What to do about amenorrhea in polycystic ovary syndrome?

Written by Wang Jing Hua
Obstetrics and Gynecology
Updated on May 02, 2025
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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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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.

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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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How is polycystic ovary syndrome treated?

Polycystic ovary syndrome is mainly treated symptomatically, including lifestyle modifications, medication, and surgical treatment. Medication involves regulating menstrual cycles, reducing blood androgen levels, improving insulin resistance, and inducing ovulation; the main surgical treatment currently used is laparoscopic ovarian drilling.

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Written by Zhang Xiu Rong
Obstetrics and Gynecology
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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 Wang Jing Hua
Obstetrics and Gynecology
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What is the best treatment for polycystic ovary syndrome?

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.