Polycystic Ovary Syndrome

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Written by He Bing
Obstetrics and Gynecology
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Polycystic Ovary Syndrome Dietary Regulation

Diet is one of the crucial aspects of managing and treating patients with polycystic ovary syndrome (PCOS). The importance of diet is not only reflected in weight reduction and maintenance, but it also greatly aids in the control of insulin levels. Many patients also suffer from insulin resistance, causing the pancreas to secrete more insulin to function effectively. Patients with PCOS can increase their consumption of green leafy vegetables, fruits, colorful and white vegetables, organic and grass-fed meats, as well as healthy fats.

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Written by Zhang Xiu Rong
Obstetrics and Gynecology
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What is polycystic ovary syndrome?

Polycystic Ovary Syndrome (PCOS) is a type of gynecological endocrine disorder, characterized by symptoms such as amenorrhea, scanty or irregular menstrual bleeding, obesity, infertility, acne, and hirsutism. PCOS is considered a difficult-to-treat gynecological disease, with a high likelihood of recurrence after treatment. Therefore, it’s crucial to undergo relevant medical examinations at a hospital. The diagnosis of PCOS generally involves a combination of ultrasound imaging and a six-item hormone test, which can confirm whether one has the condition. If diagnosed with PCOS, active treatment is necessary, as it is one of the more challenging gynecological endocrine disorders to manage.

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Written by He Bing
Obstetrics and Gynecology
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The fastest conception method for polycystic ovary syndrome

If patients with polycystic ovary syndrome (PCOS) want to conceive as soon as possible, they can make efforts in the following areas: First, weight loss. Among patients with polycystic ovary syndrome, 67% are obese or overweight. Obesity for PCOS patients is not only unattractive but also brings metabolic disorders, reproductive health, and other hazards. Therefore, the first thing is to lose weight. However, weight loss should not rely solely on dieting; it requires a reasonable dietary arrangement combined with scientific exercise methods. Reducing or controlling weight can improve hyperinsulinemia, insulin resistance, and hyperandrogenemia, thereby restoring menstrual cycles, reducing hirsutism and symptoms, and greatly increasing the chances of conception. Second, medication-assisted treatment, mainly from three aspects: adjusting menstrual cycles, treating hyperandrogenemia, and treating insulin resistance. Third, ovulation induction and assisted reproduction. If a PCOS patient with a pregnancy desire cannot conceive naturally with normal male semen analysis, medication-induced ovulation and assisted reproductive technology can be considered to aid conception. Polycystic ovary syndrome is an endocrine metabolic disease and a chronic condition that requires long-term management. It cannot be resolved overnight. Patients need to maintain a relaxed attitude and proceed under the guidance of a professional doctor.

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Written by He Bing
Obstetrics and Gynecology
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Management of Polycystic Ovary Syndrome

For patients with polycystic ovary syndrome, the most important aspect is weight control. Patients need to engage in aerobic exercise at least 5 days a week, such as brisk walking, jogging, swimming, etc., each session lasting at least 30 minutes. Attention should also be paid to lifestyle adjustments: ensure a suitable living environment, change bad habits, and avoid staying up late; especially during long-term treatment, it is important to rest, maintain physical strength, and follow a nutritious diet. Be sure to dress appropriately with changing weather to avoid infections from bacteria, viruses, etc. Dietary adjustments involve long-term restriction of calorie intake, opting for low-sugar, high-fiber foods. A light diet with more high-quality protein is recommended. Quit smoking and drinking, and avoid high-sugar, high-fat, and spicy foods. Lastly, it’s crucial to stabilize emotions, focus on self-regulation, maintain an optimistic outlook, and avoid anger, depression, excessive tension, and long-term anxiety.

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Written by Zhang Xiu Rong
Obstetrics and Gynecology
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How to diagnose polycystic ovary syndrome?

Polycystic Ovary Syndrome is a type of gynecological endocrine disorder. Clinically, it generally presents with symptoms such as menstrual irregularities, amenorrhea, obesity, infertility, acne, and hirsutism. If these symptoms appear, it is essential to visit a hospital for an ultrasound examination. The diagnosis of Polycystic Ovary Syndrome can be made if more than 12 follicles are observed on a single sectional view of the ovaries during the ultrasound. In such cases, it is also necessary to have a blood test at the hospital to analyze six key sex hormones, including the ratio of luteinizing hormone to follicle-stimulating hormone, and the levels of testosterone. If the blood test shows high levels of luteinizing hormone and testosterone, Polycystic Ovary Syndrome can also be considered. A diagnosis of Polycystic Ovary Syndrome can generally be confirmed through a combination of ultrasound and sex hormone tests, followed by targeted treatment based on the test results.

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Written by He Bing
Obstetrics and Gynecology
2min 19sec home-news-image

What should be noted about polycystic ovary syndrome?

First, patients with polycystic ovary syndrome should control their diet and exercise appropriately to reduce or control weight and decrease waist circumference. Second, develop good eating habits, maintain nutritional balance, and pay attention to the control of calories and fat. Obese individuals should moderate their diet, eat less greasy and rich foods, and avoid overeating. Consume more vegetables, fruits, and high-quality proteins. Quit smoking and limit alcohol consumption. Third, women who are losing weight should not blindly use weight loss medications and avoid excessive dieting and rapid weight loss over a short period. Fourth, exercise regularly, such as walking, jogging, playing ball sports, swimming, martial arts, the Five Animal Frolics, and various forms of dance. However, avoid intense exercise and pay attention to balancing work and rest. Fifth, maintain emotional stability and a positive mindset. Avoid rage, depression, excessive tension, and long-term anxiety. Sixth, obese women with menstrual irregularities should note: significantly prolonged menstrual cycles, or having a period every few months or not at all, and the development of acne on the face should seek medical advice early. Seventh, reduce stress and maintain a good psychological state. Establish confidence in treatment and be patient with therapy. Young female patients who are untreated have a high probability of developing Type 2 diabetes in middle and old age and can become infertile. Therefore, once this disease appears, behavioral, dietary, and exercise therapies should be combined with medical treatment under the guidance of a professional doctor. Eighth, doctors, family members, and spouses should actively encourage and support the patient to lose weight, offering emotional understanding and help.

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Written by He Bing
Obstetrics and Gynecology
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Can polycystic ovary syndrome be treated with surgery?

Polycystic ovary syndrome can be treated surgically. There are two methods of surgical treatment. For patients with high levels of luteinizing hormone and testosterone, laparoscopic ovarian drilling can be performed, which has advantages such as definite therapeutic effect, minimal injury, and moderate cost. Possible issues with laparoscopic ovarian drilling include ineffective treatment, pelvic adhesion, and reduced ovarian function. Previously, ovarian wedge resection was commonly used, which could lower androgen levels, alleviate symptoms of hirsutism, and increase pregnancy rates. However, due to the high incidence of adhesions around the ovaries after surgery, this method is no longer commonly used clinically.

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Written by He Bing
Obstetrics and Gynecology
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How is polycystic ovary syndrome treated?

Polycystic ovary syndrome is mainly treated symptomatically, including lifestyle modifications, medication, and surgical treatment. Medication involves regulating menstrual cycles, reducing blood androgen levels, improving insulin resistance, and inducing ovulation; the main surgical treatment currently used is laparoscopic ovarian drilling.

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Written by He Bing
Obstetrics and Gynecology
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Foods to Avoid with Polycystic Ovary Syndrome

Patients with polycystic ovary syndrome should avoid the following foods: First, animal offal. Second, avoid spicy and stimulating food, sweets, mung beans, crabs, persimmons, etc. Third, no smoking or drinking, and avoid high-sugar diets. Fourth, avoid snacks, such as puffed food, etc. In addition to diet, patients with polycystic ovary syndrome should also engage in aerobic exercise at least five days a week, exercise the body, and maintain a good mindset, which is conducive to the recovery of symptoms.

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Written by Zhang Xiu Rong
Obstetrics and Gynecology
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What foods should be eaten with polycystic ovary syndrome?

The characteristics of polycystic ovary syndrome include amenorrhea, obesity, infertility, acne, hirsutism, and hormone level tests generally indicate high testosterone, high luteinizing hormone, and low estrogen levels. Therefore, dietary intake should avoid large portions of meat, high-fat, and high-calorie foods. It is beneficial to consume more vegetables and fruits, and foods that are high in estrogen levels, such as beans and soy products, especially soy milk made from black soybeans. Besides pharmacological treatments, it is crucial for patients with polycystic ovary syndrome to regulate their daily routines and diet. If a patient is significantly overweight, it is essential to lose weight through exercise.