You have irregular periods, you don’t eat much and you have gained weight, you are still unable to conceive a new child after years of marriage, you are often depressed, but you have no medical problems after a gynecological examination. For this reason, you “professionally” think that you may have gone through early menopause because of stress. But in fact, it could be the fault of polycystic ovary syndrome. Anna’s story Anna had been married for many years and her “baby-making plan” had not been successful. Because her weight was increasing every year, she had been having irregular periods for years and even experienced menopause. She always thought it was her weight that was to blame. So, she also attended a professional slimming camp, but the result was the same: repeated failure. This made Anna’s frustration so great that she recently went into the gynecology clinic again. After a variety of instruments, a variety of laboratory toss, the results are still: all normal. The gynecologist who examined her was very experienced and advised her to go to the gynecological endocrinology department for further examination. Gynecological Endocrinology Diagnosis – Polycystic Ovarian Syndrome The doctor performed a detailed examination and the results showed: Polycystic Ovarian Syndrome! This made Anna realize that it was the reason for her failure to make a baby for many years! But Anna didn’t know anything about this disease: what kind of disease is it, why do I have this “bad luck”, and how to treat it? In response to Anna’s confusion, the doctor patiently gave professional answers. Polycystic ovary syndrome, probably left over from the previous generation Polycystic ovary syndrome (PCOS) is a common endocrine and metabolic abnormality in women, especially those of childbearing age, where the ovaries are enlarged, thickened, and contain multiple follicles at different stages of development, with granulosa cell luteinization. It is believed that the majority of these disorders are genetic in origin. The inheritance may come from either the mother or the father, so the mother may not necessarily have a history of the same condition. In addition to the inability to conceive successfully, hair loss, hirsutism, depression, obesity, and marked masculinity are the most common symptoms of polycystic ovary syndrome! Of course, not all patients have all the symptoms, and there are many types of polycystic ovary syndrome, each with a different presentation. In addition, to tell you a little secret, the father may also be the “genetic body” of polycystic ovaries, research has shown that the male body also contains genes that cause this disease (the specific gene is unknown so far), when the father has symptoms of hair loss, and the daughter’s own irregular menstruation, thinning difficulties, you must go to the hospital to check to rule out the possibility of polycystic ovaries possibility. This type of disease, if left untreated, is associated with high androgens, prolonged menstruation and lack of progesterone in the body, which can easily lead to endometrial hyperplasia and increase the chances of endometrial cancer. It is also an important predisposing factor for diabetes, cardiovascular disease, gestational diabetes and gestational hypertension syndrome, which need timely treatment. Misconceptions of polycystic examination Generally, many women will go to gynecology to check their health problems after a long period of unsuccessful conception, as Anna did, but many times no cause can be found. Polycystic ovaries should go to gynecology endocrinology, or reproductive medicine for a comprehensive examination, and need to undergo the following three examinations as Anna did – The doctor asks about menstrual Menstrual status, irregular periods and/or amenorrhea are one of the main symptoms of this disease. A blood hormone test to determine if androgen levels are normal. When the test results show excessive levels of androgens, i.e. hyperandrogenemia, then the possibility of polycystic ovaries is also present. It should be noted here that there are two types of hyperandrogenemia, the first one is biochemical Kaohsiung, which can be learned through laboratory tests. There is also the clinical Kaohsiung, although the test results show normal, but when the patient himself has symptoms such as hirsutism, acne and acanthosis nigricans, it also proves that the androgen index in his body is super high and meets the criteria of polycystic ovaries. Ultrasound examination. Ultrasound examination is performed to see if there are more than 12 small follicles in both ovaries. If there are more than 12, then polycystic ovaries are likely to have come to your door. In fact, if two of the above three tests are met, then the diagnosis of polycystic ovaries can be confirmed, and Anna was successful in all three tests and needed timely treatment. Anna’s PCOS treatment plan After explaining this type of disease to Anna in detail, the doctor introduced a treatment plan for Anna – Lifestyle changes: “mandatory” natural slimming Generally speaking, patients with this type of disease become a problem to slim down, so they should follow the The three principles of “no sugar, less oil, more exercise” to reduce body weight, that is, for the high sugar content of food, to avoid all, greasy food, high protein content of food as little as possible, weekdays to a light diet, coupled with a regular daily 45 minutes of aerobic exercise, “mandatory “lower weight, PCOS will be half cured! In addition, to adjust their work and rest schedule, follow the working hours of the human biological clock, so that the body circulation to the most natural state, but also to lay a good foundation for treatment. Medication: Short-acting contraceptive pills Doctors advise Anna to take oral contraceptive pills every day for 3 months and stop taking them for 3 months, mainly for protecting the endometrium, adjusting the menstrual cycle, and improving hirsutism and acne by reducing the androgens produced by the ovaries. This ensures that patients have normal menstruation for half a year. Oral short-acting contraceptives are the most effective and safest treatment available today, not only for regulating menstruation, but also for adjusting abnormal endocrine hormone levels in women with PCOS, and are the main recommended modality by doctors. Anna still has some questions about PCOS After the doctor’s patient explanation, Anna has a preliminary understanding of the disease, but there are still some questions she needs to ask – “Can polycystic ovaries be cured by surgery?” Doctor: “Actually, polycystic ovaries can be treated surgically, for example, by removing part of the ovary or by laparoscopic perforation of the ovary to destroy part of the ovarian tissue! However, there is no scientific standard for the amount of ovaries to be removed or destroyed; if less is removed, it does not help, and if more is removed, it can cause ovarian failure. Therefore, we do not recommend surgical treatment. Medication is the best treatment for this type of disease, but it does not achieve a cure.” ”Is it possible to conceive successfully with this type of disease?” Doctor: “Of course it is possible, the cycle of taking short-acting oral contraceptives is 3 months, and in the initial cycle of those three months after stopping the medication, there is every chance of successful conception, but it is necessary to pay attention to the fact that after successful conception, it is necessary to fully cooperate with the doctor’s advice to nurture the fetus, pay attention to the diet, and exercise properly, in the right amount and in the right degree, otherwise it is easy to slip the fetus, or develop gestational diabetes! “