A 27-Year-Old Woman With a Diagnosis of Polycystic Ovary Syndrome

Abstract

Background: Polycystic ovary syndrome and oligomenorrhea which is one of its complications are considered as the most common causes of menstrual disorders which increases the risk of depression and psychological effects complications. The prevalence of oligomenorrhea is predicted to be 12 to 15 percent. This syndrome occurs with symptoms such as obesity, impaired glucose metabolism, dysmenorrhea, oligomenorrhea and other symptoms. In addition, incidence of decreased libido, painful sexual intercourse and decreased libido are also observed in the patients concurrently which must be considered during the treatment. Case Presentation: The case is a 27 year old woman married 2 years ago without children, unprotected, housewife who has been referred to the clinic of traditional medicine in June 2016 with palpitation complaints, dizziness, extreme tiredness, poor sleep, fatigue, darkening of skin along with syncopal attacks. She was the candidate for standard treatment for depression with diagnosis of depression by a psychiatrist. Based on the history of the patient, she has experienced delayed period for up to three months, severe pain prior to and during menstruation, dyspareunia and fear of sexual intercourse, decreased libido and progressive lack of sexual satisfaction over the past two years. She suffered from epileptic attack every 7-10 days without falling resulting in organ and head damage. After taking history, medical tonic treatment of ovarian and treatment using sitz-bath and training for sexual intercourse were conducted simultaneously from the perceptive of modern and Iranian medicine and menstruation was regulated in the first three months and sexual intercourse gradually became possible in the next three months and patient experienced regular menstruation and complete sexual intercourse with sexual pleasure at the end of six months. Conclusion: Treatment of this patient by modification of her uterus and ovaries function, creation of menstrual regularity and possibility of sexual intercourse along with sexual pleasure based on sexual pleasure highlights the necessity of more attention to the connection between the different organs in the human body. A woman's uterus and femininity functions make her sick in the case of disorder, one of such is termed strangulation of uterus (Ekhtenagh in Persian) in Iranian medicine.

Racial differences in self-reported infertility and risk factors for infertility in a cohort of black and white women: The CARDIA Women's Study

“…In addition, we did not find that hyperandrogenemia or menstrual abnormalities were associated with infertility in late reproductive age black or white women. The lack of an association between hyperandrogenemia, menstrual irregularity, and infertility is inconsistent with the literature on PCOS (25)(26)(27)(28). It is possible that our lack of findings regarding hyperandrogenemia may be due to low prevalence of PCOS or clinically significant hyperandrogenemia in our population, low precision of the total testosterone assay, or to the relatively older average age of our sample compared to other studies of PCOS (13).…”

Racial differences in self-reported infertility and risk factors for infertility in a cohort of black and white women: The CARDIA Women's Study

“…In addition, we did not find that hyperandrogenemia or menstrual abnormalities were associated with infertility in late reproductive age black or white women. The lack of an association between hyperandrogenemia, menstrual irregularity, and infertility is inconsistent with the literature on PCOS (25)(26)(27)(28). It is possible that our lack of findings regarding hyperandrogenemia may be due to low prevalence of PCOS or clinically significant hyperandrogenemia in our population, low precision of the total testosterone assay, or to the relatively older average age of our sample compared to other studies of PCOS (13).…”

A Compendious Review on the Metabolic Syndrome; Its Impact on the Quality of Life

“…Women with polycystic ovary syndrome are more prone to MetS; consequently, they are more susceptible to CVD. It is also described in a study where nearly half (46.4%) of the women suffering with PCOS had MetS [83].…”

Angiotensin-Converting Enzyme (ACE) Insertion/Deletion (I/D) Polymorphism as a Conjoint Regulator of Coagulation, Fibrinolytic, and RAAS Pathway in Infertility and Associated Pregnancy Complications

“…In maintaining hormonal balance in the reproductive tract, the hypothalamus is the master regulator that releases gonadotropin. Gonadotropin directly or indirectly affects the pituitary gland, ovaries, thyroid, and mammary gland [ 13 , 14 ]. Thus, modified chemical signals from the hypothalamus can cause hormonal abnormalities that result in infertility.…”

Racial differences in self-reported infertility and risk factors for infertility in a cohort of black and white women: The CARDIA Women's Study

“…In addition, we did not find that hyperandrogenemia or menstrual abnormalities were associated with infertility in late reproductive age black or white women. The lack of an association between hyperandrogenemia, menstrual irregularity, and infertility is inconsistent with the literature on PCOS (25)(26)(27)(28). It is possible that our lack of findings regarding hyperandrogenemia may be due to low prevalence of PCOS or clinically significant hyperandrogenemia in our population, low precision of the total testosterone assay, or to the relatively older average age of our sample compared to other studies of PCOS (13).…”

A Compendious Review on the Metabolic Syndrome; Its Impact on the Quality of Life

“…Women with polycystic ovary syndrome are more prone to MetS; consequently, they are more susceptible to CVD. It is also described in a study where nearly half (46.4%) of the women suffering with PCOS had MetS [83].…”

Angiotensin-Converting Enzyme (ACE) Insertion/Deletion (I/D) Polymorphism as a Conjoint Regulator of Coagulation, Fibrinolytic, and RAAS Pathway in Infertility and Associated Pregnancy Complications

“…In maintaining hormonal balance in the reproductive tract, the hypothalamus is the master regulator that releases gonadotropin. Gonadotropin directly or indirectly affects the pituitary gland, ovaries, thyroid, and mammary gland [ 13 , 14 ]. Thus, modified chemical signals from the hypothalamus can cause hormonal abnormalities that result in infertility.…”

Racial differences in self-reported infertility and risk factors for infertility in a cohort of black and white women: The CARDIA Women's Study

“…In addition, we did not find that hyperandrogenemia or menstrual abnormalities were associated with infertility in late reproductive age black or white women. The lack of an association between hyperandrogenemia, menstrual irregularity, and infertility is inconsistent with the literature on PCOS (25)(26)(27)(28). It is possible that our lack of findings regarding hyperandrogenemia may be due to low prevalence of PCOS or clinically significant hyperandrogenemia in our population, low precision of the total testosterone assay, or to the relatively older average age of our sample compared to other studies of PCOS (13).…”

A Compendious Review on the Metabolic Syndrome; Its Impact on the Quality of Life

“…Women with polycystic ovary syndrome are more prone to MetS; consequently, they are more susceptible to CVD. It is also described in a study where nearly half (46.4%) of the women suffering with PCOS had MetS [83].…”

Angiotensin-Converting Enzyme (ACE) Insertion/Deletion (I/D) Polymorphism as a Conjoint Regulator of Coagulation, Fibrinolytic, and RAAS Pathway in Infertility and Associated Pregnancy Complications

“…In maintaining hormonal balance in the reproductive tract, the hypothalamus is the master regulator that releases gonadotropin. Gonadotropin directly or indirectly affects the pituitary gland, ovaries, thyroid, and mammary gland [ 13 , 14 ]. Thus, modified chemical signals from the hypothalamus can cause hormonal abnormalities that result in infertility.…”