Menu

Polycystic Ovarian Syndrome

Polycystic Ovarian Syndrome

Alliance Ob/Gyn provides diagnostic testing to diagnose polycystic ovarian syndrome (PCOS).   Your doctor will talk to you about your medical history, and perform the appropriate physical, blood, pelvic and/or ultrasound tests.

Polycystic Ovarian Syndrome (PCOS) is a sign and symptom complex characterized by irregular menses, anovulation, hirsuitism (hair growth), weight gain, and infertility.

The word “syndrome” simply refers to the various signs and symptoms. It does not refer to underlying cause of the disease. Various disease processes can mimic PCOS such as hypothyroidism, late onset congenital adrenal hyperplasia, and various adrenal or testosterone secreting tumors.

Insulin resistance has been found to be a leading cause of PCOS. To understand insulin resistance one has to understand how insulin functions normally. Insulin is a hormone which is secreted by an abdominal organ called the pancreas. The pancreas normally secretes approximately 20 units of insulin a day to maintain a normal blood glucose level; however, the pancreas has the ability to secrete more insulin if needed. Insulin allows blood sugar to enter the body’s cells. Insulin preferentially allows sugars into fat cells.

The following analogy is a good way to explain insulin resistance.

Imagine my job is to drive a truck around I-285 every day and it takes 20 gallons of gas to drive around I-285, but I have a 50-gallon gas tank. Just as the pancreas’s job is to keep blood sugar normal and it normally takes 20 units of insulin to perform its job. Imagine the pancreas can produce up to 50 units a day. If something is wrong with my truck, it has some dirt in the engine, it’s not running well, it will use more gas to do its job, say, 30 gallons to drive around I-285. Just as if I have insulin resistance, my body is making more insulin, but it is still doing its job to keep my blood glucose normal, thus I don’t have diabetes. Now imagine I had a couple of bales of pine straw in the back of my truck, it weighs more. It will take more gas to get around I-285, say 40 gallons. Just as if I gain weight, my body must produce more insulin to service the rest of the body, but I am still are keeping my blood sugars normal. If I have a little more dirt in my engine or I’m carrying more bales of pine straw it may take 60 gallons of gas to get around I-285. I only have a 50-gallon tank, thus my truck stops on I-20. I don’t do my job, just as insulin resistance is a spectrum of disease which can be mild or be overt diabetes.

How does this cause PCOS? Higher levels insulin directly inhibits the release of eggs from the ovary. Thus it causes infertility and irregular menses. This also causes the ovary to secrete higher levels of androgens (male type hormones) and thus unwanted hair growth. Remember insulin also preferentially stores sugars into fat cells, thus someone who has high levels of insulin and a high carbohydrate diet will become obese.

Insulin resistance can be inherited or acquired. The inherited form is a defect in the insulin receptor or other mechanism of insulin metabolism. The acquired form occurs with obesity. The common scenario is someone who was slowly gaining weight, 3-5 pounds per year, and then suddenly gains weight rapidly. There obesity has pushed them into insulin resistance and they start preferentially storing carbohydrates into fat.  The treatment is to reverse this process with insulin sensitizing drugs such as metformin and a low carbohydrate diet.

backlinkbacklink alwso shellseoankara escortucuz sigarafree shopcamel sigaracaptain blackdjarum blackCavallo SigaraDunhill SigaraHarvest SigaraMarvel sigaraSenator sigaraAl Capone SigaraOme SigaraMarlboro Double FusionMarlboro ShuffleMarlboro TouchMarlboro RedMarlboro TouchMarlboro Edge SlimMarlboro Touch Bluecaptain blackgörükle escortyalova escorthacklink satışhacklinksite analizseo analizhacklink alhacklink nedirbacklinkmini shellmadspot shellwso shell txtBase 64 Encodealfa shellIndoxploit shellindoxploit shellb374k shellphp Mailleradana escortadana escortsohbet numaralarıcialis fiyatcialis 20 mgcialis 5 mgcialis 100 mgcialis satışcialis jelcialis siparişcialiscialis nedirviagra fiyatviagra 100 mg fiyatviagraviagra fiyatviagra nedircialis fiyatıcialis jelcialiscialis 5 mgcialis 20 mgcialis 100mggeciktirici spreygeciktiricistag 9000liftanovagravigrandeorcafilflynta 20 mgcombo 100 mgsildegravigrandejeligrasinegralifta 5 mglifta 20 mgdegraviagra 100 mgviagra fiyatıviagra nedirviagra siparişcinsel hastalıklarcialis jelcialis 20 mg eczane fiyatıcialis 5 mg 28 tablet fiyatcialis 100 mgcialis 20 mgcialis satışkamagra jel fiyatkamagra nedirkamagrakamagra hapkamagra jelankara escortmersin escortizmir escortantalya escortadana escortBursa Escortdenizli escortdiyarbakır escorteskişehir escortgaziantep escortistanbul escortkayseri escortkocaeli escortkonya escortkütahya escortmalatya escortsakarya escortsamsun escortsivas escorttekirdağ escorttrabzon escorturfa escortvan escortbodrum escortmarmaris escortfethiye escortkuşadası escortçeşme escortdidim escortbuca escortbornova escortkarşıyaka escortkonak escortalsancak escortaliağa escortgöztepe escortgaziemir escortkarabağlar escortesenyurt escortbeşiktaş escorttuzla escortfatih escortpendik escortbeylikdüzü escortgaziosmanpaşa escortkartal escortbağcılar escortsilivri escortümraniye escortmaltepe escortbeyoğlu escortbahçelievler escortbaşakşehir escortbahçeşehir escortesenler escortüsküdar escortkadıköy escortşişli escortmecidiyeköy escortsarıyer escorttaksim escortetiler escortbebek escortataşehir escortbakırköy escortzeytinburnu escorteyüp escortavcılar escortbüyükçekmece escortkurtköy escortşirinevler escortbayrampaşa escortkasımpaşa escortescortbacklink salesFile Manager shellb374k shellk2ll33d shellBypass shellMadspot shellbedava bonus1xbet girişdert hattıdert hattısohbet hattımersin escortgaziantep escortbedava bonusgaziantep escortGoogle Sıra Bulucupubg hile alSobranie Sigaracaptain blackdjarum blackmarlboro double fusionmarlboro touch blueCavallo Sync MentollüParliament Night Bluewinston dark bluewinston slender bluekent switchkent d range bluecaptain blackmarmaris escortmarvel sigarawinston dark blue fiyatwinston slender bluemarlboro touchparliament night blue fiyatcaptain blackmarlboro double fusionolmeca tekila fiyatdjarum blackheets sigaraparliament reservemonte cristo habanacamel sigarakent switch fiyatlucky strikefree shopmarlboro touch blue fiyatmarlboro double fusionmarlboro goldharvest sigarar57 shellalfa shellcaptain blackmarvel sigarawinston dark bluemarlboro touch blueparliament night blue fiyatcavallo sigaramarlboro double fusionlm sigaraadana escortparliament night blue fiyatafyon escortaydın escortbalıkesir escortbolu escortçanakkale escortedirne escortelazığ escorterzurum escorthatay escortısparta escortmanisa escortmaraş escortmardin escortmuğla escortmuş escortrize escorttunceli escortuşak escortyozgat escorttokat escortzonguldak escortaksaray escortyalova escortağrı escortamasya escortalanya escortmanavgat escortankara escortantalya escortbursa escortdenizli escortdiyarbakır escorteskişehir escortgaziantep escortistanbul escortizmir escortkayseri escortkocaeli escortkonya escortkütahya escortmalatya escortmersin escortsakarya escortsamsun escortsivas escorttekirdağ escorttrabzon escorturfa escortvan escortmarmaris escortbodrum escortfethiye escortkuşadası escortçeşme escortdidim escortbuca escortbornova escortkarşıyaka escortkonak escortalsancak escortaliağa escortgaziemir escortkarabağlar escortesenyurt escortbeşiktaş escorttuzla escortfatih escortpendik escortbeylikdüzü escortgaziosmanpaşa escortkartal escortbağcılar escortsilivri escortümraniye escortmaltepe escortbeyoğlu escortbahçelievler escortbaşakşehir escortbahçeşehir escortesenler escortüsküdar escortkadıköy escortşişli escortmecidiyeköy escortsarıyer escorttaksim escortetiler escortbebek escortataşehir escortbakırköy escortzeytinburnu escorteyüp escortavcılar escortbüyükçekmece escortkurtköy escortşirinevler escortbayrampaşa escorthalkalı escortafyon escortaydın escortbalıkesir escortbolu escortçanakkale escortedirne escortelazığ escorterzurum escorthatay escortısparta escortmanisa escortmaraş escortmardin escortmuğla escortmuş escortrize escorttunceli escortuşak escortyozgat escorttokat escortzonguldak escortaksaray escortyalova escortağrı escortamasya escortalanya escortmanavgat escortsincan escortwso shellwso green shellredwin girişsupertotobet girişyalova escortşişli bayan escortşişli escortistanbul escortgörükle escortistanbul escortmecidiyeköy escortşişli escortkurtköy escortsosyal ablagaziantep escortlarısohbet hattısohbet hatlarısohbet numaralarıkent d range blueMelbetpendik escortcamel sigaraparliament night blue fiyatvotka fiyatlarımarlboro double fusionviagra fiyatcaptain blackçam balı faydalarıçam balı nedirtuzla escortaydınlı escortorhanlı escorttepeoren escortyalova escortbursa escortgorukle escortbursa escort bayanbursa sinirsiz escortbursa escortescort bayanaltiparmak escortnilüfer escortotele gelen escortbursa merkez escortbursa merkez escortbursa escortescort bayanaltiparmak escortbursa eve gelen escortbursa otele gelen escortbursa sınırsız escortgörükle escortescort bursatuzla escorttuzla escort bayanwhmcs killer v4bodrum escortbodrum escortbodrum escortbayrampaşa escortbeşiktaş escortçağlayan escorttaksim escortbakırköy escortistanbul escortgüngören escortkasımpaşa escortkaynarca escortesenyurt escortistanbul escortacıbadem escortadalar escortadapazarı escortalibeyköy escortaltınşehir escortanadoluhisarı escortanal escortarnavutköy escortatakent escortbahariye escortbahçeköy escortbahçelievler escortbalmumcu escortbaşakşehir escortantalya escort bayanbebek escortbebek escortataşehir escortbeyazıt escortbeykoy escortbeyoğlu escortbomonti escortbüyükdere escortcaddebostan escortçamlıca escortçapa escortcavusbaşı escortcebeci escortçengelköy escortcevizlibağ escortçiftehavuzlar escortcihangir escortçubuklu escortdikilitaş escortdragos escortdudullu escortedirnekapı escortkurtköy escorteminönü escortescort lazımankara escortkemerburgaz escortatalar escortömerli escorttopkapı escortzeytinburnu escortavcılar escorterenköy escortgebze escorthalkalı escortşişli escorteve gelen escorteyüp escortfenerbahçe escortfeneryolu escortfikirtepe escortfındıklı escortfındıkzade escortflorya escortfulya escortgalata escortgaziosmanpaşa escortgrup escortgulhane escortgulsuyu escortharbiye escortharem escortharem escorthasanpaşa escortincirli escortıspartakule escortistanbul masajistanbul escortistanbul escortkabataş escortdjarum blackolimpbet kzmarlboro double fusionlifta 20 mglifta 5 mgdegraorcafilviagra hapviagra siparişviagra fiyatıviagra satışviagraeczacıbaşı viagra fiyatlarıviagra siparişviagra fiyatıdjarum blackyalova escortçınarcık escortsertleştirici hap çeşitlerisertleştirici hap yorumlarıcinsel hap çeşitlerieczanede satılan cinsel güç ilaçlarısertleştirici hap isimlericinsel hap isimlericinsel gücü artıran ilaçlarpenis sertleştirici hap çeşitlericinsel güç artırıcı ilaç isimleriereksiyon hapı isimlerisertleştirici ilaç isimlerişişme bebek çeşitlerien iyi vibratör çeşitlericinsel güç arttırıcı hap isimlerieczanede satılan cinsel ilaç isimlerien iyi performans arttırıcı ilaç isimleripenis serleştirici haplarerkeklerde cinsel gücü artıran ilaç isimleribayan istek arttırıcı damla çeşitleribayan azdırıcı hap çeşitlericinsel güç arttırıcı hap çeşitleridjarum blacksertleştirici hap markalarıpenis sertleştirici ilaç çeşitlerisertleşmeye en iyi ilaçcinsel ilaç isimlerierkek cinsel gücü arttırıcı ilaç çeşitlericaptain blackcinsel gücü artıran ilaç fiyatlarıcinsel güç arttırıcı ilaç yorumlarıeczanede satılan cinsel gücü arttıran ilaç isimleriereksiyon sağlayıcı ilaç çeşitlericinsel güç arttırıcı ilaçcinsel gücü arttıran ilaç markalarıen iyi geciktirici hap isimlerien iyi geciktirici sprey çeşitlerimarlboro double fusionpiyasadaki en iyi geciktirici hapcamel sigaracinsel gücü artıran ilaç incelemeleridjarum blacksertleşmeye iyi gelen ilaç isimlerimarlboro goldeczanede satılan viagrawinston lightwinston dark bluecialis resmi satış sitesiMarlboro Touch Graycinsel güç arttırıcı macunvega 100 mg hapcaptain black bluenovagra geciktirici hapçin topu siparişolmeca tekilaeczane cialis fiyatıBackwoods Islak Purocialis satın alerkek azdırıcı damlaviagra kremi satın alviagra satış fiyatıerkek azdırıcı hap isimleriwinston dark blue fiyatiçmeler escorttepeören escortaydınlı escortorhanlı escortyalova escortfree shopsex hikayependik escortyalova escortgörükle escortçınarcık escortkartal escorttuzla escortpendik escortmaltepe escortbostancı escortataşehir escortdjarum blackabana haberagrı habertunceli haberafyon haberescortescortescortescortescortescortescortescortescorthttps://www.festivaldecraponne.com/kartal escortyapay kızlık zarışişli escortşişli escort bayankurtkoy escorttuzla escort
Call Now Button