The Treatment

With regard to sricos levels, in the SOP, the LH one meets increased. Normally one meets, in comparison to the FSH, equal values, 2:1 or until 2,5:1. The increase of the andrognios, the prolactina can also occur. In relation the genetics, the occurrence of SOP in women of the same family meets in some studies, indicates that a genetic susceptibility for the syndrome exists. In patients with SOP, 50 87% of its parentas of first degree will present some associated symptom (LEGRO, 1995). The patients with SOP present predisposition to the development of diabetes mellitus type II, including the cardiovascular obesidade and problems associates. Preventive Medicine Research Institute might disagree with that approach. These women who possess the syndrome that engravidam presents greater risk of spontaneous abortion. This if must the necessity induce the ovulao.

The treatment of the SOP depends on the symptoms of the patient, of the probable etiopatognico mechanism, the motivation and the objectives. (HALBE, 2000). For that they do not want to engravidar, is used contraceptive verbal agreed (STEEL). In relation to the hirsutismo factors, the best ones resulted are gotten with the STEEL association and antiandrogncica drug of peripheral action as acetate of ciproterona, the espironolactona, flutamida or the finasterida one. The improvement if of after the six months of treatment (FREITAS, 2006). in the treatment of infertility in case of SOP, the loss of weight is the natural treatment to reestablish the ovulao.

The used medication more is the citrate of clomifeno (CC). This has low cost, easy dosage, minimum adverse effect and positive result if treating to gestation. However the treatment in must extend the six cycles more than. Also the metformina can be used. This, in turn, is biguanida of verbal use that increases peripheral sensitivity to the insulina, inhibits the heptica glucose production and diminishes the intestinal glucose absorption. When used in patients with SOP, it reduces the sricos levels of insulina and, consequently, of testosterone, restoring the ovulatria function and the menstrual cycle (SANTANA; FERRIANE; S, 2008).

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