Polycystic Ovary Syndrome

Polycystic ovaries disrupt the lives of many women, and in addition to PCOS symptoms, PCOS can cause infertility! Some people also need artificial reproductive technology to successfully conceive.

What exactly is the cause of polycystic ovaries?

How is polycystic ovary treated?

Table of contents

1. What is polycystic ovary?

2. How to check for polycystic ovary syndrome?

3. Polycystic ovary symptoms

4. Causes of polycystic ovary

5. Will polycystic ovaries be cured? About polycystic ovary treatment

1. What is polycystic ovary?

If you search for discussions about polycystic ovary syndrome, you will find that girls of all ages will encounter the problem of polycystic ovary syndrome.

The most commonly mentioned symptoms of polycystic ovaries are irregular menstruation, which may even occur only once every few months; frequent acne, weight gain, and inability to lose weight. In addition, many women of childbearing age suffer from this. Floating and sinking in the sea of ​​infertility. However, the chance of getting pregnant naturally after treatment for polycystic polycystic disease is still very high!

Although many people "accept their fate" and think that polycystic ovary disease is a physical condition and an inevitable fate, there are actually ways to improve it! Let’s first understand what polycystic ovary is!

(a) Polycystic ovary syndrome

Polycystic ovary syndrome is a series of symptoms caused by endocrine disorders in the body. The prevalence of polycystic ovary syndrome is high. About 8% of women are affected by it. It is currently the most common female disease in obstetrics and gynecology clinics.

To understand the term polycystic ovary syndrome, you can first break down its meaning:

Polycystic means "many cyst'' Ovary means "ovary OR a female reproductive organ in which ova or eggs are produced" Syndrome means "a group of symptoms which consistently occur together"

To put it simply, PCOS is a "disease of polycystic ovaries", which is commonly known as polycystic ovary syndrome.

2. How to check for polycystic ovary syndrome?

There is no medical test tool specifically designed for polycystic ovary, but we will use the following methods to diagnose:

Characteristics of consultation and case review: Assess menstrual status, hair and skin condition, and whether there is a medical history

Basic measurements and blood tests: height, weight, blood pressure, and blood draws

Ultrasound of the ovaries: observe the appearance and interior of the ovaries through ultrasound

So if you are reading this article and the woman under consideration has very irregular menstruation, or your menstruation takes more than 35 days every time, then you may belong to this group. It is recommended that you go to the doctor as soon as possible for a complete examination to understand whether you are also in the polycystic group!

The following is a brief explanation of the content of the diagnostic criteria. According to the world-wide "Rotterdam Diagnostic Criteria", as long as a woman is confirmed to meet at least 2 of the following 3 items, she can be diagnosed as a patient with polycystic ovary:

No or very little ovulation

Too much male hormone

Under ultrasound, imaging characteristics of polycystic ovaries appear

Many people are confused about the difference between polycystic ovaries and chocolate cysts. Here is a brief explanation:

Polycystic ovary is an endocrine disorder that causes abnormal ovulation.

Chocolate cysts are caused by the displacement of the endometrium to the ovary, resulting in incomplete peeling of the endometrium and remaining in the ovary. (For a complete introduction, please refer to the introduction to chocolate cysts

3. Polycystic ovary symptoms

(a) Are the 5 warning signs + 3 appearance changes of polycystic ovary disease bothering you?

Due to excess male hormones in the body, polycystic ovarian symptoms actually have a wider impact than everyone thinks. Take a closer look to see if you have caught these 8 points:

7 symptoms of polycystic ovary revealed! Learn about PCOS treatment and get rid of polycystic infertility!

a.       a.    Abnormal menstrual periods: 

    The number of menstrual periods is less than 8 times per year, or menopause occurs directly. About 50% of patients have this problem.

b.       b.    Abnormal hair growth:

    Hair grows on the face, chin, legs and other areas where men are more likely to have body hair. About 70% of patients suffer from "hirsutism".

c.      c.    Acne: 

    About 30% of people will have acne on their face, chest or back area.

d.      d.    Hair loss: 

    Hair becomes thinner and brittle, and hair loss occurs continuously. Some people also experience male baldness.

e.     e.   Obesity: 

    Overweight and obesity if eating habits remain unchanged; about 40% of people have MBI>25, but about 55% of people have MBI>24.

f.      f.    Rough, dull skin with fine lines: 

    Skin condition deteriorates, especially on the neck, groin, or under the chest.

g.     g.    Growth of small granules: 

    Small granules appear in the neck area or under the armpits.

In addition to these 7 symptoms of polycystic ovary syndrome, the eighth one is also caused by excessive androgen, which leads to abnormal ovulation. Abnormal ovulation will cause problems - infertility.

4. Causes of polycystic ovary

Generally speaking, the ovaries secrete hormones every month to stimulate the development of eggs. When the follicles mature, they rupture and release fluid from the body, which is called "ovulation."

But the causes of polycystic ovary syndrome are:

Ovarian hormonal imbalance causes eggs to be immature and not ruptured and discharged normally. They accumulate in the ovaries for a long time and form countless fluid-filled "follicles" (which means "polycystic").

Follicles themselves produce androgens (Androgens), and polycystic disease means that the number of follicles in the ovary is higher than that of ordinary women. The excess follicles accumulated in the body are the cause of excessive androgen in women. Not only will it greatly affect the menstrual cycle, but it will also induce a series of health problems.

Follicles themselves produce androgens (Androgens), and polycystic disease means that the number of follicles in the ovary is higher than that of ordinary women. The excess follicles accumulated in the body are the cause of excessive androgen in women. Not only will it greatly affect the menstrual cycle, but it will also induce a series of health problems.

(1) Causes of polycystic ovary syndrome

Usually after a patient is diagnosed, they want to ask out loud why! Why is it her! But currently medical science cannot give a definite answer, only analysis may be related to these:

a.       Congenital inheritance: Clinically, most polycystic patients have a family history, and usually the patient’s female relatives have related medical history.

b.      Excess progesterone and insulin resistance. Abnormal progesterone and insulin will cause excessive levels of male hormones in the body, causing the symptoms mentioned above.

c.       Influence of work and rest, stress, and environment. In a busy, high-pressure, tense, anxious, and sleep-deprived environment, the body is prone to endocrine disorders and disease.

d.      Obesity: Obesity is very harmful to the body. Statistics indicate that nearly 30% of obese women have polycystic ovary syndrome.

(2) Will pregnancy with polycystic ovaries also be affected?

Yes! Polycystic ovary infertility is very common. Because ovulation is not smooth, eggs cannot be released, and the eggs are immature and difficult to conceive. Therefore, the chance of pregnancy with polycystic ovaries is greatly reduced.

However, polycystic pregnancy is not impossible. You can still get pregnant successfully after treatment, or artificial reproduction treatments such as artificial insemination and in vitro fertilization can also help. We will explain the details in the next section of treatment methods.

In addition, many clinical studies have found that patients with polycystic ovary syndrome may have other health problems, such as:

Prediabetes or type 2 diabetes.

Three highs and stroke

High cholesterol, coronary artery disease

sleep apnea

endometrial cancer

anxiety, depression

infertility

Suffering from polycystic ovary syndrome will inevitably affect your mood. Not only will you become fat and ugly, but you will also develop body hair and acne. It can be said that this disease is definitely a nightmare for all women!

Therefore, when you do not need to prepare for pregnancy, I can help you improve the symptoms of polycystic cysts through medication; when preparing for pregnancy, I can even help you achieve a successful pregnancy through medication, artificial intelligence, test tubes, etc.!

5. Will polycystic ovaries be cured?

Usually when treating polycystic ovary syndrome, the most suitable method for the patient will be selected based on comprehensive considerations such as the severity of the patient's symptoms, age, and whether there are pregnancy plans.

(1) Treatment of polycystic ovary syndrome

Generally speaking, the treatment of polycystic ovary syndrome is to improve it through changes in daily life and combined with medication. However, polycystic ovary syndrome is a physical problem, and it is relatively difficult to cure polycystic ovary syndrome. So what I want to introduce next are several methods commonly used to improve polycystic cysts:

a.       Lose weight! Improve obesity through diet and exercise habits:

Studies have pointed out that as long as patients with a BMI > 24 lose 5%-10% of their weight, they can alleviate polycystic symptoms and have a chance to return to normal ovulation. About 25% of polycystic patients will successfully become pregnant after losing weight, so it is recommended to People with ovarian syndrome should eat a balanced diet and exercise more.

What should I not eat if I have polycystic ovaries? What are the dietary contraindications for polycystic ovaries? Expert suggestion is to avoid high-sugar, refined, and high-fat foods.

2. Oral hypoglycemic drug (Metformin):

By slowing down the patient's insulin resistance, it can also reduce male hormones and restore regular ovulation.

3. Oral contraceptives:

The purpose of using birth control pills for polycystic ovaries is to help reduce male hormones through estrogen and progesterone, allowing regular menstruation and avoiding endometrial lesions.

4. Oral ovulation pills:

It is actually not difficult to get pregnant with polycystic ovary disease. If you have a pregnancy plan, after the doctor evaluates the suitability, in addition to the above-mentioned polycystic ovary treatment methods, oral ovulation drugs will be added to stimulate the ovaries, promote follicle maturation, and help normal ovulation.

For patients with polycystic ovary whose BMI is <30, oral administration of traditional ovulation drugs (Clomiphene) and new ovulation drugs (Letrozole) can achieve an ovulation rate of 80% and a pregnancy rate of 50%!

Usually when treating polycystic ovary syndrome, the most suitable method for the patient will be selected based on comprehensive considerations such as the severity of the patient's symptoms, age, and whether there are pregnancy plans.

Q: What preparations are needed for pregnancy with polycystic ovaries?

If you are younger than 37 years old and have a BMI >24, please be sure to work hard to lose weight to greatly restore your chances of pregnancy!

If you are older than 37 years old, weight loss is still important, but the effect may be slow and the ovaries will decline quickly. It is recommended to consider receiving the help of artificial reproductive technology as soon as possible.

Q: I have polycystic ovaries, but I’m not fat. Why can’t I get pregnant smoothly?

It may still be caused by chronic anovulation. The most effective treatment is to use oral ovulation drugs (80% ovulation rate).

Some patients with infertility are in a hurry and will ask whether polycystic ovary surgery is faster. It does take time to take medicine or improve their living habits. Suppose some patients have more severe symptoms or the effect after taking medicine is not satisfactory, there are many Cystic ovarian surgery is available for reference.

(2) Introduction to polycystic ovary surgery

The most commonly used clinical treatments for polycystic ovary syndrome are:

"Ovarian Drilling"

"Laparoscopic Ovarian Drilling/Diathermy"

The principle is the same. Abnormal follicles in the ovary are eliminated (drilling or cauterizing) through laparoscopy to reduce the concentration of male hormones in the body.

The cost of surgery is also covered by health insurance, but ovarian drilling surgery involves risks of anesthesia, abdominal adhesion, and the possibility of accidentally damaging ovarian tissue.

No matter what kind of treatment method you use, remember to see a doctor and let me evaluate you. Do not take medicine randomly on your own, and do not delay medical treatment, lest the symptoms become too severe and the body suffers too much damage!

Key Points

PCOS is a hormonal disorder that affects some women.

Symptoms of PCOS include irregular or no menstrual periods.

Other symptoms include weight gain, unwanted hair growth, and acne.

PCOS is usually treated with hormones. These will reduce the effects of the disease on your appearance and body.

If not treated, PCOS can lead to infertility, heart disease, and endometrial cancer.

Polycystic ovary syndrome (PCOS) is estimated to affect 8-13% of women of reproductive age.

Up to 70% of affected women worldwide remain undiagnosed.

PCOS is the most common cause of stopped ovulation and a leading cause of infertility.

PCOS is associated with a variety of long-term health problems that affect both physical and mental health.

PCOS tends to run in families, but there are ethnic differences in how PCOS presents and how it affects people.

PCOS is a chronic condition with no cure. However, some symptoms can be improved with lifestyle changes, medications, and fertility treatments.