Bilateral polycystic ovarian changes are only a morphological description of the ovaries, not a diagnosis of a gynecological disease. Bilateral polycystic ovarian changes suggested by ultrasound do not represent a gynecological disease, because it only represents a morphological change of the ovaries, a morphological description, and polycystic ovarian syndrome (PCOS) are two different concepts, some of the former may disappear naturally after a period of review, not necessarily after treatment, while PCOS is usually accompanied by hormonal abnormalities, such as high androgens PCOS is usually associated with hormonal abnormalities, such as high androgen, or luteinizing hormone divided by follicle stimulating hormone ratio of 2.5 or more, which may manifest as scanty menstruation, non-ovulation, obesity, hirsutism, etc., and can lead to infertility. If there are no other physical signs or hormonal or menstrual abnormalities, some of them may heal on their own and do not need special treatment. However, if PCOS is diagnosed after hormonal examination and affects menstruation or even pregnancy, it is recommended to treat it as soon as possible.