Polycystic Ovarian Syndrome Treatment in Tunisia

Polycystic ovarian disease is one of the most common endocrine or hormonal disorder in females of reproductive age. It is characterized by infrequent or prolonged periods and higher levels of male hormones called androgens.

Since females suffering from PCOD may suffer from a combination of different symptoms, it is also known as polycystic ovarian syndrome. The objective of PCOS treatment is to control or reduce the severity of the symptoms by treating the underlying cause. Some of the most common forms of treatment include birth control pills to regulate menstrual cycles, hormones to regulate ovulation and drugs such as metformin and statins to control blood sugar and cholesterol levels.

Losing weight, staying physically active, and reducing the intake of carbohydrates are known to help women with PCOS.

What are the factors leading to Polycystic Ovarian Syndrome Treatment?

PCOS treatment is required in the following categories of females:

  • Women with severe symptoms such as excessive facial hair growth, irregular periods, and severe acne
  • Women who are facing difficulty conceiving a baby due to the absence of ovulation or periods

Some women may have PCOS but may not know it because of the absence of any symptoms.

Factors Affecting the cost of PCOS Treatment

The following factors affect polycystic ovarian syndrome treatment cost:

  • The form of treatment – medications, lifestyle changes, or surgery such as ovarian drilling
  • Purpose of treatment – weight loss, reduce symptoms or successful conception
  • Experience of the specialist
  • Choice of clinic or hospital
  • Duration of treatment
  • Severity of symptoms
  • Age of the candidate
  • Other underlying comorbidities
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About the Polycystic Ovarian Syndrome (PCOS) Treatment

Women suffering from polycystic ovarian syndrome may show different symptoms. Therefore, polycystic ovarian syndrome treatment for them may differ depending on their concerns.

For example, some women suffering from PCOS could be overweight, therefore, weight loss and diet monitoring may be advised to them initially. Some women with PCOS may have a normal body mass index (BMI), however, they could be suffering from other symptoms such as cystic acne or excessive facial hair. Therefore, she may be put on birth control pills for a while to negate the symptoms.

The following are some of the most common forms of polycystic ovarian syndrome treatment available worldwide:

For women not planning a pregnancy

  • Self-care: Weight loss, lifestyle modifications, and physical exercising
  • Medications: Anti-diabetic medications (metformin), statins, and hormone and hair inhibitors
  • Hormonal: Birth control pills

For women planning a pregnancy

  • Self-care: Weight loss, lifestyle modifications, and physical exercising
  • Medications: Anti-diabetic medications (metformin), statins, and hormone and hair inhibitors
  • Ovarian stimulation: Gonadotropins, letrozole, and Clomid
  • Surgery: Laparoscopic ovarian drilling (ovarian diathermy)

In laparoscopic ovarian drilling, two to three minor incisions are made in the lower abdomen to pass the laparoscope and instruments through which the laser is passed. The ovarian cysts producing high amounts of androgens are ruptures with the help of heat generated by the laser. This lowers the LH and testosterone levels and therefore, the hormone imbalance is temporarily restored.

Symptoms of Polycystic Ovarian Syndrome

The following are some of the symptoms of polycystic ovarian syndrome:

  • Irregular periods
  • Absence of periods
  • Difficulty getting pregnant
  • Excessive hair growth (hirsutism) mainly on the neck, face, back, and chest
  • Weight gain
  • Male-type baldness
  • Hair thinning
  • Cystic acne
  • Oily skin
  • Depression and mood swings
  • Severe premenstrual syndrome (PMS)

Diagnosis for PCOS

Irregular periods or absence of periods is one common sign that may indicate that the woman may have a polycystic ovarian syndrome. However, it can only be confirmed with the help of ultrasound during a regular visit to the gynecologist.

The following tests are performed to confirm PCOS:

  • Ultrasound (abdominal or transvaginal)
  • Blood work-up: LH, FSH, blood sugar, TSH, free testosterone, and Prolactin

Who all can get PCOS Treatment?

Not all women suffering from the polycystic ovarian syndrome are a candidate for treatment. The following women are advised to seek treatment for the polycystic ovarian syndrome:

  • Those with irregular or missing periods
  • Women with severe symptoms such as cystic acne, hair loss or thinning, and considerable weight gain
  • Women trying to conceive but are unable to due to irregular ovulation

How is Polycystic Ovarian Syndrome (PCOS) Treatment performed?

Recovery from Polycystic Ovarian Syndrome (PCOS) Treatment

There are plenty of options available when it comes to PCOS treatment. However, the approach to treatment should be decided based on an individual's profile and factors such as age, symptoms, regularity of menses, and expectations out of the treatment.

Each treatment type has its benefits and risks. While the main benefit is to manage the symptoms and improve the quality of life, some of the common risks of drugs and medications (including birth control pills) may include weight gain, mood swings, hot flashes, and nausea. However, none of the risks are serious or pose a threat to life.

If laparoscopic ovarian drilling has been advised to the woman, then the recovery is fairly quick. Since it is a laparoscopic procedure, the discharge takes place on the very next day. The minor stitches are removed after 7 to 10 days of the procedure and you can return to a normal routine after that. However, ladies are advised not to perform high-impact exercising for at least a month. To exercise, a normal brisk walk is advisable.

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Frequently Asked Questions

What is the health care infrastructure of Tunisia / Why should opt for Tunisia as a destination for your medical treatment?
Hospitals in Tunisia are developing and trying to meet the international standards of healthcare. Although there is a basic set up in most of the hospitals for treatment in Tunisia, one can still expect scope for improvement. The Ministry of Health, along with the Government of Tunisia is making effective changes for the healthcare sector. The private hospitals in Tunisia are also undergoing a robust change to provide effective healthcare and treatment in Tunisia.

Like most other countries, hospitals in Tunisia have a private and public healthcare system. Hospitals in Tunisia include three levels of care: primary, with a network of 81 clinics and 2091 basic health centers; secondary, with 109 district hospitals; and tertiary, with 33 regional hospitals and 24 modern CHUs, according to MoS figures.
What are the conditions of the hospitals in Tunisia? Are they JCI certified? What is the quality of the support staff in the hospitals?
The Joint Commission International (JCI) is a global leader in health care accreditation. JCI accreditation is considered a gold standard in worldwide health care. It provides the most skilled and experienced healthcare professionals in the medical industry, as evaluators of the rigorous international standards in healthcare quality and patient safety.
In Tunisia, there are no JCI accredited hospitals but 4 private hospitals are certified ISO and OHSAS (Occupational Health and Safety Assessment Series).
Are the doctors/surgeons in Tunisia of the best quality?
The hospitals in Tunisia have seen a constant change in terms of development and technology. Most doctors that are trained in the country understand the needs and requirements of people and are able to diagnose and treat them well. There are various surgeons that fly in from other countries as well to treat patients. This was brought about due to the economic reforms and various expats residing there. The varying levels of health organizations provide reasonable means of treatment for any patient. There are also trained paramedical and emergency service staff in this country.
What is the process for obtaining a medical visa in Tunisia?
Patients who wish to visit Tunisia for medical purposes must contact the Embassy of Tunisia in their home country. One is required to have a valid passport. Those applicants must submit their visa application forms in person together with the following documents:
  1. A duly completed application form with one picture (within a white background).
  2. Original biometric passport and one copy. Passports should have a validity of at least one year from the date of your visa application submission.
  3. Medical certificate stating the type of illness and the treatment to be carried out. This document has to be in English or Spanish language.
  4. Letter from the hospital in Tunisia stating the appointment date and whether the treatment expenses have been already paid in full.
  5. Proof of financial means which enable the applicant to meet life needs while in Tunisia (salary certificate if working, bank statement for the last six months, property deeds, commercial license, other sorts of income).
  6. Travel insurance.
  7. Proof of accommodation (hotel reservation, etc)
  8. Applicants are advised that ALL PASSPORTS HAVE TO REMAIN at the Embassy premises while the visa application is under process (between 10 and 15 days), and therefore cannot be retrieved unless very special and urgent circumstances might arise.
  9. The Embassy has the right to require from the applicant any document that it may deem relevant in order to resolve the visa file.
What support services does MediGence provide in Tunisia?
MediGence enables you to plan and manage your medical decisions better. These are some of our services offered:
  • Expert Opinion
    We help you seek an Expert Opinion on your diagnosis and treatment from an experienced team of doctors at MediGence and specialists from a reputable hospital.
  • Hospital Recommendation
    We recommend a hospital or a healthcare institution that is best suited for you, based on your ailment and its criticality.
  • 360-degree Hospital Review
    We give you a transparent and holistic view of the hospital and its infrastructure, accreditation, facilities, and expertise to give you confidence.
  • Doctor Validation and Communication
    We share a comprehensive profile of the treating doctor and also arrange a call to clear queries regarding treatment if needed.
  • Options to Choose From
    Based on your choice of destination and other preferences, we provide you multiple options with respect to hospitals and doctors to choose from.
  • 24X7 Patient Care Support
    A dedicated patient case manager stays in constant touch with you to help you at every step of the decision-making process and resolve queries that you may have.
  • Transparent Treatment Cost and Other Expenses
    We give a clear and accurate indication of the total cost of treatment including treatment, stay, meals, and other expenses.
  • Visa Assistance
    We provide and help prepare documentation for visa approval and coordinate with the embassy to expedite the visa process.
  • Accommodation Arrangements
    We propose to you a choice of accommodation based on your preference such as long stay, short stay, or luxury properties.
Which are the best cities in Tunisia for medical treatment?
Tunis is the largest country and capital of Tunisia. This country is located in the northern region of Africa and is the best city for treatment in Tunisia.

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