, which will be shown on the screen of the staff. Laparoscopy is the most accurate method of diagnostics;

Conservative methods for the treatment of sclerocystic disease in ovaries

For the statement of the residual diagnosis of life in a large number of cases, medication therapy is indicated. Її meta - renew the normal menstrual cycle and renew ovulation. Chim likuvati sclerocystosis of yachnikiv, virish gynecologist with an endocrinologist.

When obesity is evident in a patient, the first stage of treatment is a decrease in vagi. The life of the day, feasible physical right.

Another stage is the promotion of the insurance. It is called "Metformin", which is required to take 3-6 months.

The third stage is ovulation stimulation. Repair therapy from the simplest line - "Clomiphene". A cob course of a pole in a priyom for a low drug in a dose of 50 mg, repaired from the 5th day to a cycle of 5 days after. As far as the result (menstruation) is concerned, "Klomifen" is taken over a month. If there is no defect, the dose is increased to 150 mg per day.

The offensive stage (with the presence of positive dynamics) is a sign of the Menogon leaks. Yogo is introduced internally, and after the end of the course, he should be rocking "Horagon". "Menogon" can be replaced by "Menodin" or "menopur".

After completing the entire course, to shake off the biochemistry of blood, and on the basis of the results of the analysis (if the LH hormone is lacking), assign "Utrozhestan" or "Dyufaston".

At the same time, they start to clean up at the woman's overworldly hair, in conjunction with which they signify "Ovosiston" and "Metronidazole".

Obov'yazkovyu supplements to the course є vitaminoterapia.

Sclerocystic disease of ovaries: treatment by surgical methods

With a stretch of three months for drug therapy, ovulation is not prevented, promptly involved... Vono vikonutsya kіlkoma methods. Whichever of them are stasis, I will become the yachniks for a show.

on happy stage See these types of operations:

attaching the cyst to the laser aid;
demedulation (vidalennya in the ychnik yogo middle part);
wedge-like resection (visible from the ovule of the dilenca of the damaged part in the wedge shape);
decortication (lіkar vіdalyaє transformations bіlkovu ball of the egg, barely puncture the foliage and sew it in the edge);
elektrokauterizatsii (point ruinuvannya in the cellar of this region, in which there is a lot of hormones).
nachki (їkh hirurg to rob with glybin up to 1 cm in mіstsyah, de enlighten foliage, and stench when ripened could release oocytes from itself).

forecasts

A woman, who can wait for a method that has been pro- posed by a drug user, and choose one meal: what can be done with sclerocystosis of the disease? Statistics show that, without a test, it is not diagnosed in 90% of cases. drug therapy"Klomifenom" will dye the functions of the eggs in 90% of the patients, ale vaginism with a full infusion of only 28% of them. True, for the deyakim tribute, positive results can reach up to 80%.

Inadequate to the drug "Clomiphene" - wine only on the ear of the ear, because of the operation as an additional one.

lykuvannya bilsh strong drugs For example, "gonadotropin", according to statistics, produce a minimum of 28% of patients before ovulation, a maximum of 97%. With a wide range of women from 7 to 65% of women.

As well as sclerocystic disease of the cells, it is a surgical path, positive results are indicated approximately at the same frequency, as well as with conservative therapy. According to the statistics, when operating on the workers, the chance of being registered will be 70-80% of women.