It's trendy to be ~body posi~ and have massive self confidence even if you're conventionally ugly right now. Especially if you're not conventionally attractive, actually. It's the in thing with the group she wants to be part of. I don't see how you guys don't get that she's working that angle hard. She wants to be seen a martyr and a hero for defying unconventional beauty standards and seeing worth in herself when society doesn't.
Polycystic ovary syndrome (PCOS) is a condition associated with hormone imbalances that affects women. Though the underlying cause of PCOS is not known or well understood, it is believed that an imbalance of sex hormones and resistance to the effects of the hormone insulin are the main problems. These problems result in a characteristic group of signs, symptoms and complications such as excess facial and body hair, irregular menstrual periods, infertility, and insulin resistance.
Weight loss is also a key first step if you’re planning a pregnancy. It may improve your ability to get pregnant by restoring ovulation3 or make your body more responsive to fertility treatments if that is what is determined you need. In fact, up to 75 percent of women with PCOS who were able to reduce their body weight also had better glucose control and improved androgen hormone levels, helping to restore ovulation and fertility,2,3 experts say.  
Along with the hormonal imbalance and insulin resistance, Medling says that chronic, low-grade inflammation is the third player in the syndrome. (5) Follow an anti-inflammatory diet, which includes nutrient and fiber-rich produce that are low on the glycemic index (like apples and berries), grass-fed meats, organic poultry, as well as sources of omega-3s (like chia seeds and fatty fish) and avoids inflammatory, heavily processed foods, like french fries, potato chips, cake, and cookies. You’ll also want to keep track of foods that bother you (like if dairy gives you gas) and avoid those to help you feel better, she says. (6)
she's only playing dress up as a heroin addict because she knows she always has a safety net. those are the kids that go the hardest, the ones that are so privileged they think nothing really bad is ever going to happen to them. but she's already ruined her appearance and job opportunities, so i don't know where this weird superiority complex for being "poor" comes from? even if her daddy does save her she can't just get a top notch face lift like courtney love. no one cares. she's already so fucked and doesn't know it.
Tu médico o un nutricionista titulado puede ver lo que comes y tu nivel de ejercicio y de actividad física a fin de diseñar un programa para perder peso hecho a tu medida. El ejercicio es una gran forma de combatir el aumento de peso que suele acompañar al síndrome de ovario poliquístico, así como una forma de reducir la hinchazón, otro de los síntomas que a veces experimentan las chicas que padecen esta afección.
73. Roy KK, Baruah J, Sharma A, Sharma JB, Kumar S, Kachava G, Karmakar D. A prospective randomized trial comparing the clinical and endocrinological outcome with rosiglitazone versus laparoscopic ovarian drilling in patients with polycystic ovarian disease resistant to ovulation induction with clomiphene citrate. Arch Gynecol Obstet. 2010;281:939–944. [PubMed]
Hi Dokbru, simula po kasi nag ka hyperacidity ako last october hindi n naman po nag regular ang menstruation ko. Minsan isang buwan konti lang lalabas n dugo n medyo parang putik pa ang kulay nya s ngaun po mag 2months n po akong d dinadatnan. Di naman po ako mabuntis kasi wala po dito asawa ko.. Nung high school pa po kc ako nkaranas na ako ng di nireregla at 5months po un .. Anu po pwede kung gawin?
More research is needed to clarify the complex pathophysiology of PCOS. No single test is currently available for its diagnosis. Additionally, once diagnosis is established, the options for treatment are of limited number and effectiveness because they target only the symptoms of PCOS. Finally, patients with PCOS have higher rates of metabolic complications, such as cardiovascular disease, but their impact on mortality is not clear. Therefore, more prospective epidemiologic studies on the topic are necessary.

“It’s a frustrating, difficult, and sometimes heartbreaking thing to deal with,” Eaton said. Eaton’s PCOS has given her male-pattern baldness, acne, obesity, and skin tags. In spite of her challenging symptoms, she dances and works out several times a week. “There aren't many women who look like me who can get on the floor and move like I do, who are comfortable enough in their skin to step into the spotlight and demand that people look at them,” she said.


The prevalence of insulin resistance in women with PCOS, as measured by impaired glucose tolerance, is substantially higher than expected compared with age-and weight-matched populations of women without PCOS.45 Although insulin resistance alone is a laboratory (not clinical) aberration, it can lead to diabetes, and it may be associated with the metabolic syndrome, thus leading to increased cardiovascular risk.2 As with diabetes, optimal treatment of PCOS requires lifestyle modifications (e.g., diet, exercise) in addition to appropriate medications.
PCOS is the most common cause of anovulatory (pronounced an-OV-yuh-luh-tawr-ee) infertility, meaning that the infertility results from the absence of ovulation, the process that releases a mature egg from the ovary every month. Many women don't find out that they have PCOS until they have trouble getting pregnant...Read more about PCOS NIH - National Institute of Child Health and Human Development
What are the health benefits of kale? Kale is a leafy green vegetable featured in a variety of meals. With more nutritional value than spinach, kale may help to improve blood glucose, lower the risk of cancer, reduce blood pressure, and prevent asthma. Here, learn about the benefits and risks of consuming kale. We also feature tasty serving suggestions. Read now
Gud pm po ask q lng po nung nanganak po kc aq nbinat aq sumakit po ang kaliwang tagiliran q nung ngpachekup po aq ang sv my ovarian cyst dw po aq peru wla aman po aq ibng naramdaman kundi mskt pag malamig lng at pag mlapit na mens q pumipitik po ‘ang sv ng ob .dudurugen lng dw po peru wla naman xa nreseta skn .mula po nun lage nq nakukunan bago 2muntong ng 2 muntz . Anu po kya ang pwd q gawen at inumen .pag mlameg po msaket sv aman po ng ibng doktor ugat lng dw po na namaga s bndang ovary need dw po ilaser …anu po maipapayo nyo tnx
In some cases, a woman doesn’t make enough of the hormones needed to ovulate. When ovulation doesn’t happen, the ovaries can develop many small cysts. These cysts make hormones called androgens. Women with PCOS often have high levels of androgens. This can cause more problems with a woman’s menstrual cycle. And it can cause many of the symptoms of PCOS.
“If a woman has fewer than eight menstrual periods a year on a chronic basis, she probably has a 50 to 80 percent chance of having polycystic ovary syndrome based on that single observation,” said John Nestler, the chair of the department of internal medicine at Virginia Commonwealth University. “But if she has infrequent menstruation and she has elevated levels of androgens such as testosterone in the blood, than she has a greater than 90 percent chance of having the condition.”
For those women that after weight loss still are anovulatory or for anovulatory lean women, then the ovulation-inducing medications clomiphene citrate[74] and FSH are the principal treatments used to promote ovulation.[medical citation needed] Previously, the anti-diabetes medication metformin was recommended treatment for anovulation, but it appears less effective than clomiphene.[medical citation needed][90]

She's talking about withdrawal symptoms, the nausea/puking and massive diarrhea, lmao. That's just part of withdrawal though, and I'm sure she had access to a toilet? Like, what's wrong with actually going through withdrawal? Maybe I'm old school, but I withdrew cold turkey 9 times in the process of getting clean, and that's the easiest part of recovery. Take loperamide for the diarrhea and deal w/ it. Granted, I did genuinely want to get sober, and I doubt Luna does, but still. Choices, consequences. Don't shoot heroin if you can't handle the diarrhea when you're without it. Pfffft, junkies these days.

She is mentally ill and on tons of drugs all day long? Focusing on something shallow is doable in that kind of state. Plus she gets asspats for being cyberbullied by a mean forum lol. If she genuinely confronted the fact that she completely and utterly fucked up her life, that everything is her fault and she really just sucks as a person inside and out, she'd probably have a massive breakdown. She just numbs all of these feelings with drugs.


For those women that after weight loss still are anovulatory or for anovulatory lean women, then the ovulation-inducing medications clomiphene citrate[74] and FSH are the principal treatments used to promote ovulation.[medical citation needed] Previously, the anti-diabetes medication metformin was recommended treatment for anovulation, but it appears less effective than clomiphene.[medical citation needed][90]

Herbal medicine may present a treatment option for women with oligo/amenorrhoea, hyperandrogenism and PCOS as an adjunct or alternative treatment to pharmaceuticals with a high degree of acceptability by women with PCOS [6]. Preliminary evidence for equivalent treatment effects were found for the two pharmaceuticals and three herbal medicines. These were bromocriptine, in the management of hyperprolactinaemia andVitex agnus-castus and clomiphene for infertility and ovulation induction and Cimicifuga racemosa and Tribulus terrestris. Herbal medicine had positive adjunct effects with the pharmaceuticals Spirinolactone in the management of hyperandrogenism (Glycyrrhiza Spp.), and clomiphene for PCOS related infertility (Cimicifuga racemosa). It is important however to highlight that evidence was provided by a limited number of clinical studies, some with significant risks for bias; particularly Tribulus terrestris, Glycyrrhiza glabra alone and in combination with Paeonia lactiflora and Paeonia lactiflora in combination with Cinnamomum cassia.
Treatment of PCOS is individualized and depends on whether or not pregnancy is being sought. Dietary modifications, weight management and regular exercise are important factors in the management of this condition in all women with PCOS, regardless of whether they are trying to conceive or not. Cosmetic treatment options to treat excess body hair, particularly facial hair, include electrolysis, laser treatment and typical medication which act at the hair follicle. There are medical and surgical options to treat the hormone abnormalities associated with PCOS. For women who are not trying to conceive, medical treatment options include oral contraceptives, progestational agents (that induce periods), and drugs that block the production or action of androgens. In some cases, surgery is performed to cauterize the cysts, which results in a decrease in male hormone levels and return of ovulation in some women. Insulin modifiers are useful in those women with high insulin levels and insulin resistance but do not benefit all women with PCOS. The safety of these medications in pregnancy has not been established.

Obesity that occurs with PCOS needs to be treated because it can cause numerous additional medical problems. The management of obesity in PCOS is similar to the management of obesity in general. Weight loss can help reduce or prevent many of the complications associated with PCOS, including type 2 diabetes and heart disease. Consultation with a dietician on a frequent basis is helpful until just the right individualized program is established for each woman.
PCOS is associated with multiple metabolic defects, including metabolic syndrome. Twice as many women with PCOS have metabolic syndrome as in the general population, and about one-half of women with PCOS are obese.1,9 The presence of PCOS is also associated with a fourfold increase in the risk of type 2 diabetes mellitus.10 There is an increased prevalence of nonalcoholic fatty liver disease,11,12 sleep apnea,13 and dyslipidemia14 in patients with PCOS, even when controlled for body mass index. Rates of cardiovascular disease are higher in patients with PCOS, but increased cardiovascular mortality has not been consistently demonstrated.15,16 Finally, there is evidence to suggest an increased risk of mood disorders among patients with PCOS.17,18
What are the health benefits of cinnamon? Cinnamon is the second most popular spice in the U.S. But can it benefit the body? It has long been used to treat bronchitis, and research suggests that cinnamon can help to combat fungal infections, diabetes, and other conditions. It may also promote healing from chronic wounds. Learn about risks, types, and more. Read now
Yeah, PCOS isn't period-dependent. That said, there are some suspicious blood stains in Luna's apartment that look like leaks (though they could possibly be explained by shooting up). Though since she does have PCOS, painful periods are one of those things she actually has grounds to complain about. Apparently they're often excruciating beyond belief with the condition.
If I were the nurse I wouldn't fucking care either. When an insane person or an addict is shitting and pissing all over the floor, all they can do is give them a bucket, qurantine them and clean it up after they're done. Nurses are human, plenty of them gag at the smell and sight of shit and vomit, just like everyone else. Just because they clean it up doesn't mean they enjoy doing it.
... Evidence suggesting that the syndrome may originate in the hypo- thalamus, due to a primary neuroendocrine defect in gonadotropin-releasing hormone (GnRH) secretion that leads to increased frequency and amplitude in the pulses of the secretion of luteinizing hormone (LH) [11]. Recent studies suggests that ovarian innervation also plays a role in the physiopathology of the syndrome, since it has been observed that, in both, rodent with the induced pathology and women with the syndrome, there is an increase in sympathetic ovarian nervous activity [12][13][14][15]. ...
Genetics play ng isang papel sa PCOS, at ito kadahilanan ay malinaw naman hindi sa ilalim ng aming kontrol. Ngunit marami sa mga iba pang mga kadahilanan ay, at ang mga pagbabagong maaaring madaling isinama sa aming pamumuhay. Kung makapansin ka ng anuman sa mga sintomas ng PCOS, kumuha ito diagnosed na sa pamamagitan ng isang gynecologist. Bukod sa maginoo mga pagpipilian sa paggamot, maaari mong isama ang mga remedyo sa bahay para polycystic obaryo upang mahanap kaluwagan. Ngunit huwag kalimutan upang talakayin ang iyong mga plano sa iyong doktor. Tandaan na siya / siya ay ang expert!
Un síntoma clave del síndrome de ovario poliquístico es tener periodos menstruales irregulares o faltas de la menstruación, porque las consecuencias de esta afección sobre los ovarios pueden hacer que se deje de ovular. De todos modos, puesto que una chica puede tardar hasta dos años en presentar períodos menstruales regulares desde su primera menstruación, puede costar mucho reconocer este síntoma en las adolescentes. El desequilibrio hormonal propio de este síndrome puede desencadenar cambios en todo el cuerpo, no solo en los ovarios.
Polycystic ovary syndrome represents 80% of anovulatory infertility cases. Treatment initially includes preconception guidelines, such as lifestyle changes (weight loss), folic acid therapy to prevent the risk of fetal neural tube defects and halting the consumption of tobacco and alcohol. The first-line pharmacological treatment for inducing ovulation consists of a clomiphene citrate treatment for timed intercourse. The second-line pharmacological treatment includes the administration of exogenous gonadotropins or laparoscopic ovarian surgery (ovarian drilling). Ovulation induction using clomiphene citrate or gonadotropins is effective with cumulative live birth rates of approximately 70%. Ovarian drilling should be performed when laparoscopy is indicated; this procedure is typically effective in approximately 50% of cases. Finally, a high-complexity reproduction treatment (in vitro fertilization or intracytoplasmic sperm injection) is the third-line treatment and is recommended when the previous interventions fail. This option is also the first choice in cases of bilateral tubal occlusion or semen alterations that impair the occurrence of natural pregnancy. Evidence for the routine use of metformin in infertility treatment of anovulatory women with polycystic ovary syndrome is not available. Aromatase inhibitors are promising and longer term studies are necessary to prove their safety.
The routine use of OGTT is advocated by some in all PCOS women[15]. In teenagers, abnormalities in glucose metabolism manifest prior to dyslipidemia, suggesting that assessment of glucose metabolism is even more important in younger women[16]. DM is diagnosed by an 8 h fasting plasma glucose ≥ 126 mg/dL, 2 h glucose value ≥ 200 mg/dL after oral glucose tolerance test (OGTT) or random glucose ≥ 200 mg/dL with symptoms of DM confirmed by either fasting plasma glucose or OGTT. Hemoglobin AIC > 6.5% may also be issued to diagnose DM[17]. Impaired glucose tolerance (IGT) is defined by a 2 h cutoff of 140-200 mg/dL on OGTT[18].The prevalence of IGT in obese adolescents is surprisingly as high as 15%[19].
Jump up ^ Legro, RS; Arslanian, SA; Ehrmann, DA; Hoeger, KM; Murad, MH; Pasquali, R; Welt, CK; Endocrine, Society (December 2013). "Diagnosis and treatment of polycystic ovary syndrome: an Endocrine Society clinical practice guideline". The Journal of Clinical Endocrinology and Metabolism. 98 (12): 4565–92. doi:10.1210/jc.2013-2350. PMC 5399492. PMID 24151290.
This review synthesises the evidence for mechanisms of effect for herbal medicine in oligo/amenorrhoea, hyperandrogenism and PCOS. Laboratory, animal and clinical studies demonstrate that the herbal medicines Vitex agnus-castus, Cimicifuga racemosa and Tribulus terrestris initiate endocrine effects in the pituitary as measured by lowered prolactin and LH and raised FSH. Four herbal medicines, Tribulus terrestris, Glycyrrhiza spp., (alone and in combination with Paeonia lactiflora), Paeonia lactiflora (in combination with Cinnamomum cassia) and Cinnamomum cassia demonstrated morphological changes in polycystic ovaries and steroidogenesis, including reduced ovarian volume and cysts, lowered androgens, improved insulin sensitivity and increased oestradiol.
Randomisation for 206 women 12 were excluded due to failure to respond (treatment group n = 7, control n = 5). 2. Endometrial thickness monitored by ultrasound. Endometrial thickness in the clomiphene alone group was 8.5 mm (±1.9) compared to 12.9 (±2.3) in the clomiphene plus Cimicifuga racemosa group (p < 0.001). The miscarriage rate per pregnancy for the clomiphene alone group was 5 out of 33 (15.2%) and 6 out of 71 (8.5%) in the clomiphene plus Cimicifuga racemosa group.

Other medications with anti-androgen effects include flutamide,[91] and spironolactone,[74] which can give some improvement in hirsutism. Metformin can reduce hirsutism, perhaps by reducing insulin resistance, and is often used if there are other features such as insulin resistance, diabetes, or obesity that should also benefit from metformin. Eflornithine (Vaniqa) is a medication that is applied to the skin in cream form, and acts directly on the hair follicles to inhibit hair growth. It is usually applied to the face.[74] 5-alpha reductase inhibitors (such as finasteride and dutasteride) may also be used;[92] they work by blocking the conversion of testosterone to dihydrotestosterone (the latter of which responsible for most hair growth alterations and androgenic acne).
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