taking the pill to reduce the risk of diabetes

Polycystic ovary syndrome affects one in ten women of childbearing age. These people have an increased risk of developing type II diabetes. Taking the pill could reduce this risk by 25%!

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[EN VIDÉO] What is gestational diabetes?
Gestational diabetes is associated with an increase in perinatal complications such as macrosomia, cesarean section, shoulder dystocia and brachial plexus palsy.

the polycystic ovary syndrome (PCOS) only affects women of childbearing age,adolescence at menopause. It is the first cause ofinfertility in women. It is a hormonal imbalance. In those affected, testosterone is produced in excess and causes symptoms following:

  • irregular periods or complete absence of periods, linked to too low a frequency of ovulation or an absence of ovulation;
  • hyperpilosity on the face, chest, From, buttocks;
  • acne and / or oily skin;

  • hair loss ;
  • overweight.

The symptoms vary greatly from one woman to another; the disease is more or less disabling depending on the patient. What’s more, being overweight predisposes to insulin resistance : PCOS is associated with an increased risk of developing diabetes type 2. While there is no cure for PCOS, a new study published in October 2021 in the journal Diabetes Care suggests that taking a oral contraceptive in women with PCOS decreases the risk of developing diabetes type 2.

The pill to reduce the risk of type 2 diabetes

A retrospective study was carried out in the UK. It includes 64,051 women with PCOS and 123,545 non-affected women (control group). First, the authors looked at the risk of developing type 2 diabetes. Women with PCOS were twice as likely to develop type 2 diabetes as women without. Interestingly, women with PCOS who had hyperpilosity were even more at risk of developing type 2 diabetes.

Secondly, the authors wished to study the impact of taking a oral contraceptive in a group of 4,814 women with PCOS. Taking an oral contraceptive appears to reduce the risk of developing type 2 diabetes by 25%.

Good news but …

The circumstances of discovery of PCOS are very often difficulties in procreating. If PCOS is the sole cause of the couple’s infertility, ovulation induction is then suggested. It is about taking a drug, the citrate first-line clomiphene. Injectable gonadotropins can be used as a second line. Multiple pregnancies are common and the couple should be aware of this.

Another technique is to make small holes in the surface layer of the ovaries to restore normal ovulation and therefore spontaneous pregnancy. This technique is called “drilling” ovarian surgery. In this case, the risk of a multiple pregnancy is no greater than for any “natural” pregnancy. Finally, as a last resort, a IVF can be offered.

In this context of desire for a child, it is then impossible to prescribe the pill to reduce the risk of type 2 diabetes. However, it can be offered later.

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