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Ovarian laziness is a term used to refer to Polycystic Ovary Syndrome (PCOS). Polycystic ovary syndrome is a common hormonal disorder in women of childbearing age. Women with ovarian laziness may have irregular, long periods, or excess male hormone (androgens). Under these conditions, the ovaries may accumulate a certain amount of fluid and be unable to ovulate regularly.

Women with ovarian laziness may have irregular, long periods, or excess male hormone (androgens). Under these conditions, the ovaries may accumulate a certain amount of fluid and be unable to ovulate regularly.

The exact cause of polycystic ovary syndrome is unknown. Early diagnosis and treatment, along with weight loss, can reduce the chances of long-term complications such as type 2 diabetes and heart disease.

One study found that up to 70% of women with ovarian laziness are unaware of their disease. Polycystic ovary syndrome is not a new disease, and the Italian physician Antonio Valisneri described its symptoms in 1721.

Signs and symptoms of polycystic ovary syndrome
Signs and symptoms of ovarian laziness usually appear around the first menstrual cycle during puberty. In some cases, ovarian laziness develops later; For example in response to significant weight gain.

The signs and symptoms of polycystic ovary syndrome, or ovarian laziness, are varied. Diagnosis of polycystic ovary syndrome is usually made when there are two of the following three symptoms:

Irregular menstruation: Decreased number, irregular or increased length of menstruation are the most important signs of ovarian laziness. For example, a patient may have less than 9 menstrual cycles a year, an interval of more than 35 days between menstrual cycles, and an abnormally heavy menstrual cycle.

Excess androgens: Elevated levels of the male sex hormone can cause physical symptoms, including increased facial and body hair, and in some cases, severe acne and male pattern baldness.

Polycystic ovaries: The ovaries can enlarge because of the cysts that surround the eggs. These cysts are actually ovarian follicles, each enclosing an immature egg. These eggs never actually mature enough to cause menstruation. Because of this, the ovaries may not function properly.
The signs and symptoms of polycystic ovary syndrome are usually more severe in obese people.

Causes of ovarian laziness or polycystic ovary syndrome
The exact cause of ovarian laziness is not known. Factors that may be effective in creating it are as follows:

Excess insulin: Insulin is a hormone made in the pancreas that allows cells to use sugar, the body’s main source of energy. If the cells become resistant to insulin, blood sugar will rise and the body may produce more insulin. Insulin may further increase androgen production, which in turn causes menstrual problems. Up to 70% of women with ovarian laziness are also resistant to insulin.

Low-grade inflammation: The term is used to describe the production of various substances by white blood cells to fight infection. Research has shown that women with polycystic ovary syndrome develop a type of low-grade inflammation that stimulates the polycystic ovaries to produce androgens. Androgens, in turn, cause cardiovascular problems.

Heredity: Research shows that certain genes may be associated with polycystic ovary syndrome. So if people in the family like the person’s mother or sister have the disease, the person may be more likely to get the disease.

Excess Androgens: The ovaries cause puffiness and acne by abnormally increasing androgen production.

Complications of ovarian laziness
Complications of ovarian laziness or polycystic ovary syndrome can include the following:

• Infertility
• Gestational diabetes or gestational hypertension
• Abortion or premature birth
• Non-alcoholic fatty liver disease is an acute inflammation of the liver caused by the accumulation of fat in the liver.
• Metabolic syndrome is a set of symptoms that include high blood pressure, high blood sugar, and abnormal levels
• of cholesterol or triglycerides that increase the chances of developing cardiovascular disease.
• Type 2 diabetes or pre-diabetes
• Sleep apnea
• Depression, anxiety and eating disorders
• Abnormal uterine bleeding
• Cancer of the lining of the uterus (cancer of the lining of the uterus)
• Obesity is associated with ovarian laziness and can increase its complications.
  

Diagnosis
There is no specific test to definitively diagnose polycystic ovary syndrome or ovarian laziness. The doctor may ask the patient for a medical history, including menstrual cycles and periods and weight changes. Physical examinations include examinations for signs of abnormal hair growth, insulin resistance, and acne.

Your doctor may recommend the following for a better diagnosis:

• Pelvic exam: The doctor examines the reproductive organs visually and manually to find lumps, tumors, and other abnormalities.
• Blood test: A blood test is done to check hormone levels. This test can rule out other problems that are similar to polycystic ovary syndrome and cause menstrual irregularities or androgen overload. Other tests may be needed to measure fasting cholesterol and triglycerides and glucose resistance.
• Ultrasound: The doctor uses ultrasound to measure the appearance of the ovaries and the diameter of the lining of the uterus. A transmitter enters the genitals and uses sound waves to create images on the computer.

If your doctor has diagnosed ovarian laziness or polycystic ovary syndrome, he or she may recommend more tests to make sure there are no complications. These tests are as follows:

• Periodic tests for blood pressure, glucose tolerance, and cholesterol and triglyceride levels
• Screening for depression and anxiety
• Screening for obstructive sleep apnea

Treatment of ovarian laziness or polycystic ovary syndrome
Treatment for polycystic ovary syndrome focuses on managing individual complications, such as infertility, dementia, acne, and obesity. Specific treatments may include lifestyle changes and medication.

Changing life style
Your doctor may recommend weight loss with a low-calorie diet, along with balanced exercise. Even relatively light weight loss, for example 5% weight loss, can improve the patient’s condition. Weight loss can even increase the effectiveness of medications prescribed for polycystic ovary syndrome and help improve infertility.
Losing 5% of your body weight can improve your condition.

Pharmacological treatment
To regulate your menstrual cycle, your doctor may recommend the following:

Combined birth control pills: Pills that contain estrogen and progestin reduce androgen production and regulate estrogen. Adjusting hormones can reduce the chances of uterine mucosal cancer and correct abnormal bleeding, irregular hair growth and acne. Instead of pills, you can use a hormonal adhesive or vaginal ring that contains a combination of estrogen and progestin.
Progestin treatment: Taking progestin for 10 to 14 days every month or once every two months can regulate the menstrual cycle and protect against uterine cancer. Progestin treatment does not improve androgen levels and does not prevent pregnancy. If the patient is not planning to become pregnant, a progestin pill or an intrauterine device containing progestin is a better choice.

To help with ovulation, your doctor may recommend the following:

• Clomiphene (Chlamydia): Clomiphene is an oral medication that should be taken in the first half of the menstrual cycle.
• Letrozole (Femara): Letrozole, a drug for breast cancer, can stimulate the ovaries.
• Metformin (glucophage, ferratum, etc.): Metformin is an oral medication for type 2 diabetes that reduces insulin resistance and lowers insulin levels in the blood. If the patient does not become pregnant using clomiphene, their doctor may also prescribe metformin. If you have prediabetes, metformin can slow the progression of type 2 diabetes and help you lose weight.
• Gonadotropins: These hormonal drugs are injected into a patient.

To reduce unruly hair growth, your doctor may recommend the following:

• Birth control pills: Birth control pills reduce androgen production. Androgens are the main cause of abnormal hair growth.
• Spironolactone (Aldactone): This drug neutralizes the effect of androgens on the skin. Spironolactone can cause birth defects in infants, so contraception is essential when taking this medicine. It is not recommended to take this medicine during pregnancy or if you are planning to become pregnant.
• Aflorentine (Vanica): This ointment slows down the growth of facial hair in women.
• Electrolysis: In electrolysis, a small needle is inserted into each hair follicle. The needle inserts some electrical current into the follicle; This current damages the follicle and eventually destroys it. Several sessions may be needed for treatment.

Home treatment
To reduce the effects of polycystic ovary syndrome or ovarian laziness, try:

• Control your weight: Weight loss can lower insulin and androgen levels and restart ovulation. Ask your doctor about weight loss.
• Reduce Carbohydrate Intake: Low-fat, low-carbohydrate diets lower insulin levels. If you have ovarian laziness, ask your doctor about a low-carb diet. You can use complex carbohydrates, which slowly raise blood sugar levels.
• Be active: Exercise helps lower blood sugar levels. If you have ovarian laziness, increasing your daily activity and participating in a regular exercise program can reduce or eliminate insulin resistance altogether. This way you will both control your weight and prevent diabetes.

When to see a doctor for polycystic ovary syndrome or ovarian laziness?
It is best to see a gynecologist to diagnose and treat polycystic ovary syndrome.

Be sure to see your doctor if you have the following conditions:

• If your period is significantly delayed and you are not pregnant.
• If you have symptoms of polycystic ovary syndrome, such as abnormal hair growth on the face and body.
• If you have been trying to conceive for more than 12 months without any results.
• If you have symptoms of diabetes, such as severe thirst and hunger, blurred vision or unexpected weight loss.
• Your doctor may use tests for diabetes and other tests to make a diagnosis.