Polycystic Ovary Syndrome

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Written by Li Lin
Obstetrics and Gynecology
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Does polycystic ovary syndrome cause cancer?

Polycystic ovary syndrome (PCOS) is a group of endocrine disorder diseases characterized by extended menstrual cycles and anovulation as the main clinical manifestations. Due to increased levels of estrogen and testosterone in the body, the menstrual cycle is prolonged and the endometrium relatively thickens. PCOS generally does not cause cancer, but the long-term increase in testosterone during the perimenopausal period can cause abnormal proliferation of the endometrial lining, which might lead to endometrial cancer. Therefore, if the menstrual cycle is delayed for more than two months, it is recommended to use medication to promote the shedding of the endometrial lining, to prevent endometrial thickening and pathological changes.

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Written by Zhao Xiao Dong
Obstetrics and Gynecology
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Does polycystic ovary syndrome cause abnormal bleeding?

Polycystic ovary syndrome often presents with menstrual irregularities and abnormal bleeding. Polycystic ovary syndrome refers to the ovaries having multiple small follicles developing, but without forming a dominant follicle, and hence no ovulation. Therefore, hormones often present as a single type of estrogen secretion, without the counteraction of progesterone after ovulation. Under the influence of estrogen, the endometrium gradually thickens. When it thickens to a certain extent, breakthrough bleeding occurs. Thus, the menstrual periods in polycystic ovary syndrome are often not normal menstrual flows but are breakthrough bleeding of the endometrium, generally irregular, and sometimes there may be significant vaginal bleeding.

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Written by Zhang Xiu Rong
Obstetrics and Gynecology
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Dietary Taboos for Polycystic Ovary Syndrome

Polycystic ovary syndrome (PCOS) is characterized by menstrual disorders, amenorrhea, infertility, obesity, acne, and hirsutism. The majority of patients with PCOS also exhibit high blood glucose and hyperinsulinemia. Therefore, it is crucial to pay attention to diet once these conditions occur. Foods high in fat and calories should be avoided as they can lead to weight gain and exacerbate the condition. Generally, it is advisable to consume a light diet, with plenty of vegetables and fruits, and to include beans and soy products. As patients with PCOS typically have high testosterone levels, consuming beans, which contain estrogen, can help replenish estrogen in the body and combat testosterone and other androgens. Thus, dietary considerations are essential for patients with PCOS.

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Written by Shen Li Wen
Obstetrics and Gynecology
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Polycystic ovary syndrome is a disease.

Polycystic ovary syndrome is a type of endocrine disorder, and its exact cause is unclear, but it might be closely related to genetic and environmental factors. Generally, most women start to show symptoms during puberty. Blood tests for six hormone levels commonly indicate elevated androgen levels, or an imbalance in the ratio of luteinizing hormone to follicle-stimulating hormone. Persistent anovulation can be observed through ultrasound monitoring or basal body temperature tracking. The ovaries may display multiple cystic changes, which are actually anovulatory follicles. Some women may also experience insulin resistance and obesity. This condition can severely impact a woman’s menstrual cycle and normal fertility, as prolonged estrogen stimulation may also lead to endometrial cancer.

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Written by Wang Jing Hua
Obstetrics and Gynecology
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What to do about amenorrhea in polycystic ovary syndrome?

Polycystic Ovary Syndrome (PCOS) can cause amenorrhea, which is related to endocrine issues. Therefore, hormonal medications are required to manage endocrine disorders. The treatment for amenorrhea caused by PCOS generally involves using short-acting contraceptives, but it is also important to consider whether there are any thyroid function abnormalities. Patients who are overweight are usually advised to undergo thyroid function tests, as well as insulin, blood sugar, and lipid profile tests. If necessary, treatment for insulin resistance or thyroid function abnormalities may be required. (Please use medication under the guidance of a doctor.)

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Written by Li Shun Hua
Obstetrics and Gynecology
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What should I eat to manage polycystic ovary syndrome?

Polycystic ovary syndrome is a lifelong disease that cannot be cured, and it is a metabolic disease, which makes it easy to develop diabetes, hypertension, and obesity. Therefore, it is essential to maintain a light diet, eat more fruits and vegetables to regulate the body, avoid greasy foods, exercise regularly, and keep the body within the normal range. By doing so, people with this syndrome can live like everyone else. However, if a person with polycystic ovary syndrome goes more than two months without menstruation, they must be treated with progesterone, primarily to prevent endometrial cancer.

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Written by Du Rui Xia
Obstetrics
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Can polycystic ovary syndrome conceive naturally?

In cases of Polycystic Ovary Syndrome (PCOS), some women are able to conceive naturally. Clinically, patients with PCOS mainly exhibit symptoms such as obesity, hirsutism, menstrual irregularities, and infertility. This is due to ovulatory dysfunction common in PCOS, which affects the ability to conceive naturally. However, some women may occasionally release a normal ovum, allowing for the possibility of natural conception under such conditions, though the likelihood of this occurring is relatively low. Generally, treatment is needed to facilitate the normal release of follicles, after which natural conception may be possible.

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Written by Shen Li Wen
Obstetrics and Gynecology
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How to diagnose polycystic ovary syndrome?

When suspecting polycystic ovary syndrome in females, it is essential to first inquire about the woman's menstrual history and menstrual cycle. A detailed observation of the woman's body type should be made, as some women may appear somewhat overweight and have increased body hair, such as small mustaches around the lips, and some may even have acne on their faces. In addition, a thorough physical examination should be conducted, including a gynecological examination, where some women may find an increased volume in both ovaries. Hormonal tests can also be conducted, showing elevated levels of androgens, or an imbalance in the levels ratio of luteinizing hormone to follicle-stimulating hormone. Some women may exhibit insulin resistance, with abnormalities in blood glucose and lipid levels. Ultrasound examination can show many small follicles in both ovaries on the same plane, without a dominant follicle, and the number of small follicles generally exceeds 12.

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Written by Sun Shan Shan
Obstetrics and Gynecology
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What are the causes of polycystic ovary syndrome?

Polycystic ovary syndrome is a common gynecological endocrine disease, often seen in adolescence, primarily characterized by high levels of androgens. Clinically, it is mainly characterized by persistent anovulation and polycystic ovarian changes. It is often accompanied by insulin resistance and obesity. The exact cause of the disease has not yet been fully clarified, and it may be due to the interaction of genetic factors and environmental factors. Polycystic ovary syndrome requires timely treatment with hormonal drugs or laparoscopic ovarian drilling surgery, followed by further management based on the examination results.

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Written by Zhang Chun Yun
Obstetrics and Gynecology
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How to cultivate dominant follicles in polycystic ovary syndrome?

Polycystic ovary syndrome (PCOS) is a multifactorial disease and a polymorphic clinical endocrine syndrome, characterized mainly by hyperandrogenism and chronic anovulation. It is one of the most common causes of menstrual irregularities in women of reproductive age and is also a cause of female infertility. Women often desire to have children and upon discovering they have polycystic ovary syndrome, they may use ovulation-inducing drugs under the advice of a doctor. Ovulation-inducing drugs can help develop dominant follicles. If you have tried a wide range of Western medicines with limited success, you can also consider using traditional Chinese patent medicine or herbs under a doctor’s prescription to further cultivate dominant follicles. Because the development of dominant follicles requires expertise, it must be conducted under the direction and advice of professional medical practitioners. If you have further questions, it is advisable to consult a doctor at a hospital for more detailed information.