Today, we are here to educate you about the headache of polycystic ovary syndrome. Those women who are deeply disturbed by it must be no stranger to it, and can even be described as abhorrent, right? Don’t worry, as a woman or a family member of a fellow woman. Here are some things you need to know about polycystic!
First of all, to analyze the clinical manifestations of polycystic ovary syndrome in detail.
1. Irregular menstruation.
The first thing you need to do is to get a good idea of what you’re doing. The day bleeding ah.
2, difficult to get pregnant.
This may be the ultimate goal of most women to treat polycystic.
3, hairy.
Upper arms, thighs, lips around, breasts and so on where body hair is thick, more and more like a woman.
4, acne.
Facial and back acne, which is not as simple as a beautiful pimple of youth oh! ⑤ Getting fatter: eat perhaps not much, but the weight is silently soaring upwards, bucket waist ah, swim ring ah followed.
If the above points you unfortunately hit (do not have to meet all), you have to consider it: I will be polycystic it? Some sisters may be confused, I am thin and smooth skin, why do doctors suspect or diagnose me as polycystic ovary syndrome?
Special answer: This is because polycystic ovary syndrome is very different in different people, which means that not all of the 5 points mentioned above need to be met, and polycystic patients are fat, feminine and petite. Not every patient will have obesity or acne, and obesity or acne is not an indicator to rule out polycystic. And don’t underestimate polycystic ovary syndrome, it brings more problems than just the above mentioned manifestations, that’s just the tip of the iceberg, people’s full name is “syndrome” three big words!
What is “syndrome”?
The so-called syndrome, the condition involves the reproductive system, the endocrine system, the metabolic system, in addition to gynecological manifestations, subconsciously your glucose and lipid metabolism is occurring disorders. Perhaps now, you are still young, metabolic problems are still in the nascent stage, so you do not feel anything. (Weight on the Biao sisters pay attention to it, this is due to metabolic abnormalities cause you to drink water are fat oh)
In the long run, about middle and old age, if the disease is not well controlled, it may be complicated by endometrial cancer, diabetes, cardiovascular disease, it is simply to think about it! So, for going to the gynecological clinic, but the doctor gives you to check blood sugar, check insulin, check lipids four, we should also understand the reason for it.
I. Is it necessarily polycystic if my period is pushed back?
Analysis of the fragile and capricious period
The formation of normal menstruation depends on the endocrine response between hypothalamus-pituitary gland-ovary-uterus, which can be interpreted as a one-level workshop, each of which is linked and interlocked, and the operation of the next workshop depends on the normal operation of the previous one. So, the period is fragile and capricious.
Patients with polycystic disease often have endocrine disorders such as high androgens, which inhibit the growth and maturation of follicles and prevent the follicles from coming out of the ovaries (the polycystic ovarian changes seen on ultrasound are actually a group of immature follicles piled up in the ovaries), and the period does not arrive on time.
Besides polycystic, there are many other factors that can cause your period not to arrive on time, such as malnutrition, great mental stimulation, damage to the uterine cavity from abortion, etc. Of course, you also have to rule out if you are already pregnant!
One or two postponements may be purely coincidental, but if you have a tendency to postpone your period for a long time, and the postponement time is getting more and more serious, you need to go to the hospital and let a professional gynecologist help you find the cause.
Why do you have polycystic?
Generally speaking, there are genetic and non-genetic factors. It may have a certain genetic tendency, your mother or sister suffering from polycystic, suggesting that you may, but not necessarily will, get polycystic.
The unhealthy lifestyle, high-energy diet, and long-term anxiety and depression may also be the causes of polycystic disease or aggravate its progress. Many other causes are still unknown, so don’t dwell on the causes, it’s most important to face the reality.
Third, how to finally determine that you are suffering from polycystic?
In view of the complexity of polycystic manifestation, medical doctors have been worried about its diagnostic criteria, and have been changing them again and again. Finally, a group of high profile people held a high profile meeting in Rotterdam in 2003 and came up with the most internationally accepted criteria, named Rotterdam criteria, which are as follows.
① Sporadic ovulation or anovulation: manifested by sporadic menstruation, amenorrhea, and inability to establish regular menstruation for 2-3 years after menarche.
② Clinical manifestations of hyperandrogenism (hirsutism/acne) or hyperandrogenemia (requires a physician’s order for a blood test).
③ Polycystic ovarian changes (detected by ultrasound of the uterine adnexa under the guidance of a doctor).
Reminder: if any two of the above three criteria are met, and some neoplastic diseases are excluded, polycystic can be diagnosed. It should be added that there are rare patients who have regular menstruation and report monthly, but ovulation is not detected by ovulation test or basal body temperature monitoring, which is also in accordance with ①.