Polycystic ovaries are not scary, the key to restore ovulation?

  Due to the accelerated pace of modern life, changes in the living environment, changes in diet structure, irregularities in life and other factors, there are more and more patients with polycystic ovary syndrome. At the beginning, they mostly show delayed menstruation, and menstruation can be spontaneous without medication. A few patients show frequent and disordered menstruation, which is not taken seriously by patients at this time, but if they do not receive timely treatment and adjust their lifestyles, the situation will get worse and worse.  Although most scholars now consider polycystic ovary syndrome as an incurable endocrine disorder, polycystic ovaries are not as terrible as some patients think. Regardless of whether the patient wants to get pregnant or not, restoring ovulation is the key. There is a chance of conception after ovulation, and in those who do not conceive, menstruation can be spontaneous for more than 10 days after ovulation. For those who want to get pregnant, the treatment seems to be simpler: for those who are not stubborn, they can use Chinese herbs + acupuncture while relying on BBT, urine LH test paper and ultrasound to observe ovulation and guide intercourse; for those who are stubborn, they can combine Chinese and Western medicine, wait for hormone levels to be more or less normal and use ovulation-promoting drugs, and ultrasound to monitor follicles and endometrium to guide intercourse.  Many patients think that they can only have a chance to get pregnant or can only consider pregnancy when their menstruation is normal. Because it takes a long time to regulate menstruation to a very normal condition in stubborn polycystic ovary syndrome, without special factors, patients can try to conceive while being regulated, in which monitoring for large follicles is the key, and actively preserving the pregnancy if it needs to be preserved after conception. I would like to provide two cases of my PCOS clinical patients who were guided to conceive successfully in one menstrual cycle to boost your confidence. One of them had not had her period for more than 40 days and the other one had not had her period for more than 50 days. At that time, ultrasound found that both of them had a follicle of more than 10MM, so they continued to monitor the follicle development while using Chinese herbal medicine. The latter’s follicles started to get smaller, and she was given HMG for 2 days to promote ovulation, after which the follicles matured and were expelled with HCG and acupuncture.