What is the best treatment for polycystic ovary syndrome?

Written by Wang Jing Hua
Obstetrics and Gynecology
Updated on February 03, 2025
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Polycystic ovary syndrome varies greatly among individuals, and clinical manifestations are very different. The specific condition of each person is different, hence the treatment methods also vary. Therefore, there is no single best way to treat it; treatment should be tailored to the individual. For example, if one can maintain a good condition with relatively regular menstrual cycles and it does not affect pregnancy, then no special treatment might be necessary. However, if there is a long absence of menstrual periods, then treatment such as using birth control pills to regulate hormones may be necessary. Some people may also have concurrent conditions such as thyroid dysfunction or insulin resistance, and treatment for these conditions should be based on specific test results.

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Written by He Bing
Obstetrics and Gynecology
1min 51sec home-news-image

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 Shen Li Wen
Obstetrics and Gynecology
1min 8sec home-news-image

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 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 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 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.