Polycystic Ovary Syndrome

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Written by Shen Li Wen
Obstetrics and Gynecology
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How to regulate amenorrhea in polycystic ovary syndrome?

When a woman with polycystic ovary syndrome experiences amenorrhea, the first step is to observe her body type. If she is relatively obese, it is advisable to suggest controlling diet and engaging in moderate activity to reduce her weight, that is, to lower her body mass index. After doing so, some women may regain their normal menstrual cycles. For those with a normal body type or those who still have irregular menstrual cycles after losing weight, considering oral contraceptives might be suitable. These can reduce the level of androgens in the body. For women of childbearing age who still have reproductive needs, after regulating the menstrual cycle, if normal ovulation is not resumed, ovulation induction treatments can be considered to help the woman conceive normally.

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Written by Xu Xiao Ming
Obstetrics and Gynecology
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Can polycystic ovary syndrome be cured?

Polycystic Ovary Syndrome (PCOS) is a reproductive dysfunction accompanied by abnormal glucose metabolism, constituting an endocrine disorder syndrome primarily characterized by persistent anovulation, high androgen levels, and insulin resistance. To address the three main features of PCOS, treatment options include controlling diet and increasing physical activity to enhance insulin sensitivity and reduce levels of insulin and testosterone, thereby restoring ovulation and fertility functions. Oral contraceptives, such as Diane-35, can be taken. Oral administration of Diane-35 acts on the endometrium to inhibit excessive proliferation and regulate the menstrual cycle. To reduce androgen levels, progestogens like cyproterone can be used to counteract high androgen levels. If there is high blood sugar, it is also necessary to improve insulin resistance, which can be treated with medications like metformin. (Medications should be used under the guidance of a physician, and self-medication should be avoided.)

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Written by Li Shun Hua
Obstetrics and Gynecology
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Can polycystic ovary syndrome be cured?

Polycystic ovary syndrome is a lifelong disease and is incurable. The causes of this disease are not very clear at present, but are mostly related to environmental and genetic factors. Therefore, it is important to exercise regularly and maintain a normal weight. Generally, the problem is not very serious, but if there is a severe endocrine disorder, it must be addressed, especially in women of childbearing age who experience irregular menstruation or infertility. It is necessary to check the endocrine system and regulate menstruation and promote ovulation based on the endocrine results. If there is a desire to conceive, oral contraceptives can be taken followed by treatments to regulate menstruation and promote ovulation. If there is no desire to conceive, menstruation should occur at least once every two months to avoid endometrial abnormalities.

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Written by Li Shun Hua
Obstetrics and Gynecology
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Treatment Methods for Polycystic Ovary Syndrome

Polycystic Ovary Syndrome is a metabolic disease and is lifelong and incurable. The most common symptoms are menstrual irregularities during the reproductive years, such as anovulation or rare ovulation, manifesting as menstrual disorders and infertility. At this time, if there is a desire for childbirth, menstrual regulation and ovulation induction can be achieved using progestogens or contraceptives; if there is no desire for childbirth, ensure that menstruation occurs at least once every two months to protect the endometrial lining and prevent endometrial cancer. For overweight individuals, it is crucial to exercise and control diet to lose weight, as maintaining a normal weight range does not greatly affect health.

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Written by Zhang Xiu Rong
Obstetrics and Gynecology
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How to lose weight with polycystic ovary syndrome?

The characteristics of Polycystic Ovary Syndrome (PCOS) include amenorrhea, obesity, infertility, acne, and hirsutism. Most patients with PCOS are overweight, and such individuals definitely need to have their blood drawn again at the hospital to check their blood sugar levels and insulin for abnormalities. If the blood sugar is also high and there is positive insulin resistance, medication must be used to adjust the blood sugar levels. With normal blood sugar, weight loss can also proceed. Moreover, obesity being a characteristic of the disease itself, it generally can be managed through eating less and exercising more. One should avoid eating large amounts of meat, foods high in fat and calories, and instead consume more vegetables and fruits, as well as beans and soy products, particularly black soybeans used to make soy milk. It is essential to perform one hour of aerobic exercise every night before sleep, and one should definitely avoid staying up late. With these endocrine adjustments, normal body weight can be restored.

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Written by Li Lin
Obstetrics and Gynecology
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Can polycystic ovary syndrome naturally conceive?

Polycystic ovary syndrome is an endocrine disorder characterized by reproductive dysfunction and abnormalities in glucose metabolism, with persistent anovulation, excess androgens, and insulin resistance as its main features. Therefore, patients with polycystic ovary syndrome often suffer from infertility. The use of medication to reduce androgens, stimulate ovarian ovulation, control insulin resistance, combined with weight loss, can lead to the resumption of ovulation in the ovaries, thus allowing natural conception in polycystic ovary syndrome.

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Written by Wang Jing Hua
Obstetrics and Gynecology
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The difference between polycystic and polycystic ovary syndrome

Some women may discover they have polycystic ovaries during occasional gynecological exams. If their menstrual cycle is regular, with good ovulation, and does not affect pregnancy, then it is just a polycystic ovarian state, not called polycystic ovary syndrome. Polycystic ovary syndrome primarily involves irregular menstruation, poor ovulation, and difficulty in becoming pregnant. The condition of polycystic ovary syndrome varies greatly among individuals; some show clear signs of high androgens or have laboratory tests indicating high androgen levels, and many people experience a significant increase in luteinizing hormone, among other symptoms. Therefore, these are two different conditions.

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Written by He Bing
Obstetrics and Gynecology
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How to regulate polycystic ovary syndrome?

Firstly, patients with polycystic ovary syndrome should appropriately control their diet and engage in physical exercise to reduce or control their weight and reduce their waistline. Secondly, develop good eating habits with balanced nutrition, paying attention to the control of calories and fats. Those who are obese should control their diet appropriately, eat less fatty and rich foods, and avoid overeating. Consume more vegetables, fruits, and high-quality protein. Quit smoking and limit alcohol consumption. Thirdly, women who are trying to lose weight should not blindly use weight loss drugs and should avoid excessive dieting and rapid weight loss in a short period. Fourthly, exercise regularly, such as walking, jogging, playing sports, swimming, martial arts, practicing Wuxinqi (Five-Animal Exercises), and various forms of dance. However, avoid intense exercises and maintain a balance between work and rest. Fifth, maintain emotional stability and a positive mindset. Avoid extreme anger, depression, excessive tension, and long-term anxiety. Sixth, obese women with menstrual irregularities should take note: if the menstrual cycle is significantly prolonged, or if it occurs every few months or not at all, and if acne develops on the face, they should seek medical attention promptly. Seventh, reduce stress and maintain a good psychological state. Build confidence in treatment and be patient with the treatment process. Young female patients who are not treated have a very high probability of developing Type 2 diabetes in middle and old age, which can lead to infertility. Therefore, once this disease appears, behavior modification, dietary restriction, and exercise therapy should be combined, and, under the guidance of a professional doctor, coordinated with medication therapy. Eighth, doctors, family members, and spouses should actively encourage and support the patient in losing weight, providing psychological understanding and assistance.

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Written by Zhang Xiu Rong
Obstetrics and Gynecology
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Can polycystic ovary syndrome naturally conceive?

Polycystic ovary syndrome (PCOS) is characterized by symptoms such as amenorrhea, obesity, infertility, acne, and hirsutism. In cases of PCOS, the chances of natural conception are slim unless one regularly maintains a disciplined lifestyle, manages PCOS through exercise, weight loss, and a regulated life routine which normalizes hormone levels, thus enabling normal ovulation and the possibility of natural conception. Otherwise, a distinctive feature of PCOS is anovulation, and to achieve conception, hormone levels must be normalized. Once hormone levels are normalized, some individuals may ovulate on their own, while others may need medication to stimulate ovulation. Therefore, the chances of natural conception with PCOS are very low.

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Written by Zhang Xiu Rong
Obstetrics and Gynecology
1min 4sec home-news-image

What foods are good to eat for polycystic ovary syndrome?

Patients with polycystic ovary syndrome must pay attention to their diet, as the characteristics of this disease include amenorrhea, obesity, infertility, acne, and hirsutism. Due to obesity, one should avoid eating large portions of meat and food that is high in fat and calories. Additionally, patients should check their fasting blood glucose and insulin levels, as the majority of these patients tend to have high blood sugar and insulin resistance. At this time, foods high in starch should be avoided. Dietarily, it is generally advisable to eat more green vegetables, fruits, and beans or bean products. Bean products contain estrogens which can counteract the high testosterone levels in polycystic ovary syndrome. Therefore, dietary attention is crucial. Besides focusing on diet, patients should also lose weight and reduce body weight through exercise, which helps in the recovery from the disease.