How to regulate amenorrhea in polycystic ovary syndrome?

Written by Shen Li Wen
Obstetrics and Gynecology
Updated on December 29, 2024
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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 Wang Jing Hua
Obstetrics and Gynecology
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What to do about amenorrhea in polycystic ovary syndrome?

Polycystic Ovary Syndrome (PCOS) can cause amenorrhea, which is related to endocrine issues. Therefore, hormonal medications are required to manage endocrine disorders. The treatment for amenorrhea caused by PCOS generally involves using short-acting contraceptives, but it is also important to consider whether there are any thyroid function abnormalities. Patients who are overweight are usually advised to undergo thyroid function tests, as well as insulin, blood sugar, and lipid profile tests. If necessary, treatment for insulin resistance or thyroid function abnormalities may be required. (Please use medication under the guidance of a doctor.)

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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 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 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 He Bing
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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.