Ovarian depletion syndrome refers to gynecological diseases that interfere with normal conception . The disease develops in women of reproductive age. Let us consider in more detail such a pathology as ovarian exhaustion, the treatment of its manifestations, we will distinguish the main symptoms and causes.
What is "ovarian malnutrition"?
The term "ovarian exhaustion" in gynecology is used to designate a complex of symptoms that is characterized by an increase in the level of gonadotropin, a lack of monthly, and a decrease in the concentration of estrogens . Pathology occurs in women of reproductive age who used to have normal menstruation. The disease has other names - premature menopause, premature menopause, insufficiency of the ovaries. The frequency of occurrence of the disease among women of reproductive age is 1.6%. Early depletion of the ovaries can develop in 20-25 years.
Ovarian depletion causes
Premature exhaustion of the ovaries, whose causes are often difficult to establish, is characterized by a violation of reproductive function. When analyzing the possible causes of pathology, doctors put forward a disruption of the hormonal background, which becomes the trigger mechanism for the development of reproductive system pathologies. Among other causes of the disease is worth noting:
- heredity, chromosomal abnormalities transmitted from mother to daughter (hypoplasia of the ovaries);
- autoimmune reactions, accompanied by the formation of antibodies to the ovarian tissue in the body;
- disruption of the work of the centers of the brain, which control the activity of the sexual glands;
- infectious diseases, accompanied by defeat of ovarian tissue - streptococcal infection , rubella;
- irrational nutrition, beriberi;
- constant stressful situations;
- the effect of a teratogenic character on the body at the stage of intrauterine development (use of pregnant medicines, harmful habits, exposure to ionizing radiation).
Ovarian exhaustion - symptoms
Signs of ovarian malnutrition have bright features, therefore the woman can independently identify pathology. The first thing the patient notes is sudden amenorrhea, which occurs 36-38 years earlier. Often preceded by a meager, uninfluential menstrual discharge, which eventually stop. It should be noted that amenorrhea can take a cyclic nature - in certain cycles, ovulation occurs, so the possibility of pregnancy persists.
In addition to the violation of the cycle, the syndrome of ovarian malnutrition is accompanied by vegetative-vascular manifestations. They are typical for women of menopausal age, when the reproductive function disappears. The development of the following symptoms in queens of reproductive age indicates SII:
- tides;
- increased sweating;
- constant weakness;
- irritability;
- sleep disturbance;
- headache;
- dizziness.
The syndrome of ovarian malnutrition is accompanied by a decrease in the concentration of estrogens. This causes gynecological disorders. The syndrome of ovarian malnutrition, the symptoms of which are named above, provokes:
- atrophic changes of mammary glands;
- atrophic colpitis ;
- decreased bone density;
- disorders of the urogenital system - frequent urination, urinary incontinence;
- decrease in the size of the glands, exhaustion of the mucous membrane of the uterus (determined with ultrasound).
Ovarian Depletion Syndrome - Treatment
Before treating SII, doctors conduct a comprehensive examination. It involves carrying out ultrasound of the small pelvis, a blood test for hormones. After the diagnosis is prescribed therapy. It is aimed at correction of vegetative-vascular disorders, improvement of general well-being, elimination of cardiovascular disorders. The best results of treatment are observed when using hormonal drugs, carrying out hormone replacement therapy. Drugs are selected by the doctor individually, the dosage, multiplicity and duration of administration are indicated.
Is it possible to cure ovarian malnutrition?
Treatment of SII is aimed at improving overall health, eliminating additional pathologies. Completely cure the disease is impossible. The use of drugs can support the work of the sex glands. Substitution therapy with hormones is carried out until the onset of natural menopause. This reduces the risk of developing urogenital diseases, which often develop against the background of a lack of estrogen in the female body.
Ovarian depletion - drugs
With the development of the syndrome of ovarian malnutrition in young women, doctors for the treatment of the disorder appoint combinations of ethinyl estradiol with desogestrel, gestodenum or norgestimate. Such hormonal compounds completely mimic the normal functioning of the gonads. For older women, doctors recommend a combination of estradiol with dydrogesterone. Drugs with these hormones are taken orally, administered intramuscularly. In SII, the treatment with hormones is carried out according to the prescribed scheme. Estrogens are used more often than 14 days:
- 17-estradiol;
- micronized estradiol;
- estriol succinate;
- estrone sulfate.
Often use combined means. Thus, Ovarium Compositum when ovaries is depleted helps to reduce the manifestations of the disorder, and improves the patient's well-being. With the help of the drug, it is often possible to completely restore the functioning of the sex glands. Because of this, the drug is used if the woman wants to become pregnant, to restore ovulation, a cycle. Among other combined remedies for treatment are:
- Divina;
- Klimen;
- Femoston.
Ovarian exhaustion - treatment with folk remedies
The syndrome of premature ovarian malnutrition can be corrected by the reception of folk remedies. Their use helps to reduce symptoms. Eating large amounts of vitamin E, facilitates the course of the disease. It contains:
- peanut;
- hazelnut;
- Walnut;
- sprouted wheat.
An effective prescription for SII is a collection of medicinal herbs.
Herbal infusion
Ingredients:
- the root of valerian is 30 g;
- leaves of peppermint - 30 g;
- Chamomile pharmacy - 40 g;
- water - 500 ml.
Preparation, use:
- Herbs are ground, poured with boiling water.
- Insist 1 hour.
- Take a glass, in the morning and in the evening, after eating.
Ovarian exhaustion and pregnancy
Premature exhaustion of the ovaries becomes an obstacle in the process of pregnancy planning. When the disease occurs spontaneous remission - the menstrual cycle is self-renewed, pregnancy becomes possible. In most cases, a woman needs medication. Rare ovulation, which makes it possible to conceive a child, is noted in 5-10% of patients.
Can I get pregnant with ovarian exhaustion?
Even when diagnosed as "ovarian depletion syndrome", pregnancy is possible, but often only after a course of special therapy. Independent attempts to get pregnant do not bring results. The absence of the ovulatory process hinders the onset of pregnancy. Often the only opportunity for a woman to become a mother is in vitro fertilization.
IVF for ovarian exhaustion
The syndrome of early ovarian exhaustion often becomes an indication for IVF. In this case, the selection of an egg for a woman for further fertilization is not always possible. Because of this, it becomes necessary to use the donor's sex cell. Fertilization is performed by the partner's sperm, the patient's spouse. After fertilization, the egg is inserted into the uterine cavity. With successful implantation, the process of pregnancy begins.