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
00:00
00:00

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.)

Other Voices

doctor image
home-news-image
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.

doctor image
home-news-image
Written by Zhang Xiu Rong
Obstetrics and Gynecology
1min 27sec home-news-image

Polycystic ovary syndrome (PCOS) is what matter?

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.

doctor image
home-news-image
Written by He Bing
Obstetrics and Gynecology
1min 36sec home-news-image

Can polycystic ovary syndrome recur?

Patients with polycystic ovary syndrome can manage symptoms effectively if diagnosed early, treated promptly, and receive active treatment for complications. However, if patients neglect daily care afterward, the disease is very likely to recur. Therefore, patients need to continue good nursing care after treatment to reduce the chance of recurrence. Patients with polycystic ovary syndrome need to pay attention to lifestyle adjustments: maintain a suitable living environment, change bad habits, and avoid staying up late; especially during long-term treatment, it is important to rest adequately, maintain physical strength, eat a nutritious diet, dress appropriately for weather changes, and avoid infections from bacteria and viruses. Diet should involve long-term restriction of calorie intake, choosing low-sugar, high-fiber options. A light diet rich in high-quality protein should be emphasized. Patients should quit smoking and drinking, and avoid high-sugar, high-fat, and spicy foods. The most important aspect is weight control. Patients should engage in aerobic exercises such as brisk walking, jogging, or swimming at least 5 days per week, each session lasting at least 30 minutes. Lastly, it is crucial to stabilize emotions, manage oneself, maintain an optimistic outlook, and avoid extreme anger, depression, excessive tension, and long-term anxiety.

doctor image
home-news-image
Written by He Bing
Obstetrics and Gynecology
2min 25sec home-news-image

How to regulate polycystic ovary syndrome?

Firstly, patients with polycystic ovary syndrome should appropriately control their diet and engage in physical exercise to reduce or control their weight and reduce their waistline. Secondly, develop good eating habits with balanced nutrition, paying attention to the control of calories and fats. Those who are obese should control their diet appropriately, eat less fatty and rich foods, and avoid overeating. Consume more vegetables, fruits, and high-quality protein. Quit smoking and limit alcohol consumption. Thirdly, women who are trying to lose weight should not blindly use weight loss drugs and should avoid excessive dieting and rapid weight loss in a short period. Fourthly, exercise regularly, such as walking, jogging, playing sports, swimming, martial arts, practicing Wuxinqi (Five-Animal Exercises), and various forms of dance. However, avoid intense exercises and maintain a balance between work and rest. Fifth, maintain emotional stability and a positive mindset. Avoid extreme anger, depression, excessive tension, and long-term anxiety. Sixth, obese women with menstrual irregularities should take note: if the menstrual cycle is significantly prolonged, or if it occurs every few months or not at all, and if acne develops on the face, they should seek medical attention promptly. Seventh, reduce stress and maintain a good psychological state. Build confidence in treatment and be patient with the treatment process. Young female patients who are not treated have a very high probability of developing Type 2 diabetes in middle and old age, which can lead to infertility. Therefore, once this disease appears, behavior modification, dietary restriction, and exercise therapy should be combined, and, under the guidance of a professional doctor, coordinated with medication therapy. Eighth, doctors, family members, and spouses should actively encourage and support the patient in losing weight, providing psychological understanding and assistance.

doctor image
home-news-image
Written by Shen Li Wen
Obstetrics and Gynecology
52sec home-news-image

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.