What should I do if I don't get my period due to polycystic ovary syndrome?

Written by Li Shun Hua
Obstetrics and Gynecology
Updated on January 08, 2025
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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
1min 14sec home-news-image

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 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 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
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 foods are good to eat for polycystic ovary syndrome?

Patients with polycystic ovary syndrome must pay attention to their diet, as the characteristics of this disease include amenorrhea, obesity, infertility, acne, and hirsutism. Due to obesity, one should avoid eating large portions of meat and food that is high in fat and calories. Additionally, patients should check their fasting blood glucose and insulin levels, as the majority of these patients tend to have high blood sugar and insulin resistance. At this time, foods high in starch should be avoided. Dietarily, it is generally advisable to eat more green vegetables, fruits, and beans or bean products. Bean products contain estrogens which can counteract the high testosterone levels in polycystic ovary syndrome. Therefore, dietary attention is crucial. Besides focusing on diet, patients should also lose weight and reduce body weight through exercise, which helps in the recovery from the disease.