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Polycystic Ovary Syndrome
What are the symptoms of polycystic ovary syndrome?
Polycystic ovary syndrome often begins in adolescence, with primary clinical manifestations including menstrual disorders, excess androgens, and obesity. First, menstrual disorders are the most prominent symptoms, often characterized by infrequent menstruation, with cycles ranging from 35 days to 6 months, or amenorrhea. Before amenorrhea, there may be scanty menses or infrequent menstruation. It can also present as irregular uterine bleeding with no regular pattern in menstrual cycle, period, or flow. Second, infertility. Women of childbearing age may experience infertility due to ovulatory disorders. Third, hirsutism is the most common manifestation of high androgen levels. It appears in varying degrees, primarily affecting sexual hair, with dense pubic hair showing a male pattern tendency, extending around the anus, groin, or midline of the abdomen. There may also be fine mustache hair on the upper lip or hair around the nipple. Oily skin is also common, related to the accumulation of androgens stimulating vigorous secretion from the sebaceous glands. Fourth, obesity. Over 50% of patients are obese, commonly exhibiting abdominal obesity. Fifth, acanthosis nigricans. Occurs in areas such as the labia, the back of the neck, armpits, under the breasts, and the groin, where skin folds are present. This is characterized by symmetric grey-brown pigmentation, thickened skin, and a soft texture.
How long does it take to cure polycystic ovary syndrome?
Polycystic ovary syndrome (PCOS), like hypertension and diabetes, is a chronic disease that can be managed but not cured. The clinical manifestations of PCOS are diverse and vary from person to person. Some people have mild symptoms, such as slightly irregular menstruation without complete anovulation, which still allows for the possibility of natural conception. Additionally, if an individual pays close attention to adjusting their lifestyle and maintains a lean physique, the long-term health impact can be relatively minor. This situation cannot be described as self-healing or cured, but the impact of the disease is indeed not significant. Although PCOS cannot currently be completely cured, timely diagnosis and treatment of symptoms, along with consistent long-term management, can still make pregnancy and childbirth possible.
Can polycystic ovary syndrome recur?
Patients with polycystic ovary syndrome can manage symptoms effectively if diagnosed early, treated promptly, and receive active treatment for complications. However, if patients neglect daily care afterward, the disease is very likely to recur. Therefore, patients need to continue good nursing care after treatment to reduce the chance of recurrence. Patients with polycystic ovary syndrome need to pay attention to lifestyle adjustments: maintain a suitable living environment, change bad habits, and avoid staying up late; especially during long-term treatment, it is important to rest adequately, maintain physical strength, eat a nutritious diet, dress appropriately for weather changes, and avoid infections from bacteria and viruses. Diet should involve long-term restriction of calorie intake, choosing low-sugar, high-fiber options. A light diet rich in high-quality protein should be emphasized. Patients should quit smoking and drinking, and avoid high-sugar, high-fat, and spicy foods. The most important aspect is weight control. Patients should engage in aerobic exercises such as brisk walking, jogging, or swimming at least 5 days per week, each session lasting at least 30 minutes. Lastly, it is crucial to stabilize emotions, manage oneself, maintain an optimistic outlook, and avoid extreme anger, depression, excessive tension, and long-term anxiety.
Polycystic Ovary Syndrome Dietary Regulation
Diet is one of the crucial aspects of managing and treating patients with polycystic ovary syndrome (PCOS). The importance of diet is not only reflected in weight reduction and maintenance, but it also greatly aids in the control of insulin levels. Many patients also suffer from insulin resistance, causing the pancreas to secrete more insulin to function effectively. Patients with PCOS can increase their consumption of green leafy vegetables, fruits, colorful and white vegetables, organic and grass-fed meats, as well as healthy fats.
What is polycystic ovary syndrome?
Polycystic Ovary Syndrome (PCOS) is a type of gynecological endocrine disorder, characterized by symptoms such as amenorrhea, scanty or irregular menstrual bleeding, obesity, infertility, acne, and hirsutism. PCOS is considered a difficult-to-treat gynecological disease, with a high likelihood of recurrence after treatment. Therefore, it’s crucial to undergo relevant medical examinations at a hospital. The diagnosis of PCOS generally involves a combination of ultrasound imaging and a six-item hormone test, which can confirm whether one has the condition. If diagnosed with PCOS, active treatment is necessary, as it is one of the more challenging gynecological endocrine disorders to manage.
The fastest conception method for polycystic ovary syndrome
If patients with polycystic ovary syndrome (PCOS) want to conceive as soon as possible, they can make efforts in the following areas: First, weight loss. Among patients with polycystic ovary syndrome, 67% are obese or overweight. Obesity for PCOS patients is not only unattractive but also brings metabolic disorders, reproductive health, and other hazards. Therefore, the first thing is to lose weight. However, weight loss should not rely solely on dieting; it requires a reasonable dietary arrangement combined with scientific exercise methods. Reducing or controlling weight can improve hyperinsulinemia, insulin resistance, and hyperandrogenemia, thereby restoring menstrual cycles, reducing hirsutism and symptoms, and greatly increasing the chances of conception. Second, medication-assisted treatment, mainly from three aspects: adjusting menstrual cycles, treating hyperandrogenemia, and treating insulin resistance. Third, ovulation induction and assisted reproduction. If a PCOS patient with a pregnancy desire cannot conceive naturally with normal male semen analysis, medication-induced ovulation and assisted reproductive technology can be considered to aid conception. Polycystic ovary syndrome is an endocrine metabolic disease and a chronic condition that requires long-term management. It cannot be resolved overnight. Patients need to maintain a relaxed attitude and proceed under the guidance of a professional doctor.
Management of Polycystic Ovary Syndrome
For patients with polycystic ovary syndrome, the most important aspect is weight control. Patients need to engage in aerobic exercise at least 5 days a week, such as brisk walking, jogging, swimming, etc., each session lasting at least 30 minutes. Attention should also be paid to lifestyle adjustments: ensure a suitable living environment, change bad habits, and avoid staying up late; especially during long-term treatment, it is important to rest, maintain physical strength, and follow a nutritious diet. Be sure to dress appropriately with changing weather to avoid infections from bacteria, viruses, etc. Dietary adjustments involve long-term restriction of calorie intake, opting for low-sugar, high-fiber foods. A light diet with more high-quality protein is recommended. Quit smoking and drinking, and avoid high-sugar, high-fat, and spicy foods. Lastly, it’s crucial to stabilize emotions, focus on self-regulation, maintain an optimistic outlook, and avoid anger, depression, excessive tension, and long-term anxiety.
How to diagnose polycystic ovary syndrome?
Polycystic Ovary Syndrome is a type of gynecological endocrine disorder. Clinically, it generally presents with symptoms such as menstrual irregularities, amenorrhea, obesity, infertility, acne, and hirsutism. If these symptoms appear, it is essential to visit a hospital for an ultrasound examination. The diagnosis of Polycystic Ovary Syndrome can be made if more than 12 follicles are observed on a single sectional view of the ovaries during the ultrasound. In such cases, it is also necessary to have a blood test at the hospital to analyze six key sex hormones, including the ratio of luteinizing hormone to follicle-stimulating hormone, and the levels of testosterone. If the blood test shows high levels of luteinizing hormone and testosterone, Polycystic Ovary Syndrome can also be considered. A diagnosis of Polycystic Ovary Syndrome can generally be confirmed through a combination of ultrasound and sex hormone tests, followed by targeted treatment based on the test results.
What should be noted about polycystic ovary syndrome?
First, patients with polycystic ovary syndrome should control their diet and exercise appropriately to reduce or control weight and decrease waist circumference. Second, develop good eating habits, maintain nutritional balance, and pay attention to the control of calories and fat. Obese individuals should moderate their diet, eat less greasy and rich foods, and avoid overeating. Consume more vegetables, fruits, and high-quality proteins. Quit smoking and limit alcohol consumption. Third, women who are losing weight should not blindly use weight loss medications and avoid excessive dieting and rapid weight loss over a short period. Fourth, exercise regularly, such as walking, jogging, playing ball sports, swimming, martial arts, the Five Animal Frolics, and various forms of dance. However, avoid intense exercise and pay attention to balancing work and rest. Fifth, maintain emotional stability and a positive mindset. Avoid rage, depression, excessive tension, and long-term anxiety. Sixth, obese women with menstrual irregularities should note: significantly prolonged menstrual cycles, or having a period every few months or not at all, and the development of acne on the face should seek medical advice early. Seventh, reduce stress and maintain a good psychological state. Establish confidence in treatment and be patient with therapy. Young female patients who are untreated have a high probability of developing Type 2 diabetes in middle and old age and can become infertile. Therefore, once this disease appears, behavioral, dietary, and exercise therapies should be combined with medical treatment under the guidance of a professional doctor. Eighth, doctors, family members, and spouses should actively encourage and support the patient to lose weight, offering emotional understanding and help.
Can polycystic ovary syndrome be treated with surgery?
Polycystic ovary syndrome can be treated surgically. There are two methods of surgical treatment. For patients with high levels of luteinizing hormone and testosterone, laparoscopic ovarian drilling can be performed, which has advantages such as definite therapeutic effect, minimal injury, and moderate cost. Possible issues with laparoscopic ovarian drilling include ineffective treatment, pelvic adhesion, and reduced ovarian function. Previously, ovarian wedge resection was commonly used, which could lower androgen levels, alleviate symptoms of hirsutism, and increase pregnancy rates. However, due to the high incidence of adhesions around the ovaries after surgery, this method is no longer commonly used clinically.