Polycystic ovaries and the risk of depression


Polycystic ovary is an increasingly common gynecological disease, related to hormone imbalance. People with polycystic ovaries not only reduce fertility but also increase the risk of many other diseases, including the risk of depression.

1. What is polycystic ovary?

Polycystic Ovary Syndrome (PCOS) is an increasingly common gynecological disease, related to an imbalance of hormone levels. People with polycystic ovaries not only reduce fertility but also increase the risk of many other diseases, including the risk of depression.
About 2.2 - 26.7% of women of childbearing age (from 15 to 44 years old) have polycystic ovary syndrome. The disease is characterized by an excessive increase in male hormone levels - Androgen, causing many effects on the ovaries, leading to the formation of many small cysts in the ovaries, causing menstrual cycle disturbances. The female hormone imbalance makes the ovulation process disordered, the egg cannot develop, leading to atrophy and degeneration. Therefore, women with polycystic ovaries find it difficult to conceive.

2. Causes of Polycystic Ovary


Until now, the cause of polycystic ovaries is still unknown. However, the disease can be caused by the following factors.
Hormonal disorders: Imbalance of the levels of sex hormones in the female body is believed to be the main cause of polycystic ovaries. The amount of female sex hormone in the body is less than the amount of male sex hormone causing disruption of the development of the ovarian follicle. At this time, there will appear many small follicles in the ovary (from 6 to 10 follicles), and because the follicle does not develop, the egg is small in size. An immature follicle will result in an inability to ovulate (ovulate) to function in conjunction with fertilization. Genetics: Studies show that most people with PCOS have genetic factors. Certain genes are associated with this condition. Therefore, if there is a family member who has had the disease, such as a grandmother, mother or sister, the possibility of polycystic ovary syndrome is very high. Insulin resistance: Insulin resistance is one of the risk factors for PCOS. According to statistics, up to 70% of women with PCOS have insulin resistance, which means that the body's cells do not use insulin properly. At that time, blood glucose levels increase, stimulating the body to produce more insulin. It is the excess insulin that will act on the ovaries to increase the production of male hormones androgens, thereby inhibiting female sex hormones, inhibiting the formation of follicles. The result is a decrease in the ability to ovulate. Unscientific diet: A diet high in carbohydrates can be a contributing factor to overweight and obesity as well as polycystic ovary syndrome. Being overweight and obese is also one of the causes of insulin resistance, increasing the risk of PCOS.
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3. Symptoms of Polycystic Ovary


In some women, symptoms of PCOS can appear as early as the first menstrual period. However, in most cases, symptoms of the disease are only discovered when there are problems with fertility. People with polycystic ovary syndrome often have the following symptoms.
Irregular menstrual cycle: The most common sign of polycystic ovary syndrome is an irregular menstrual cycle, manifested by a period shorter than 25 days or a period lasting 2-3 months, even Menstruating only 1-2 times a year or completely amenorrhea. Oily, acne-prone facial skin: People with polycystic ovary syndrome may experience skin problems, specifically oily facial skin and acne breakouts. The reason is that an increase in male hormone levels causes the skin to produce more oil than usual, causing acne to appear in areas such as the face, chest or back, making women feel very self-conscious. . Hirsutism: Hirsutism, meaning excessive hair growth, is a hallmark of PCOS. More than 70% of women with PCOS develop black, stiff, and hirsutic hair growth on the face, legs, arms, chest, back, and abdomen. However, many people suffer from baldness because the hair follicles are too weak, causing the hair to thin, lose a lot and gradually thin. Both of these phenomena are caused by a hormonal imbalance, where male hormone levels are much superior to female hormone levels. Overweight or obese: Up to 80% of women with PCOS are overweight or obese. The weight is also unstable, most often the weight gain is out of control, leading to a lot of stress and fatigue for the patient. Mood swings: Psychology of women with polycystic ovary syndrome. Patients are often angry for no reason or sad for no reason, stress, anxiety. Prolonged mood swings are a major risk factor for depression. Therefore, polycystic ovaries can also be a cause of depression, not only due to the anxiety and stress of the disease but also due to a hormonal imbalance. Pelvic Pain and Discomfort : Low back, abdominal and pelvic discomfort or dull pain resembling menstrual cramps ranging from mild to severe are also symptoms of polycystic ovaries. follicle.
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4. Polycystic Ovarian Syndrome and Depression Risk


Polycystic ovary disease severely affects a woman's health. People with PCOS not only have reduced fertility, but also have an increased risk of many other diseases such as hypertension, diabetes, dyslipidemia and even depression.
Hormonal imbalance that causes symptoms such as hirsutism or baldness, darkening of the skin, acne, overweight, obesity... will negatively affect a woman's mental and emotional well-being . They will have a sad mood, often worrying, especially if this situation lasts for a long time, there is a risk of depression. Therefore, treatment of polycystic ovaries will help patients limit the risk of depression and other health complications. Therefore, when there are signs of suspected polycystic ovary syndrome, you should go to a medical facility for an accurate examination and diagnosis, from which appropriate treatment methods are available.
Currently, to help customers detect and treat other gynecological diseases early, Vinmec International Hospital has a basic gynecological examination and screening package, helping customers detect early inflammatory diseases. infections for easy, inexpensive treatment. Screening detects gynecological cancer (cervical cancer) early even when there are no symptoms.
Basic gynecological examination and screening package for female customers, has no age limit and may have the following symptoms:
Abnormal vaginal bleeding; Menstrual problems: irregular periods, irregular periods; Abnormal vaginal discharge (with a bad smell, a different color than usual); Pain, itching in the intimate area; Female customers have several risk factors such as poor personal hygiene, unsafe sex, abortion,...; Female customers have other symptoms such as: Abnormal vaginal discharge, itching, pain in the intimate area, abnormal vaginal bleeding.

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