{"id":2575,"date":"2018-06-21T20:49:45","date_gmt":"2018-06-21T20:49:45","guid":{"rendered":"http:\/\/localhost\/testsakas\/sundromo-polukustikwn-wothikwn\/"},"modified":"2021-07-28T13:53:03","modified_gmt":"2021-07-28T13:53:03","slug":"sindrome-delle-ovaie-policistiche-endocrinologia-ginecologica-atene","status":"publish","type":"page","link":"https:\/\/www.gyn-care.gr\/it\/sindrome-delle-ovaie-policistiche-endocrinologia-ginecologica-atene\/","title":{"rendered":"SINDROME DELLE OVAIE POLICISTICHE"},"content":{"rendered":"<div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-right:4%;--awb-padding-left:4%;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_1 1_1 fusion-one-full fusion-column-first fusion-column-last\" style=\"--awb-bg-size:cover;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\"><div class=\"fusion-column-content-centered\"><div class=\"fusion-column-content\"><div class=\"fusion-image-element in-legacy-container\" style=\"--awb-caption-title-font-family:var(--h2_typography-font-family);--awb-caption-title-font-weight:var(--h2_typography-font-weight);--awb-caption-title-font-style:var(--h2_typography-font-style);--awb-caption-title-size:var(--h2_typography-font-size);--awb-caption-title-transform:var(--h2_typography-text-transform);--awb-caption-title-line-height:var(--h2_typography-line-height);--awb-caption-title-letter-spacing:var(--h2_typography-letter-spacing);\"><span class=\" fusion-imageframe imageframe-none imageframe-1 hover-type-none\"><img decoding=\"async\" width=\"1150\" height=\"300\" title=\"Woman-holding-stomach\" src=\"https:\/\/www.gyn-care.gr\/wp-content\/uploads\/2018\/07\/Woman-holding-stomach.jpg\" alt class=\"img-responsive wp-image-4414\" srcset=\"https:\/\/www.gyn-care.gr\/wp-content\/uploads\/2018\/07\/Woman-holding-stomach-200x52.jpg 200w, https:\/\/www.gyn-care.gr\/wp-content\/uploads\/2018\/07\/Woman-holding-stomach-400x104.jpg 400w, https:\/\/www.gyn-care.gr\/wp-content\/uploads\/2018\/07\/Woman-holding-stomach-600x157.jpg 600w, https:\/\/www.gyn-care.gr\/wp-content\/uploads\/2018\/07\/Woman-holding-stomach-800x209.jpg 800w, https:\/\/www.gyn-care.gr\/wp-content\/uploads\/2018\/07\/Woman-holding-stomach.jpg 1150w\" sizes=\"(max-width: 800px) 100vw, 1150px\" \/><\/span><\/div><\/div><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-1 fusion_builder_column_1_1 1_1 fusion-one-full fusion-column-first fusion-column-last\" style=\"--awb-bg-size:cover;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\"><div class=\"fusion-text fusion-text-1 titlos\"><p style=\"text-align: left;\">Sindrome delle ovaie policistiche<\/p>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-2 fusion_builder_column_1_1 1_1 fusion-one-full fusion-column-first fusion-column-last\" style=\"--awb-bg-size:cover;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\"><div class=\"fusion-text fusion-text-2\"><p>La sindrome delle ovaie policistiche (PCOS) \u00e8 una malattia caratterizzata da iperandrogenemia, disfunzione ovarica e morfologia policistica ovarica. La sindrome pu\u00f2 causare significativi disturbi metabolici, aumentando cos\u00ec il rischio di diabete mellito e di malattie cardiovascolari.<\/p>\n<\/div><div class=\"fusion-text fusion-text-3\"><p>L&#8217;insulino-resistenza \u00e8 presente in molte donne con PCOS, in particolare quelle con iperandrogenemia.<\/p>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-3 fusion_builder_column_1_1 1_1 fusion-one-full fusion-column-first fusion-column-last\" style=\"--awb-bg-size:cover;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\"><div class=\"fusion-text fusion-text-4\"><h2 style=\"text-align: left;\">Eziologia<\/h2>\n<\/div><div class=\"fusion-text fusion-text-5\"><p>Il contributo del background genetico rimane incerto e non esiste un test genetico da utilizzare come strumento di controllo della popolazione. Non esiste alcun agente o sostanza ambientale implicato nell&#8217;insorgenza della sindrome. La resistenza all&#8217;insulina ha un ruolo centrale nell&#8217;eziologia dell&#8217;insulina. L&#8217;obesit\u00e0 non \u00e8 un criterio diagnostico (dato che il 20% delle donne con PCOS non \u00e8 obeso), ma rafforza i fenomeni patologici della sindrome.<\/p>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-4 fusion_builder_column_1_1 1_1 fusion-one-full fusion-column-first fusion-column-last\" style=\"--awb-bg-size:cover;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\"><div class=\"fusion-text fusion-text-6\"><h2 style=\"text-align: left;\">Sintomatologia<\/h2>\n<\/div><div class=\"fusion-text fusion-text-7\"><p>Le donne con PCOS di solito hanno disturbi mestruali (da amenorrea a menorragia) e infertilit\u00e0. Per questo motivo, l&#8217;attenzione \u00e8 focalizzata sulle terapie di induzione dell&#8217;ovulazione, in quanto aumentano il rischio di sindrome da iperstimolazione ovarica e gravidanze multiple.<\/p>\n<\/div><div class=\"fusion-text fusion-text-8\"><p>Inoltre, le donne con PCOS hanno un aumentato rischio di complicanze della gravidanza, come il diabete mellito e l&#8217;ipertensione. Disturbi dermatologici dovuti ad aumentati androgeni periferici, come l&#8217;irsutismo e l&#8217;acne e, in misura minore, l&#8217;alopecia, sono risultati comuni.<\/p>\n<\/div><div class=\"fusion-text fusion-text-9\"><p>\u00c8 stato riferito che queste donne hanno un aumentato rischio di cancro dell&#8217;endometrio attraverso i fattori di rischio indipendenti che accompagnano la sindrome (obesit\u00e0, diabete, ipertensione, cicli anovulatori cronici).<\/p>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-5 fusion_builder_column_1_1 1_1 fusion-one-full fusion-column-first fusion-column-last\" style=\"--awb-bg-size:cover;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\"><div class=\"fusion-text fusion-text-10\"><h2 style=\"text-align: left;\">Diagnosi differenziale<\/h2>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-6 fusion_builder_column_1_3 1_3 fusion-one-third fusion-column-first\" style=\"--awb-bg-size:cover;width:33.333333333333%;width:calc(33.333333333333% - ( ( 4% + 4% ) * 0.33333333333333 ) );margin-right: 4%;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\"><ul style=\"--awb-size:16px;--awb-iconcolor:#8a83ad;--awb-line-height:27.2px;--awb-icon-width:27.2px;--awb-icon-height:27.2px;--awb-icon-margin:11.2px;--awb-content-margin:38.4px;\" class=\"fusion-checklist fusion-checklist-1 fusion-checklist-default type-icons\"><li class=\"fusion-li-item\" style=\"\"><span class=\"icon-wrapper circle-no\"><i class=\"fusion-li-icon fa-caret-right fas\" aria-hidden=\"true\"><\/i><\/span><div class=\"fusion-li-item-content\">\n<p>Tumori che producono androgeni<\/p>\n<\/div><\/li><li class=\"fusion-li-item\" style=\"\"><span class=\"icon-wrapper circle-no\"><i class=\"fusion-li-icon fa-caret-right fas\" aria-hidden=\"true\"><\/i><\/span><div class=\"fusion-li-item-content\">\n<p>Terapie con assunzione di androgeni<\/p>\n<\/div><\/li><li class=\"fusion-li-item\" style=\"\"><span class=\"icon-wrapper circle-no\"><i class=\"fusion-li-icon fa-caret-right fas\" aria-hidden=\"true\"><\/i><\/span><div class=\"fusion-li-item-content\">\n<p>Sindrome di Cushing<\/p>\n<\/div><\/li><\/ul><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-7 fusion_builder_column_1_3 1_3 fusion-one-third\" style=\"--awb-bg-size:cover;width:33.333333333333%;width:calc(33.333333333333% - ( ( 4% + 4% ) * 0.33333333333333 ) );margin-right: 4%;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\"><ul style=\"--awb-size:16px;--awb-iconcolor:#8a83ad;--awb-line-height:27.2px;--awb-icon-width:27.2px;--awb-icon-height:27.2px;--awb-icon-margin:11.2px;--awb-content-margin:38.4px;\" class=\"fusion-checklist fusion-checklist-2 fusion-checklist-default type-icons\"><li class=\"fusion-li-item\" style=\"\"><span class=\"icon-wrapper circle-no\"><i class=\"fusion-li-icon fa-caret-right fas\" aria-hidden=\"true\"><\/i><\/span><div class=\"fusion-li-item-content\">\n<p>Malattie della tiroide<\/p>\n<\/div><\/li><li class=\"fusion-li-item\" style=\"\"><span class=\"icon-wrapper circle-no\"><i class=\"fusion-li-icon fa-caret-right fas\" aria-hidden=\"true\"><\/i><\/span><div class=\"fusion-li-item-content\">\n<p>Iperplasia congenita delle ghiandole surrenali<\/p>\n<\/div><\/li><\/ul><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-8 fusion_builder_column_1_3 1_3 fusion-one-third fusion-column-last\" style=\"--awb-bg-size:cover;width:33.333333333333%;width:calc(33.333333333333% - ( ( 4% + 4% ) * 0.33333333333333 ) );\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\"><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-9 fusion_builder_column_1_1 1_1 fusion-one-full fusion-column-first fusion-column-last\" style=\"--awb-bg-size:cover;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\"><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-10 fusion_builder_column_1_1 1_1 fusion-one-full fusion-column-first fusion-column-last\" style=\"--awb-bg-size:cover;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\"><div class=\"fusion-text fusion-text-11\"><h2 style=\"text-align: left;\">Diagnosi<\/h2>\n<\/div><div class=\"fusion-tabs fusion-tabs-1 classic nav-is-justified eksetasi horizontal-tabs icon-position-left mobile-mode-accordion\" style=\"--awb-title-border-radius-top-left:0px;--awb-title-border-radius-top-right:0px;--awb-title-border-radius-bottom-right:0px;--awb-title-border-radius-bottom-left:0px;--awb-inactive-color:#ebeaea;--awb-background-color:rgba(51,153,153,0.21);--awb-border-color:#ebeaea;--awb-active-border-color:#2a8080;\"><div class=\"nav\"><ul class=\"nav-tabs nav-justified\" role=\"tablist\" aria-orientation=\"horizontal\"><li class=\"active\" role=\"presentation\"><a class=\"tab-link\" data-toggle=\"tab\" role=\"tab\" aria-controls=\"tab-b5c186750b10c0f9c7f\" aria-selected=\"true\" tabindex=\"0\" id=\"fusion-tab-b5c186750b10c0f9c7f\" href=\"#tab-b5c186750b10c0f9c7f\"><h4 class=\"fusion-tab-heading\">Anamnesi<\/h4><\/a><\/li><li  role=\"presentation\"><a class=\"tab-link\" data-toggle=\"tab\" role=\"tab\" aria-controls=\"tab-bd585f5014a4f6cfefc\" aria-selected=\"false\" tabindex=\"-1\" id=\"fusion-tab-bd585f5014a4f6cfefc\" href=\"#tab-bd585f5014a4f6cfefc\"><h4 class=\"fusion-tab-heading\">Esame clinico<\/h4><\/a><\/li><li  role=\"presentation\"><a class=\"tab-link\" data-toggle=\"tab\" role=\"tab\" aria-controls=\"tab-bc4c9e356189691c69a\" aria-selected=\"false\" tabindex=\"-1\" id=\"fusion-tab-bc4c9e356189691c69a\" href=\"#tab-bc4c9e356189691c69a\"><h4 class=\"fusion-tab-heading\">Esami ematici<\/h4><\/a><\/li><li  role=\"presentation\"><a class=\"tab-link\" data-toggle=\"tab\" role=\"tab\" aria-controls=\"tab-3970eefc24795370be9\" aria-selected=\"false\" tabindex=\"-1\" id=\"fusion-tab-3970eefc24795370be9\" href=\"#tab-3970eefc24795370be9\"><h4 class=\"fusion-tab-heading\">Ecografia transvaginale<\/h4><\/a><\/li><\/ul><\/div><div class=\"tab-content\"><div class=\"nav fusion-mobile-tab-nav\"><ul class=\"nav-tabs nav-justified\" role=\"tablist\" aria-orientation=\"horizontal\"><li class=\"active\" role=\"presentation\"><a class=\"tab-link\" data-toggle=\"tab\" role=\"tab\" aria-controls=\"tab-b5c186750b10c0f9c7f\" aria-selected=\"true\" tabindex=\"0\" id=\"mobile-fusion-tab-b5c186750b10c0f9c7f\" href=\"#tab-b5c186750b10c0f9c7f\"><h4 class=\"fusion-tab-heading\">Anamnesi<\/h4><\/a><\/li><\/ul><\/div><div class=\"tab-pane fade fusion-clearfix in active\" role=\"tabpanel\" tabindex=\"0\" aria-labelledby=\"fusion-tab-b5c186750b10c0f9c7f\" id=\"tab-b5c186750b10c0f9c7f\"><div class=\"fusion-text fusion-text-12\"><p>L&#8217;anamnesi deve concentrarsi sull&#8217;insorgenza e sulla durata dei vari segni di iperandrogenemia, la storia delle mestruazioni e l&#8217;assunzione simultanea di farmaci, in particolare androgeni esogeni.<\/p>\n<\/div><\/div><div class=\"nav fusion-mobile-tab-nav\"><ul class=\"nav-tabs nav-justified\" role=\"tablist\" aria-orientation=\"horizontal\"><li  role=\"presentation\"><a class=\"tab-link\" data-toggle=\"tab\" role=\"tab\" aria-controls=\"tab-bd585f5014a4f6cfefc\" aria-selected=\"false\" tabindex=\"-1\" id=\"mobile-fusion-tab-bd585f5014a4f6cfefc\" href=\"#tab-bd585f5014a4f6cfefc\"><h4 class=\"fusion-tab-heading\">Esame clinico<\/h4><\/a><\/li><\/ul><\/div><div class=\"tab-pane fade fusion-clearfix\" role=\"tabpanel\" tabindex=\"0\" aria-labelledby=\"fusion-tab-bd585f5014a4f6cfefc\" id=\"tab-bd585f5014a4f6cfefc\">\n<ul style=\"--awb-size:16px;--awb-iconcolor:#8a83ad;--awb-line-height:27.2px;--awb-icon-width:27.2px;--awb-icon-height:27.2px;--awb-icon-margin:11.2px;--awb-content-margin:38.4px;\" class=\"fusion-checklist fusion-checklist-3 fusion-checklist-default type-icons\"><li class=\"fusion-li-item\" style=\"\"><span class=\"icon-wrapper circle-no\"><i class=\"fusion-li-icon fa-caret-right fas\" aria-hidden=\"true\"><\/i><\/span><div class=\"fusion-li-item-content\">\n<p>Misurazione della pressione<\/p>\n<\/div><\/li><li class=\"fusion-li-item\" style=\"\"><span class=\"icon-wrapper circle-no\"><i class=\"fusion-li-icon fa-caret-right fas\" aria-hidden=\"true\"><\/i><\/span><div class=\"fusion-li-item-content\">\n<p>Misurazione del BMI<\/p>\n<\/div><\/li><li class=\"fusion-li-item\" style=\"\"><span class=\"icon-wrapper circle-no\"><i class=\"fusion-li-icon fa-caret-right fas\" aria-hidden=\"true\"><\/i><\/span><div class=\"fusion-li-item-content\">\n<p>Determinazione della distribuzione del grasso<\/p>\n<\/div><\/li><li class=\"fusion-li-item\" style=\"\"><span class=\"icon-wrapper circle-no\"><i class=\"fusion-li-icon fa-caret-right fas\" aria-hidden=\"true\"><\/i><\/span><div class=\"fusion-li-item-content\">\n<p>Acne<\/p>\n<\/div><\/li><li class=\"fusion-li-item\" style=\"\"><span class=\"icon-wrapper circle-no\"><i class=\"fusion-li-icon fa-caret-right fas\" aria-hidden=\"true\"><\/i><\/span><div class=\"fusion-li-item-content\">\n<p>Irsutismo<\/p>\n<\/div><\/li><li class=\"fusion-li-item\" style=\"\"><span class=\"icon-wrapper circle-no\"><i class=\"fusion-li-icon fa-caret-right fas\" aria-hidden=\"true\"><\/i><\/span><div class=\"fusion-li-item-content\">\n<p>Alopecia<\/p>\n<\/div><\/li><li class=\"fusion-li-item\" style=\"\"><span class=\"icon-wrapper circle-no\"><i class=\"fusion-li-icon fa-caret-right fas\" aria-hidden=\"true\"><\/i><\/span><div class=\"fusion-li-item-content\">\n<p>Acanthosis Nigricans<\/p>\n<\/div><\/li><\/ul>\n<\/div><div class=\"nav fusion-mobile-tab-nav\"><ul class=\"nav-tabs nav-justified\" role=\"tablist\" aria-orientation=\"horizontal\"><li  role=\"presentation\"><a class=\"tab-link\" data-toggle=\"tab\" role=\"tab\" aria-controls=\"tab-bc4c9e356189691c69a\" aria-selected=\"false\" tabindex=\"-1\" id=\"mobile-fusion-tab-bc4c9e356189691c69a\" href=\"#tab-bc4c9e356189691c69a\"><h4 class=\"fusion-tab-heading\">Esami ematici<\/h4><\/a><\/li><\/ul><\/div><div class=\"tab-pane fade fusion-clearfix\" role=\"tabpanel\" tabindex=\"0\" aria-labelledby=\"fusion-tab-bc4c9e356189691c69a\" id=\"tab-bc4c9e356189691c69a\"><ul style=\"--awb-size:16px;--awb-iconcolor:#8a83ad;--awb-line-height:27.2px;--awb-icon-width:27.2px;--awb-icon-height:27.2px;--awb-icon-margin:11.2px;--awb-content-margin:38.4px;\" class=\"fusion-checklist fusion-checklist-4 fusion-checklist-default type-icons\"><li class=\"fusion-li-item\" style=\"\"><span class=\"icon-wrapper circle-no\"><i class=\"fusion-li-icon fa-caret-right fas\" aria-hidden=\"true\"><\/i><\/span><div class=\"fusion-li-item-content\">\n<p>Testosterone totale e libera; SHBG<\/p>\n<\/div><\/li><\/ul>\n<ul style=\"--awb-size:16px;--awb-iconcolor:#8a83ad;--awb-line-height:27.2px;--awb-icon-width:27.2px;--awb-icon-height:27.2px;--awb-icon-margin:11.2px;--awb-content-margin:38.4px;\" class=\"fusion-checklist fusion-checklist-5 fusion-checklist-default type-icons\"><li class=\"fusion-li-item\" style=\"\"><span class=\"icon-wrapper circle-no\"><i class=\"fusion-li-icon fa-caret-right fas\" aria-hidden=\"true\"><\/i><\/span><div class=\"fusion-li-item-content\">\n<p>TSH<\/p>\n<\/div><\/li><\/ul>\n<ul style=\"--awb-size:16px;--awb-iconcolor:#8a83ad;--awb-line-height:27.2px;--awb-icon-width:27.2px;--awb-icon-height:27.2px;--awb-icon-margin:11.2px;--awb-content-margin:38.4px;\" class=\"fusion-checklist fusion-checklist-6 fusion-checklist-default type-icons\"><li class=\"fusion-li-item\" style=\"\"><span class=\"icon-wrapper circle-no\"><i class=\"fusion-li-icon fa-caret-right fas\" aria-hidden=\"true\"><\/i><\/span><div class=\"fusion-li-item-content\">\n<p>Prolattina<\/p>\n<\/div><\/li><li class=\"fusion-li-item\" style=\"\"><span class=\"icon-wrapper circle-no\"><i class=\"fusion-li-icon fa-caret-right fas\" aria-hidden=\"true\"><\/i><\/span><div class=\"fusion-li-item-content\">\n<p>17OH progesterone<\/p>\n<\/div><\/li><\/ul><\/div><div class=\"nav fusion-mobile-tab-nav\"><ul class=\"nav-tabs nav-justified\" role=\"tablist\" aria-orientation=\"horizontal\"><li  role=\"presentation\"><a class=\"tab-link\" data-toggle=\"tab\" role=\"tab\" aria-controls=\"tab-3970eefc24795370be9\" aria-selected=\"false\" tabindex=\"-1\" id=\"mobile-fusion-tab-3970eefc24795370be9\" href=\"#tab-3970eefc24795370be9\"><h4 class=\"fusion-tab-heading\">Ecografia transvaginale<\/h4><\/a><\/li><\/ul><\/div><div class=\"tab-pane fade fusion-clearfix\" role=\"tabpanel\" tabindex=\"0\" aria-labelledby=\"fusion-tab-3970eefc24795370be9\" id=\"tab-3970eefc24795370be9\">\n<p>Presenza di &gt; 12 follicoli da 2-9mm a ogni ovaio<\/p>\n<\/div><\/div><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-11 fusion_builder_column_1_1 1_1 fusion-one-full fusion-column-first fusion-column-last\" style=\"--awb-bg-size:cover;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\"><div class=\"fusion-text fusion-text-13\"><h2>PCOS e diabate di tipo 2<\/h2>\n<\/div><div class=\"fusion-text fusion-text-14\"><p>Gli studi hanno dimostrato che le donne con PCOS hanno un rischio 2 a 5 volte maggiore di sviluppare diabete di tipo 2 e pertanto devono essere controllate con una curva da carico.<\/p>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-12 fusion_builder_column_1_1 1_1 fusion-one-full fusion-column-first fusion-column-last\" style=\"--awb-bg-size:cover;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\"><div class=\"fusion-text fusion-text-15\"><h2>Terapia<\/h2>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-13 fusion_builder_column_1_1 1_1 fusion-one-full fusion-column-first fusion-column-last\" style=\"--awb-bg-size:cover;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\"><div class=\"accordian fusion-accordian togvd\" style=\"--awb-border-size:1px;--awb-icon-size:15px;--awb-content-font-size:18px;--awb-icon-alignment:left;--awb-hover-color:#f9f9f9;--awb-border-color:#cccccc;--awb-background-color:#ffffff;--awb-divider-color:#e0dede;--awb-divider-hover-color:#e0dede;--awb-icon-color:#ffffff;--awb-title-color:#2a8080;--awb-content-color:#4a4e57;--awb-icon-box-color:#333333;--awb-toggle-hover-accent-color:rgba(2,0,0,0.48);--awb-title-font-family:&quot;Roboto&quot;;--awb-title-font-weight:300;--awb-title-font-style:normal;--awb-title-font-size:18px;--awb-title-line-height:1.5;--awb-content-font-family:&quot;Roboto&quot;;--awb-content-font-style:normal;--awb-content-font-weight:300;\"><div class=\"panel-group fusion-toggle-icon-boxed\" id=\"accordion-2575-1\"><div class=\"fusion-panel panel-default panel-44882920a66680fad fusion-toggle-no-divider\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_44882920a66680fad\"><a aria-expanded=\"false\" aria-controls=\"44882920a66680fad\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-2575-1\" data-target=\"#44882920a66680fad\" href=\"#44882920a66680fad\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon awb-icon-minus\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon awb-icon-plus\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">Modificare lo stile di vita<\/span><\/a><\/h4><\/div><div id=\"44882920a66680fad\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_44882920a66680fad\"><div class=\"panel-body toggle-content fusion-clearfix\"><div class=\"fusion-text fusion-text-16\"><p>L&#8217;aumento dell&#8217;attivit\u00e0 fisica combinato con una corretta alimentazione riduce il rischio di diabete e questi risultati sono paragonabili o migliori rispetto a quelli dei farmaci. La perdita di peso migliora i disturbi metabolici che accompagnano la PCOS. Limitare l&#8217;apporto calorico giornaliero sembra essere il fattore chiave.<\/p>\n<\/div>\n<div class=\"fusion-text fusion-text-17\"><h2>Terapia farmacologica<\/h2>\n<\/div>\n<div class=\"fusion-text fusion-text-18\"><p>La metformina viene utilizzata in concomitanza con l&#8217;esercizio fisico e migliora la tolleranza al glucosio. Gli effetti collaterali pi\u00f9 frequenti di metformina riguardano il tratto gastrointestinale (diarrea, nausea, vomito, gonfiore, anoressia) e possono essere evitati iniziando a bassa posologia e aumentando gradualmente. La dose necessaria per trattare la PCOS \u00e8 di 1500-2000 mg al giorno in dosi divise.<\/p>\n<\/div><\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-f5f62d466c0158633 fusion-toggle-no-divider\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_f5f62d466c0158633\"><a aria-expanded=\"false\" aria-controls=\"f5f62d466c0158633\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-2575-1\" data-target=\"#f5f62d466c0158633\" href=\"#f5f62d466c0158633\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon awb-icon-minus\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon awb-icon-plus\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">Induzione dell'ovulazione nelle pazienti che desiderano avere figli e non hanno il ciclo.<\/span><\/a><\/h4><\/div><div id=\"f5f62d466c0158633\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_f5f62d466c0158633\"><div class=\"panel-body toggle-content fusion-clearfix\"><div class=\"fusion-text fusion-text-19\"><p>Il trattamento di prima linea per l&#8217;induzione dell&#8217;ovulazione \u00e8 sempre il citrato di clomifene anti-estrogeno (Clomid). In caso contrario, la seconda linea di trattamento \u00e8 costituita da gonadotropine esogene o perforazione ovarica laparoscopica.<\/p>\n<\/div>\n<div class=\"fusion-text fusion-text-20\"><h2>Citrato di clomifene<\/h2>\n<\/div>\n<div class=\"fusion-text fusion-text-21\"><p>I tassi di successo della gravidanza a 6 mesi di trattamento sono riportati al 20-40%. La met\u00e0 delle donne rimane incinta prendendolo a 50 mg al giorno, mentre un altro 20% raggiunge una gravidanza alla dose di 100 mg al giorno.<\/p>\n<\/div>\n<div class=\"fusion-text fusion-text-22\"><h2>Gonadotrofine<\/h2>\n<\/div><div class=\"fusion-text fusion-text-23\"><p>Sono usati per indurre l&#8217;ovulazione in donne con PCOS in cui il Clomifene Cetato ha fallito. La terapia a basse dosi di gonadotropine offre un alto tasso di ovulazione.<\/p>\n<\/div>\n<div class=\"fusion-text fusion-text-24\"><h2>Ovarian drilling<\/h2>\n<\/div><div class=\"fusion-text fusion-text-25\"><p>Il valore della perforazione ovarica in laparoscopia come trattamento primario delle donne infertili con PCOS non \u00e8 chiaro ed \u00e8 quindi raccomandato come trattamento di seconda linea. Non sembra avere alcun vantaggio rispetto alla gonadotropina nel tasso di gravidanza. Tuttavia, sembra avere tassi pi\u00f9 bassi di gravidanze multiple nelle donne che saranno incinte. A volte la fertilit\u00e0 dopo la perforazione ovarica pu\u00f2 essere temporanea e \u00e8 necessario un ulteriore trattamento con clomifene o gonadotropine. Gli effetti a lungo termine della perforazione sulla funzione ovarica sono sconosciuti. L&#8217;effetto della perforazione sui disturbi metabolici della PCOS \u00e8 trascurabile.<\/p>\n<\/div><\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-e0f1d3dfa3d2dfea5 fusion-toggle-no-divider\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_e0f1d3dfa3d2dfea5\"><a aria-expanded=\"false\" aria-controls=\"e0f1d3dfa3d2dfea5\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-2575-1\" data-target=\"#e0f1d3dfa3d2dfea5\" href=\"#e0f1d3dfa3d2dfea5\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon awb-icon-minus\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon awb-icon-plus\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">Gestione dei disturbi mestruali<\/span><\/a><\/h4><\/div><div id=\"e0f1d3dfa3d2dfea5\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_e0f1d3dfa3d2dfea5\"><div class=\"panel-body toggle-content fusion-clearfix\"><div class=\"fusion-text fusion-text-26\"><h2>Anticoncezionali<\/h2>\n<\/div>\n<div class=\"fusion-text fusion-text-27\"><p>I contraccettivi orali combinati a basse dosi sono i farmaci pi\u00f9 comunemente utilizzati per regolare il ciclo e sono pi\u00f9 adatti per un uso a lungo termine. Generalmente, forniscono i loro benefici attraverso vari meccanismi, tra cui la soppressione dell&#8217;LH dell&#8217;ipofisi, la soppressione della produzione di androgeni ovarici e l&#8217;aumento di SHBG circolante. Non ci sono dati sufficienti per indicare quale combinazione di estrogeni \/ progestinici sia pi\u00f9 appropriata per il trattamento dei disturbi mestruali nelle donne con PCOS.<\/p>\n<\/div><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":9,"featured_media":4414,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-2575","page","type-page","status-publish","has-post-thumbnail","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v26.9 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Sindrome delle ovaie policistiche | GynCare IVF Atene Grecia<\/title>\n<meta name=\"description\" content=\"La sindrome delle ovaie policistiche \u00e8 una malattia caratterizzata da iperandrogenemia, disfunzione ovarica e 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