Polycystic Ovarian syndrome disease is
very common disorder now a days, very frequently spelled as PCOD. Although
this is not correct, because PCOS is characterized as a syndrome, rather
than a disease. It is the most common cause of Anovulation and secondary
Amenorrhoea in the adolescents.This syndrome is characterized by oligomenorrhoea,
hirsuitism and obesity, it is associated with insulin resistance and
the development of Diabetes. 1% of female population suffers from PCOS,
and the patients are mostly 15 to 25 years of age group.
This disease was earlier known as Stein-Leventhal
Syndrome. Irving Feiler Stein graduated from Rush Medical College in
1912. He was trained in obstetrics and gynaecology at the Michael Reese
Hospital, and from 1916 he remained associated with this hospital for
the rest of his life. He also held senior academic appointment in obstetrics
and Gynaecology at the Northwestern University Medical School and was
a senior member of the staff of the highland Park Hospital. Stein’s
main field of investigation was female infertility. Michael Leo Leventhal,
with whom he shares eponymic fame, was his colleague.
In polycystic ovary disease, enlarged
ovaries with thickened sclerotic capsules and an abnormally high number
of follicles are present. The follicles may concurrently exist in varying
states of growth, maturation, or atresia.
Although a multiplicity of clinical presentations
exists, Stein and Leventhal reported the classic symptomatology in 1935.
They described a group of women with amenorrhea, infertility, hirsutism,
and enlarged polycystic ovaries. The authors found that, after ovarian
biopsy, the women began to menstruate regularly. As was discovered over
time, women may have polycystic ovaries, yet their cases may not conform
to all of the original criteria. Therefore, Stein-Leventhal syndrome
became a subgroup of a more encompassing disease called polycystic ovary
disease.
As more information regarding the nature
of the condition has come to light, other terms have been applied, including
polycystic ovaries syndrome and polyfollicular ovarian disease. In actuality,
polycystic ovaries are not the primary cause of amenorrhea or hirsutism
in this condition. They are simply one sign of an underlying endocrinologic
disorder that ultimately results in anovulation.
|