Polycystic ovarian disease (PCOS)

Polycystic ovarian syndrome (PCOS) is a chronic endocrine disorder characterized by ovulation disorders, excess male hormones (hyperandrogenism), and polycystic changes in the ovaries. It is one of the most common causes of infertility in women.
PCOS is a disease in which ovulation either does not occur at all, or is disrupted (oligoovulation), which makes it difficult to conceive. The main signs of PCOS are an excess of male hormones (androgens), which can manifest as increased hair loss, acne, and hair loss. Ultrasound often reveals enlarged ovaries with many small cysts — these are follicles that cannot ovulate. It is believed that PCOS develops due to problems with hormonal regulation in the brain and due to insulin resistance, a decrease in tissue sensitivity to insulin. Insulin resistance leads to an increase in insulin production, which stimulates the excessive production of androgens in the ovaries and exacerbates ovulation disorders. As a result, women with PCOS may experience not only difficulties with conception, but also metabolic disorders such as obesity, type 2 diabetes, and elevated cholesterol levels.

Reasons

Hormonal regulation disorders in the hypothalamus and pituitary gland

Insulin resistance

Genetic predisposition

Excess of male sex hormones (androgens)

Obesity and metabolic disorders

Symptoms

Irregular or absent menstrual cycle

Abnormal uterine bleeding

Infertility

Increased hair loss (hirsutism)

Acne and oily skin

Overweight or obese

Hair loss (androgenic alopecia)

Areas of dark skin in folds (black acanthosis)

Consequences

One of the most significant complications is infertility caused by ovulation disorders. Infertility affects about 75% of women with PCOS. Another complication is endometrial hyperplasia. This condition increases the risk of endometrial cancer, especially in perimenopausal women.

Treatment

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Conservative treatment
PCOS treatment is aimed at correcting symptoms and preventing complications. The main treatment method is lifestyle changes — weight loss and increased physical activity. Even losing 5-10% of body weight can significantly improve a woman's condition. If lifestyle changes are insufficient, medications are prescribed. Combined oral contraceptives may be prescribed to regulate the menstrual cycle and reduce the symptoms of hyperandrogenism. In infertility, drugs are used to stimulate ovulation.
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Surgical treatment
Surgical treatment is used less frequently, but it can be indicated if there is no effect from drug therapy. The laparoscopic procedure, known as ovarian drilling, involves removing polycystic follicles using a laser or needle. This helps to restore normal ovulation and improve the chances of conception.

How to reach

Address
Moscow, 1st Yamskogo Polya Street, 15
Operating hours
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How to get

From the Belorusskaya metro station of the Zamoskvoretskaya line - exit 4 After exiting the subway, walk through the pedestrian tunnel and climb the stairs. Move towards the railway tracks, go down the stairs immediately after them and walk along the house, then turn right onto 1st Yamskoye Pole Street. At the turn to 3rd Yamsky Pole Street, cross the road at the pedestrian crossing and continue along 1st Yamsky Field Street, after a few buildings on the left you will see Olympus Clinic MARS.

Travel time

9 minutes

Landmark

Olympus Clinic MARS sign


How to get

From the Belorusskaya metro station of the Ring line - exit 2. After exiting the subway, turn left and walk to the pedestrian crossing. Cross the road through two pedestrian crossings and move along the Tverskoy overpass. Go down the stairs immediately after the railway tracks, walk along the house, then turn right onto 1st Yamskoye Pole Street. At the turn to 3rd Yamsky Pole Street, cross the road at the pedestrian crossing and continue along 1st Yamsky Field Street, after a few buildings on the left you will see Olympus Clinic MARS

Travel time

11 minutes

Landmark

Olympus Clinic MARS sign


Address
7/1 Sadovaya-Sukharevskaya str., 129090, Moscow
Operating hours
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From the metro station "Tsvetnoy Bulvar"

1 exit to the city, then left to the Garden Ring, at the crossing to the right, crossing the boulevard, one more crossing and at the traffic light to the left. The Olymp Clinic building is located overlooking the Garden Ring to the right of the crossing. Travel time is approximately 9 minutes. Landmark - sign Olymp Clini

From the metro station "Sukharevskaya"

Exit 3 from the metro and 640 meters straight ahead, the clinic will be on the right. Landmark - sign Olymp Clinic

Parking lot map

Exit 3 from the metro and 640 meters straight ahead, the clinic will be on the right. Landmark - sign Olymp Clinic

Как добраться
Address
Moscow, 125124, Chapaevsky lane, 3
Operating hours
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From Sokol metro station

The last car from the center: follow the signs for Exit 5. From the glass doors to the right and go to the end of the passage. Exit to the city by the steps to the left. After exiting the crossing to the street, go straight along Leningradsky Prospekt to the intersection with Chapaevsky Lane. Next, turn right (onto Chapaevsky Lane) and walk to the Triumph Palace residential complex. Entrance to the territory: through checkpoint No. 1, opposite the Vkusville store, you will need to present your passport. After passing through the checkpoint, go up the stairs to the fountain, opposite it you will see our clinic.

Travel time

10-12 minutes

From the Airport metro station

The first car from the center: follow the Exit 2-3 signs. Turn left out of the glass doors and walk to the end of the passage. After exiting the crossing to the street, go straight along Leningradsky Prospekt to the intersection with Chapaevsky Lane. Next, turn left (onto Chapaevsky Lane) and walk to the Triumph Palace residential complex. Entrance to the territory: through checkpoint No. 1, opposite the Vkusville store, you will need to present your passport. After passing through the checkpoint, go up the stairs to the fountain, opposite it you will see our clinic.

Travel time

12-15 minutes

How to get

Entry to the territory is prohibited, but there are free city parking lots around the Triumph Palace residential complex, where you can easily find a place for your car. Free parking area:

Как добраться