Bilateral ovarian polycystic changes are diagnosed when the number of follicles in each ovary is more than 12. Clinically, it is often caused by endocrine disorders, which are accompanied by scanty menstruation or amenorrhea, and can be characterized by anovulation, weight gain, and can lead to infertility. Clinical treatment is mainly to reduce the androgens to normal, and then according to the patient’s needs, if there is a requirement for fertility, the clinical treatment can be clomiphene to promote ovulation. If the patient does not have fertility requirements, the clinical treatment can be artificial cycle treatment, so that the endometrium will be shed regularly, to avoid prolonged endometrial hyperplasia and lead to endometrial lesions.