Management of Polycystic Ovary Syndrome

Written by He Bing
Obstetrics and Gynecology
Updated on September 11, 2024
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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.

Other Voices

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Written by He Bing
Obstetrics and Gynecology
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Can polycystic ovary syndrome cure itself?

Strictly speaking, polycystic ovary syndrome is a chronic disease, just like hypertension, which does not have concepts of being cured or healing naturally. It's just that symptoms vary from person to person, and the degree of impact differs. For example, some people have ovulation disorders, often characterized by sparse menstruation or amenorrhea; some have high androgen levels in the blood, often characterized by excessive hair growth and acne; others may have metabolic abnormalities, commonly manifesting as obesity. If patients adjust their lifestyles well, the long-term impact can be relatively minor, but this should not be considered self-healing.

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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 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 Li Shun Hua
Obstetrics and Gynecology
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What should I do if I don't get my period due to polycystic ovary syndrome?

Polycystic Ovary Syndrome (PCOS) is a metabolic disease and a lifelong condition that cannot be cured. The main symptom is irregular menstruation, which can manifest as infrequent menstrual periods or absence of menstruation. If menstruation does not occur for more than two months, it is essential to take oral progestogens, such as progesterone or dydrogesterone, for 12 days. After stopping the medication, menstruation should resume. This is mainly to protect the endometrium, as not menstruating for an extended period prevents it from shedding. Under the influence of unopposed estrogen, there might be excessive proliferation, leading to precancerous changes in the endometrial lining and potentially developing into endometrial cancer over time. Therefore, it is crucial to have a menstrual period at least every two months to protect the endometrium. (Medication should be taken under the guidance of a physician.)

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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.