Особливості терапії синдрому полікістозних яєчників на фоні надлишкової маси тіла

І. М. Капшук

doi:10.18370/2309-4117.2015.25.21-26

Authors

І. М. Капшук Institute of Pediatrics, Obstetrics and Gynecology of the NAMS of Ukraine, Ukraine https://orcid.org/0000-0002-9574-0962

DOI:

https://doi.org/10.18370/2309-4117.2015.25.21-26

Keywords:

polycystic ovary syndrome, excess body weight, antiandrogens, antihypoxants

Abstract

The main strategic goal of treatment of polycystic ovary syndrome (PCOS) is not only restore fertility and achieve a cosmetic effect, but also the prevention of metabolic disorders later.

Lifestyle modifications with the inclusion of physical activity and a balanced diet are reasonable pathogenetic components of therapy and prevention of long-term effects of PCOS.

Well pronounced antiandrogenic effect in the treatment of PCOS has a selective androgen receptor inhibitor flutamide. However, in women with PCOS often develop nonalcoholic steatosis, particularly against the background of obesity, which limits the long-term use of this drug, as it is hepatotoxic effects. Given this, it is advisable to give preference to phyto- antiandrogens, one of which is normocycle. Advantages of drugs in this group have low toxicity and the possibility of long-term use without risk of serious adverse reactions.

The aim of the study was to improve the treatment of women with PCOS and excess body weight. We examined 105 women with a diagnosis of “polycystic ovary syndrome” in the background of excessive body weight and obesity aged 18 to 35 who were divided into two groups: group I consisted of 65 women who received developed treatment; II group – 40 women who received standard treatment. In the first phase (3 months) in both groups used the standard treatment: flutamide administered in the case of hyperandrogenism and in the case of insulin resistance – metformin. Patients of group I additionally used normocycle for 3 months and tivortin for 10 days. The next three months the women in both groups received advice on diet and exercises, and the patient group I continued to use normocycle for 3 months and tivortin for 14 days.

The results showed that the use of herbal anti-androgen (normocycle) and antihypoxant (tivortin) in the complex treatment of women with PCOS against the backdrop of excess body weight leads to permanent reduction of clinical symptoms and improve hormonal parameters.

Author Biography

І. М. Капшук, Institute of Pediatrics, Obstetrics and Gynecology of the NAMS of Ukraine

Researcher of Endocrine Gynecology Department

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