Do you have polycystic ovaries? How to diagnose polycystic ovary syndrome?

Many female friends become worried and feel like they have a serious illness when they see the B-ultrasound report indicating polycystic ovaries. In fact, just the fact that ultrasound shows polycystic ovarian changes is not equivalent to polycystic ovary syndrome.

How to diagnose polycystic ovary syndrome?

Polycystic ovary syndrome (PCOS) is a reproductive endocrine disease with insulin resistance and hyperandrogenism as its core. In addition to affecting women's reproductive function, it also affects women's glucose and lipid metabolism, cardiovascular, endometrial, breast, skin, bone and psychology. In recent years, there have been calls for it to be renamed metabolic reproductive syndrome (MRS).

Generally, 2 of the following 3 points are required to be diagnosed with polycystic ovary syndrome.

1. Irregular menstruation, infrequent menstruation, amenorrhea, ovulation disorders, etc.

2. Hyperandrogenism or hyperandrogenemia, such as hirsutism, acne, obesity, infertility, etc.

3. Ultrasound shows polycystic ovarian changes.

Why do you get this disease?

Polycystic ovary syndrome is mainly related to genetics and hormone levels in the body. In addition, the growth environment and lifestyle are related to polycystic ovary syndrome, but the specific cause of this disease has not yet been determined.

Is it possible to cure polycystic ovary syndrome, or to heal it on its own?

Polycystic ovary syndrome is a lifelong disease and cannot be cured. But you don't have to be too nervous. What's important is to receive individualized treatment based on your different age requirements for menstruation and fertility and the clinical symptoms that have already appeared. You need to cooperate with the treatment in the long term.

Why does PCOS cause infertility?

Under normal circumstances, dozens of follicles will develop simultaneously in each menstrual cycle of women of childbearing age, but usually only one follicle can mature and release an egg. If you have sex at this time, the chances of sperm and egg meeting are very high, making conception most likely. However, for patients with polycystic ovary syndrome, due to endocrine disorders, the follicles cannot mature, ovulation does not occur or ovulation occurs infrequently, resulting in menstrual disorders, amenorrhea, infertility, etc.

Can I still get pregnant with PCOS?

Although it is much more difficult for patients with polycystic ovary syndrome to get pregnant than ordinary people, there is still great hope through a series of treatments. The main reason for infertility or difficulty in getting pregnant in patients with polycystic ovary syndrome is that the follicles have difficulty in maturing, and there is no ovulation or infrequent ovulation. Then the chance of conception can be greatly increased by adjusting the patient's menstrual cycle, inducing ovulation, monitoring ovulation and having sex during the ovulation period.

How is polycystic ovary syndrome treated?

1. First of all, you need to improve your lifestyle and control your weight (i.e. lose weight). A healthy lifestyle, proper exercise, and a reasonable diet are the most basic and important aspects of treating PCOS.

2. If there is no desire to have children, the menstrual cycle needs to be adjusted to protect the endometrium. If you want to have children, your doctor will give you ovulation induction treatment to help you become pregnant after you have controlled your weight and corrected your metabolic diseases.

3. Surgical treatment. Currently, the preferred surgical treatment method is laparoscopic ovarian drilling using thermal penetration or laser. The response to ovulation induction treatment is improved after the operation, and it is mainly suitable for second-line treatment for patients who do not respond significantly to clomiphene.