Polycystic ovary syndrome is often considered to be the literal meaning of a misunderstood illness, but will be taken up with the name actually has its historical origins, because most obese women had for a number of hair, or irregular menstrual women (often ), diagnosed as Stein-Leventhal syndrome, this syndrome can be removed retinitis pigmentosa through surgery part of the ovary (wedge resection) to get the effect of the treatment, so Naturally, the ovaries retinitis pigmentosa will be treated as a culprit, and thus study also found that these patients When ultrasound is often found in many of the eggs should be discharged because they did not succeed retinitis pigmentosa to break out from the follicle, and accumulate in the ovaries, will look a lot vesicles formed in the ovary, and thus, it also was renamed retinitis pigmentosa to make the modern so-called "polycystic ovary syndrome (Polycystic Ovarian Syndrome, PCOS)", retinitis pigmentosa so far, it seems that the solution to this problem has been reached ... But in fact the case, many patients with this problem, even discovered and no "polycystic ovary" is like, so ... although this name has been formed, but with advances in medical technology and research and development, has been found to cause deeper ...
Many modern popular "diabetes" as bitter, but why not just a normal blood sugar rises problems in the body, have been so many of today's brightest scientists headache. This is the theme of "polycystic ovary syndrome," what does it matter? ? So far, the research is still ongoing in progress, but there are many scholars have found that in women with polycystic ovary syndrome originated in molecular biology related to a certain retinitis pigmentosa extent, that is triggering the "insulin resistance" issues (1) Multi- cystic ovarian syndrome, insulin resistance problem and one secreted by fat cells adiponectin hormone related, it was originally used to regulate fat metabolism and blood sugar level, and studies have found that women have polycystic ovary syndrome (either thin or obesity), their body's hormone adiponectin far less than normal.
In addition, the current theory is that women who believe that women with polycystic ovary syndrome, menstrual irregularities retinitis pigmentosa (no ovulation) retinitis pigmentosa and the body is like the high androgen (hirsutism, acne / pimples, beard ... etc.), probably because of anterior pituitary secretion The luteinizing hormone (luteinizing hormone, LH) ovarian hyperstimulation theca cells (ovarian theca cell), thus promoting excessive theca cells secrete androgens (testosterone, androstenedione). And relatively luteinizing hormone, the hormone pro-Lu bubble (follicle-stimulating hormone, FSH) seem less, it can not provide enough stimulation to make ovarian granulosa cells (ovarian retinitis pigmentosa granulosa retinitis pigmentosa cells) into the male hormone estrogen, as shown below:
NICHD/NIH/1990 Rotterdam 2003 AE-PCOS/2009 diagnostic criteria 1. Clinical or blood tests have androgen excess phenomenon 2 irregular menstrual cycles in compliance with the following three two (abbreviated PAO) A clinical or pumping Check for excessive blood androgen phenomenon O Ovulatory dysfunction: irregular menstrual cycles P PCOM:. polycystic ovary (greater than 12 2 ~ 9mm follicles, or ovarian volume greater than 10ml) meet the following two criteria a clinical or pumping Check for excessive retinitis pigmentosa blood androgen phenomenon 2. menstrual irregularity, combined with / or polycystic ovary (greater than 12 2 ~ 9mm follicles, or ovarian volume greater than 10ml) should be excluded Congenital adrenal hyperplasia androgen secreting tumors Cushing's syndrome hyperprolactinemia Congenital adrenal hyperplasia androgen-secreting tumors Cushing's syndrome 21-hydroxylase-deficient nonclassic adrenal hyperplasia androgen-secreting neoplasms androgenic-anabolic drug use or abuse the hyperandrogenic-insulin resistance-acanthosis nigricans syndrome thyroid dysfunction hyperprolactinemia clinical characterization of hirsutism, male pattern baldness, acne ( acne in Taiwan does not like foreigners statistically common) hairy
... 1.Toulis KA, Goulis DG, Farmakiotis D, Georgopoulos NA, Katsikis I, Tarlatzis BC, et al Adiponectin levels in women with polycystic ovary syndrome: a systematic review and a meta-analysis Hum Reprod Update May-Jun 2009; 15 (3) :297-307. retinitis pigmentosa
2.Dunaif A, Wu X, Lee A, Diamanti-Kandarakis E. Defects in insulin receptor signaling retinitis pigmentosa in vivo in the polycystic ovary syndrome (PCOS) Am J Physiol Endocrinol Metab Aug 2001; 281 (2):.. E392-9
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