Obesity is associated with PCOS. Obesity not only compounds the problem of insulin resistance and type 2 diabetes (see below), but also imparts cardiovascular risks. PCOS and obesity are associated with a higher risk of developing metabolic syndrome , a group of symptoms, including high blood pressure, that increase the chances of developing cardiovascular disease. It has also been shown that levels of C-reactive protein (CRP), a biochemical marker that can predict the risk of developing cardiovascular disease, are elevated in women with PCOS. Reducing the medical risks from PCOS-associated obesity is important.
“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.”

Diagnosis of PCOS may be difficult because the signs and symptoms can be subtle and varied. The most common manifestations include hirsutism, infertility, insulin resistance, and menstrual irregularities.2 Physicians can diagnose PCOS when other causes of the symptoms or laboratory abnormalities are excluded; when oligo-ovulation or anovulation, usually manifested as oligomenorrhea or amenorrhea, is present; and when there is clinically confirmed hyperandrogenism (e.g., hirsutism, acne). Although the ovaries may be polycystic, this is usually not necessary for diagnosis. There is debate over which criteria should be used (e.g., 1990 National Institutes of Health criteria,3 2003 Rotterdam consensus workshop criteria4). Guidelines suggest screening women with PCOS for other disorders, such as hyperlipidemia, and treating accordingly.5
My brother was a Heroin addict who started taking Benzos between his shooting up, like Luna, versus the other way around. He was an addict, he took benzos to keep up whatever feeling he was chasing. Thats inherently different than an anxiety or depression patient taking them for relief of symptoms. Im sure it does happen, there's always that risk but I wouldn't go out there and say that Benzo use is always a gateway.
Treatment of PCOS depends partially on the woman's stage of life. For younger women who desire birth control, the birth control pill, especially those with low androgenic (male hormone-like) side effects can cause regular periods and prevent the risk of uterine cancer. Another option is intermittent therapy with the hormone progesterone. Progesterone therapy will induce menstrual periods and reduce the risk of uterine cancer, but will not provide contraceptive protection.
An animal study compared the effectiveness of Cinnamomum cassia and the pharmaceutical Metformin on hormone concentration in rats with PCOS [48] (Table 1). Both interventions demonstrated significant improvements compared to controls at 15 days for measures of testosterone ng/ml (control 0.747 ± 0.039; metformin 0.647 ± 0.027; Cinnamomum cassia 0.625 ± 0.029); LH ng/ml (control 7.641 ± 0.267; metformin 6.873 ± 0.214; Cinnamomum cassia 6.891 ± 0.221) and insulin resistance (HOMA-IR) (control 10.018 ± 0.217; metformin 7.067 ± 0.184 Cinnamomum cassia 8.772 ± 0.196) (p < 0.05) [48]. The metabolic effects for Cinnamomum cassia were further demonstrated in overweight women with oligo/amenorrhoea and PCOS in a placebo controlled RCT [66] (Table 2). However, although the RCT had low risks for bias, it was a pilot study primarily investigating feasibility. Outcomes were promising for metabolic profile in PCOS however the sample size was small and the authors recommended further studies.

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.

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.  
Los ovarios de la mujer tienen folículos, que son los sacos diminutos y llenos de líquido que contienen los óvulos. Cuando el óvulo madura, el folículo lo libera para que pueda desplazarse al útero para la fertilización. En mujeres con el síndrome, los folículos inmaduros se agrupan y forman quistes o bultos grandes. Los óvulos maduran con los grupos de folículos, pero los folículos no se abren para liberarlos.
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.
Fasting insulin level or GTT with insulin levels (also called IGTT). Elevated insulin levels have been helpful to predict response to medication and may indicate women needing higher dosages of metformin or the use of a second medication to significantly lower insulin levels. Elevated blood sugar and insulin values do not predict who responds to an insulin-lowering medication, low-glycemic diet, and exercise. Many women with normal levels may benefit from combination therapy. A hypoglycemic response in which the two-hour insulin level is higher and the blood sugar lower than fasting is consistent with insulin resistance. A mathematical derivation known as the HOMAI, calculated from the fasting values in glucose and insulin concentrations, allows a direct and moderately accurate measure of insulin sensitivity (glucose-level x insulin-level/22.5).[citation needed]
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

Debido a los cambios hormonales, las mujeres con PCOS tienen un mayor riesgo de desarrollar ciertas afecciones de salud serias como la diabetes tipo 2, la hipertensión (presión arterial alta) y trastornos del corazón y los vasos sanguíneos. A menudo, las mujeres con PCOS tienen problemas de fertilidad. Es decir, la capacidad para quedar embarazadas.
Si tienes un acné grave como síntoma del síndrome de ovario poliquístico, este podría mejorar si parte de tu tratamiento incluye los anticonceptivos orales o los antiandrógenos. Si tu acné no mejora tras el tratamiento, tu médico te podría remitir a un dermatólogo para que te lo trate. El dermatólogo también podría recomendarte medicamentos para reducir el oscurecimiento de la piel y para prevenir el crecimiento excesivo del vello.
Paeonia lactiflora combined with Cinnamomum cassia in a preparation called Unkei-to was investigated in an in-vitro study for ovarian production of 17-beta-oestradiol and progesterone, [42] (Table 1). Granulosa cells obtained from women undergoing IVF were examined for steroid hormone concentration following incubation with different doses over 48 hours. Oestradiol was significantly increased (p < 0.01) following exposure to doses of 0.3 ug/ml of Unkei-to. Supporting clinical evidence was found in one clinical trial of 157 infertile women aged 17–29 years, including a subgroup of 42 women with hyper-functioning (PCOS) oligo/amenorrhoea. Treatment with Unkei-to, 7.5 grams per day for eight weeks, demonstrated significant reductions of mean LH in the PCOS sub-group of 49.7% (±15.3). Ovulation was confirmed in 30 out of 42 oligo/amenorrheic women [57] (Table 1). Limitations however include findings based on sub-group comparisons without description of subgroup baseline characteristics (other than oligomenorrhoea). Although the same aqueous extract intervention was investigated in pre-clinical and clinical studies, it contained additional herbal extracts and it was irrational to attribute hormonal effects to Paeonia lactiflora and Cinnamomum cassia.

PCOS ay nagpapahiwatig sub-optimal gumagana ng reproductive organo. Kathang isip ng isang bata ay itinuturing na mahirap na sa ilalim ng gayong mga kalagayan. At kahit na kung ang babae ay maglihi, mga pagkakataon ng mga komplikasyon ng pagbubuntis at paghahatid ay mataas. Pagkalaglag, preeclampsia, gestational diabetes, at preterm kapanganakan ay napaka-pangkaraniwan. Wastong pag-aalaga at tamang gamot ay maaaring makatulong sa pagbubuntis upang maging isang makinis na paglalakbay. Kumonsulta sa iyong doktor kung ikaw ay nagpaplanong magbuntis at sundin ang kanyang / ang kanyang mga rekomendasyon mabuti.
Side effects: This herb is safe for short term use and can cause digestive issues or possible a rash when in contact with the skin. You should not take this herb if you have any type of bleeding disorder because it might slow the process of blood clotting. Peony is also not recommended for women who are pregnant because it might cause uterine contractions.
Skin Conditions: Very frustrating for many women with this disorder, skin conditions are difficult to hide and can on occasion be painful. From mild to severe acne to the development of skin tags, skin conditions caused by Polycystic Ovarian Syndrome (PCOS) can be both a nuisance and an embarrassment. Additionally, women with PCOS can experience acanthosis nigricans, which is the development of dark, thick, almost velvet-like skin in several places on the body.2
Now, you can have temporal lobe epilepsy with only absence seizures, which are hard to distinguish from nodding off, besides, sea creature is out of it half the time so wouldn't notice anyway. Plus, the shitload of benzos she's taking might actually inhibit seizures. She might have had seizures she only registered as emotional changes, and started to self medicate with benzos,
Jump up ^ Wu, XK; Stener-Victorin, E; Kuang, HY; Ma, HL; Gao, JS; Xie, LZ; Hou, LH; Hu, ZX; Shao, XG; Ge, J; Zhang, JF; Xue, HY; Xu, XF; Liang, RN; Ma, HX; Yang, HW; Li, WL; Huang, DM; Sun, Y; Hao, CF; Du, SM; Yang, ZW; Wang, X; Yan, Y; Chen, XH; Fu, P; Ding, CF; Gao, YQ; Zhou, ZM; Wang, CC; Wu, TX; Liu, JP; Ng, EHY; Legro, RS; Zhang, H; PCOSAct Study, Group. (27 June 2017). "Effect of Acupuncture and Clomiphene in Chinese Women With Polycystic Ovary Syndrome: A Randomized Clinical Trial". JAMA. 317 (24): 2502–2514. doi:10.1001/jama.2017.7217. PMC 5815063. PMID 28655015.
The principle infertility treatment includes lifestyle changes. The first-line drug treatment to induce ovulation consists of CC with timed intercourse. The second-line treatment consists of the exogenous administration of gonadotropins or laparoscopic ovarian surgery in cases where laparoscopy is indicated. The third-line treatment consists of IVF/ICSI, which is indicated when the previous interventions fail; this treatment can also be the first choice in cases of bilateral tubal occlusion or semen alterations that impair the occurrence of natural pregnancy. There is no evidence for the routine use of metformin in infertility treatment of anovulatory women with PCOS. Aromatase inhibitors are promising, and long-term studies are necessary to prove their safety.
Examen físico. El médico te tomará la presión arterial, el índice de masa corporal (IMC) y la medida de la cintura. También observarán tu piel en busca de vello excesivo en el rostro, pecho o espalda, acné o decoloración de la piel. Además, puede examinarte en busca de caída del cabello o signos de otras condiciones de salud (como glándula tiroides agrandada).

“When any condition crosses disciplines and doesn’t have a full investment in [one of them], it often falls through the cracks. There are elements of reproduction in PCOS, but most reproductive endocrinologists mostly do in-vitro fertilization and are not necessarily interested in metabolism. Medical endocrinologists, who are mostly interested in metabolism, aren’t usually interested in reproduction and ovarian function,” Dumesic said.


PCOS is due to a combination of genetic and environmental factors.[6][7][15] Risk factors include obesity, not enough physical exercise, and a family history of someone with the condition.[8] Diagnosis is based on two of the following three findings: no ovulation, high androgen levels, and ovarian cysts.[4] Cysts may be detectable by ultrasound.[9] Other conditions that produce similar symptoms include adrenal hyperplasia, hypothyroidism, and high blood levels of prolactin.[9]
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