Polycystic ovary syndrome (PCOS) is what matter?

Written by Zhang Xiu Rong
Obstetrics and Gynecology
Updated on September 05, 2024
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Polycystic Ovary Syndrome (PCOS) is a type of gynecological endocrine disorder. Its clinical manifestations include amenorrhea, obesity, infertility, acne, and hirsutism. A key characteristic of the disease is anovulation which affects fertility. Therefore, the general diagnostic procedure for patients with suspected PCOS begins with an ultrasound at a hospital. If the ultrasound suggests PCOS, it is necessary to have a blood test for sex hormone levels on an empty stomach during the 2nd to 5th day of the menstrual cycle. Diagnosis is generally determined through a combination of sex hormone tests and ultrasound examinations, which can confirm whether one has PCOS. The causes of PCOS are generally attributed to staying up late, dieting, high stress, irregular lifestyle, indiscriminate use of contraceptives and diet pills, obesity, and patients with other endocrine disorders. Since PCOS affects fertility and is difficult to treat, patients diagnosed with this condition must seek treatment in hospital endocrinology departments or specialized gynecology departments.

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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.

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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 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 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 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.