A few questions about polycystic ovary syndrome

  What is polycystic ovary syndrome?  Polycystic ovary syndrome is a highly prevalent clinical syndrome of reproductive age, with a prevalence of about 7% in the female population and 25% to 30% in patients with infertility. The disease develops in adolescence and is characterized by hyperandrogenemia and insulin resistance. The pathological manifestations vary from patient to patient and from age to age, and the degree of impact on reproductive function, glucose and lipid metabolism, cardiovascular, endometrium, breast, skin, bone and psychology varies. In the reproductive years, the main manifestations are infertility and menstrual disorders; after menopause, the risk of diabetes and cardiovascular disease increases significantly.  What are the diagnostic criteria for polycystic ovary syndrome?  The diagnostic criteria proposed by the European Society of Human Reproduction and Embryology and the American Society for Reproductive Medicine in May 2003 are: (1) anovulatory menstrual disorders or sporadic ovulation; (2) clinical and/or biochemical manifestations of hyperandrogenism; (3) the presence of polycystic ovaries on ultrasound (>12 follicles of 2-9 mm diameter visible in the ovaries and/or increased ovarian volume, L > 10 ML 10ML).  PCOS can be diagnosed if two of the above abnormalities are present and other causes of hyperandrogenism (congenital adrenocortical hyperplasia, Cushing’s syndrome, androgen-secreting tumors, etc.) are ruled out. What tests are required before a patient with polycystic ovary syndrome can be treated at our hospital?  (1) Female hormone 6; (2) Blood glucose; (3) Insulin; (4) Lipids are recommended for obese patients; (5) Liver and kidney function; (6) Ultrasound: vaginal examination for married patients and rectal examination for unmarried patients. To facilitate the calculation of ovarian volume, the three-dimensional size of the ovaries should be indicated.  Warm Tips: (1) Please have blood drawn on an empty stomach on 2-4 days of your menstrual period, for example, if you have your period on the 1st, please have your blood drawn on the 2nd-4th. If your period is staggered or your cycle is irregular, you may consider using progesterone to regulate your menstruation and then have your blood drawn.  (2) Ultrasound is checked 1-3 days after menstruation clears.  What are the features of our treatment for polycystic ovary syndrome?  Our treatment is characterized by the use of pure herbal medicine to treat polycystic ovary syndrome. The specific treatment method needs to be decided according to the patient’s clinical manifestations, examination results and the presence of fertility requirements. Generally speaking, if the patient has abnormal test results, such as high testosterone or high insulin, the abnormal indicators should be reduced to normal first, and then the endocrine axis should be adjusted to promote the development of follicles, that is, to regulate menstruation and promote pregnancy; if the test results are normal, you can directly regulate menstruation and promote pregnancy.  Warm tips: (1) The test results you provide should preferably be from the same month, the abnormal indicators are the target of treatment. The reference value of the results for a long period of time is low, which will affect the medication used for you.  (2) Traditional Chinese medicine and western medicine can improve the abnormal indexes. If you are already taking western medicine for treatment, please continue to finish it and come back to the clinic after the laboratory test.  ? Precautions related to patients with polycystic ovary syndrome (1) Diet: Overweight and obese people should control their diet, eat less oily food, less oil-rich dried fruits such as peanuts and sunflower seeds, etc. Pay attention to a reasonable proportion of meat, eggs, vegetables and rice in their diet.  (2) Proper exercise: It is recommended to have certain activities every day, do not sweat a lot during the activities, walking and brisk walking are more suitable exercises.  (3) maintain a relaxed, happy mood: this is very important, to find ways to relieve the pressure of work, life, to resolve all kinds of unpleasant.  (4) to ensure adequate, high-quality sleep.