How should polycystic ovaries be treated?

  General treatment Weight loss and lifestyle modification. Obese patients with polycystic ovary syndrome can have some degree of improvement in their symptoms after weight loss. Therefore, in obese patients with polycystic ovary syndrome, weight loss can be achieved through a low-calorie diet and increased exercise before ovulation-promoting treatment to improve the body’s insulin sensitivity, thus improving hyperandrogenism and promoting ovulation, and reducing the risk of type 2 diabetes and cardiovascular disease. Weight loss can be the most effective first-line treatment for patients with polycystic ovary syndrome and can greatly improve the responsiveness of patients to treatment.  Oral contraceptives: are the most commonly used drugs to treat menstrual disorders in polycystic ovary syndrome. The effects are: adjusting menstruation; reducing the risk of excessive endometrial hyperplasia and even cancer; reducing androgen secretion; lowering free testosterone levels; improving hirsutism and acne, such as Daing-35 and MaFuLong.  If you have fertility requirements, you can take contraceptive pills for 3-6 months, and then take drugs to promote ovulation for 3-6 consecutive cycles, the pregnancy rate can reach 70%. During this period, it can be combined with herbal medicine.  Surgical treatment – in case of ineffective medication Laparoscopic ovarian perforation (LOD): including ovarian electrocautery perforation, excision, laser treatment, ultrasonic knife ovarian perforation and transvaginal water injection laparoscopic ovarian perforation. After LOD surgery for infertility with polycystic ovary syndrome, endocrine abnormalities were significantly improved, serum T and LH levels were reduced, and LH/FSH ratio decreased. The ovulation rate and pregnancy rate were significantly improved after surgery.  IVF – in case of ineffective drug treatment For polycystic ovary patients who have been infertile for many years, ineffective drug treatment and are old, assisted reproductive technology, i.e. IVF, can be used.  Chinese herbal treatment – different patients are treated according to their symptoms 1.  Conclusion: How to treat polycystic ovary syndrome is to use individualized treatment according to the pathological aspects of the pathogenesis and patient needs, with the goals of regulating the menstrual cycle, anti- Kaohsiung, promoting fertility, controlling insulin resistance, and preventing distant diseases.