Stein-Leventhal syndrome
Alternative names:
polycystic ovarian disease (PCOD); polycystic ovaries; sclerocystic
ovarian disease
Treatment:
Medications used to treat the symptoms of Stein-Leventhal
syndrome include oral contraceptives, spironolactone, flutamide,
and clomiphene citrate. Treatment with clomiphene induces
the pituitary gland to produce more FSH
which in turn stimulates maturity and release of the ova.
Occasionally more potent ovulation induction agents (fertility
drugs, human menopausal gonadotropins) are needed in order
to become pregnant.
A "wedge resection" of the ovaries may be used to remove cysts.
Finally, weight reduction,
which may be very difficult, is also very important. Maintaining
general good health and eliminating the complications of obesity
is essential.
Expectations (prognosis):
Pregnancy can be achieved
with appropriate medical intervention.
Complications:
- Sterility
- Complications secondary to obesity
- Androgenic features such as facial hair and small breast
size may affect self-image and social life
- Diabetes
- Complications secondary to oligo-ovulation, such as endometrial
hyperplasia and endometrial
cancer
Calling your health care provider:
Call for an appointment with your health care provider if
you are experiencing the symptoms of this disorder.
Updated Date: 02/09/00
Updated By:J. Gordon Lambert, MD, Associate Medical Director,
Utah Health Informatics and adam.com
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