Endocrinology:
Hormonal disorder in women with polycystic ovaries disease — Diagnosis and conservative treatment. Treatment abroad

Polycystic ovary syndrome is an endocrine disease upon which an increase in the concentration of androgens is marked in a woman's body. The hormones cause the violation of ovarian function, and multiple cysts are formed on their surface. According to different authors, this pathology is detected in about 5 to 15% patients of gynecologists. Today, the cystic disease remains the most common cause of female infertility.

Causes

It is believed that the syndrome is developed in the background of decreased body sensitivity to insulin. In response, the pancreas launches the compensatory mechanisms for enhanced hormone production. Accumulating in blood, insulin stimulates the formation of excessive androgens. As a consequence, the patients report an inhibited ovulation process and disrupted menstrual cycle.

Symptoms

The characteristic features of the cystic disease include:

  • rare periods (oligomenorrhea)
  • excessive hair growth on the body,
  • obesity (observed in approximately 70% patients)
  • infertility,
  • acne and oily skin.

In 30% women, the fibrocystic breast disease is developed in the background of the said disease.

Diagnostics

The physician suggests a diagnosis based on the case history and clinical picture. To confirm the suspicions, the patient is prescribed:

  • Hormonal blood test. It determines the concentration of sex hormones and hormones controlling their production.
  • Transvaginal ultrasound. It allows detecting changes in the structure of ovaries. The availability of more than 8 follicular cysts is considered the sign of the cystic disease.
  • Glucose tolerance test. It reveals the body's sensitivity to insulin.
  • Diagnostic laparoscopy. The physician examines the ovaries using a miniature camcorder through small punctures in the abdominal wall. During the procedure, a sample of the diseased tissue is taken for subsequent histological analysis.

Treatment Methods

The treatment depend on the cystic disease flow options. Patients with obesity are primarily recommended the measures for weight normalization:

  • calorie reduction,
  • fasting days,
  • increased physical activity.

In the absence of the effect, a drug therapy aimed at improving the insulin sensitivity is selected.

When the body weight is normal, the main goal of treatment is to restore the ovulation. For this, the woman is administered hormone therapy. If no improvement is observed, the only way out is the surgical removal of the affected ovary tissues.

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University Hospital Frankfurt

9.5/10 from 97 Votes

Diagnosis and conservative treatment of Hormonal disorder in women with polycystic ovaries disease

The Department of Gastroenterology, Pneumology and Endocrinology is the department №1 at the University Hospital Frankfurt. Its focuses include gastroenterology and  hepatologym  pneumology and allergology, endocrinology and diabetology as well as nutritional medicine.


Duration 3 days
Type of Treatment: Outpatient
location_onCountry: Germany
location_searchingCity: Frankfurt am Main

Price 3311.00

Städtisches Klinikum Neuperlach

9.8/10 from 11 Votes

Diagnosis and conservative treatment of Hormonal disorder in women with polycystic ovaries disease

The department of endocrinology, diabetology, angiology and internal medicine treats patients with endocrine disorders, diabetes and vascular diseases. In addition, the clinic offers the first aid of all internal medicine emergency patients.


Duration 3 days
Type of Treatment: Outpatient
location_onCountry: Germany
location_searchingCity: Munich

Price 2496.00

University Hospital Cologne

9.8/10 from 82 Votes

Diagnosis and conservative treatment of hormonal disorder in women with polycystic ovaries disease

The Department and Polyclinic of Gynecology and Obstetrics of the University Hospital Cologne in Germany deals with the diseases of the female sexual and reproductive organs as well as obstetrics.


Duration 3 days
Type of Treatment: Outpatient
location_onCountry: Germany
location_searchingCity: Cologne

Price 2834.00

Hannover Medical School, MHH

9.8/10 from 43 Votes

Diagnosis and conservative treatment of Hormonal disorder in women with polycystic ovaries disease

The clinic of gastroenterology, hepatology and endocrinology offers both outpatient and inpatient treatment. The range of medical services covers the intestines and liver disease, endocrinology, metabolism and diabetes. Medical care and high-quality patient care are the fundamental principles of our clinic.


Duration 3 days
Type of Treatment: Outpatient
location_onCountry: Germany
location_searchingCity: Hannover

Price 2723.00

University Hospital Tubingen

9.2/10 from 55 Votes

Diagnosis and conservative treatment of hormonal disorder in women with polycystic ovaries disease

The Department of Gynecology, Mammology and Obstetrics at the University Hospital Tubingen is the department of maximum care. All diseases of gynecology and obstetrics can be diagnosed and treated here.


Duration 3 days
Type of Treatment: Outpatient
location_onCountry: Germany
location_searchingCity: Tuebingen

Price 3233.00

RWTH University Hospital Aachen

8.9/10 from 41 Votes

Diagnosis and conservative treatment of hormonal disorder in women with polycystic ovaries disease

The Department of Gynecology and Obstetrics comprises such fields as general gynecology and gynecological oncology, obstetrics and perinatal medicine. The Department occupies a top position nationwide in its specialization. The Department is focused on gynecological oncology, breast cancer and urogynecology.


Duration 3 days
Type of Treatment: Outpatient
location_onCountry: Germany
location_searchingCity: Aachen

Price 2773.00

Charite University Hospital Berlin

9/10 from 95 Votes

Diagnosis and conservative treatment of Hormonal disorder in women with polycystic ovaries disease

The Department of Endocrinology and Metabolic Diseases at the University Hospital Charité Berlin includes endocrinology, metabolic disease and lipid metabolism. The director of the department is Prof. Dr. med. J. Spranger.


Duration 3 days
Type of Treatment: Outpatient
location_onCountry: Germany
location_searchingCity: Berlin

Price 3856.00

University Hospital rechts der Isar der TU München

8.3/10 from 70 Votes

Diagnosis and conservative treatment of hormonal disorder in women with polycystic ovaries disease

The Department of Gynecology at the university hospital Klinikum rechts der Isar consists of the Department of Gynecology and a Medical Centre for Mothers and Children with a Department of Antenatal Care and Obstetrics as well as an integrated newborn intensive care unit.


Duration 3 days
Type of Treatment: Outpatient
location_onCountry: Germany
location_searchingCity: Munich

Price 2835.00

Alfried Krupp Hospital in Essen-Ruettenscheid

9.9/10 from 42 Votes

Diagnosis and conservative treatment of hormonal disorder in women with polycystic ovaries disease

The Department of Gynecology and Obstetrics at the Alfried Krupp Hospital in Essen has a placed emphasis on the following tasks and areas: general and operative gynecology, Pelvic base Center/Urogynecologist, Breast Center, obstetrics, gynecological oncology, endometriosis, myomas.


Duration 3 days
Type of Treatment: Outpatient
location_onCountry: Germany
location_searchingCity: Essen

Price 2300.00

Hospital of the Ludwig-Maximilians-University (LMU) Munich

8.9/10 from 40 Votes

Diagnosis and conservative treatment of hormonal disorder in women with polycystic ovaries disease

Having a long tradition, the Department of Gynecology and Obstetrics is a recognised medical institution in the center of Munich for almost 100 years.


Duration 3 days
Type of Treatment: Outpatient
location_onCountry: Germany
location_searchingCity: Munich

Price 3314.00

University Hospital Münster

9.4/10 from 78 Votes

Diagnosis and conservative treatment of hormonal disorder in women with polycystic ovaries disease

The Department of Gynecology and Obstetrics at the University Hospital Münster is a leading department of maximum medical care in its specialization in Münster and Westphalen region.


Duration 3 days
Type of Treatment: Outpatient
location_onCountry: Germany
location_searchingCity: Muenster

Price 3262.00

Academic Hospital Cologne-Holweide

8.9/10 from 32 Votes

Diagnosis and conservative treatment of hormonal disorder in women with polycystic ovaries disease

The Department of Gynecology and Obstetrics at the Academic Hospital Cologne-Holweide specializes in the treatment of benign and malignant gynecological diseases in female patients. The range of medical services covers all areas of conservative and surgical gynecology.


Duration 3 days
Type of Treatment: Outpatient
location_onCountry: Germany
location_searchingCity: Cologne

Price 2804.00

University Hospital Halle (Saale)

9.6/10 from 78 Votes

Diagnosis and conservative treatment of Hormonal disorder in women with polycystic ovaries disease

The Department of Internal Medicine II at the University Hospital of Halle (Saale) includes such focuses as nephrology (kidney disease and high blood pressure), rheumatology, endocrinology as well as metabolic disorders.


Duration 3 days
Type of Treatment: Outpatient
location_onCountry: Germany
location_searchingCity: Halle

Price 2824.00

Essen University Hospital

9.6/10 from 23 Votes

Diagnosis and conservative treatment of Hormonal disorder in women with polycystic ovaries disease

The Department of Endocrinology and Metabolic Disorders at the Essen University Hospital treats patients with diseases of the hormone producing glands and metabolic disorders in accordance with the modern diagnostic and treatment standards.


Duration 3 days
Type of Treatment: Outpatient
location_onCountry: Germany
location_searchingCity: Essen

Price 2769.00

Gummersbach District Hospital of the Klinikum Oberberg

9.6/10 from 23 Votes

Diagnosis and conservative treatment of Hormonal disorder in women with polycystic ovaries disease

The Department of Internal Medicine I at the Klinikum Oberberg in Gummersbach provides treatment to patients with all diseases from the field of internal medicine apart from drug treatment of malignancies (cancer) and blood disorders (hematology / Department of Internal Medicine II).


Duration 3 days
Type of Treatment: Outpatient
location_onCountry: Germany
location_searchingCity: Gummersbach

Price 2250.00

Salem-Spital

9.6/10 from 29 Votes

Diagnosis and conservative treatment of Hormonal disorder in women with polycystic ovaries disease

In Center of Diabet Consulting of Salem-Spital, advices are solution- and resource-oriented and individually tailored to the patient's needs.  The promotion of empowerment is also an important part of our countseling session.


Duration 3 days
Type of Treatment: Outpatient
location_onCountry: Switzerland
location_searchingCity: Bern