How to regulate polycystic ovary syndrome?

Written by He Bing
Obstetrics and Gynecology
Updated on September 29, 2024
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Firstly, patients with polycystic ovary syndrome should appropriately control their diet and engage in physical exercise to reduce or control their weight and reduce their waistline. Secondly, develop good eating habits with balanced nutrition, paying attention to the control of calories and fats. Those who are obese should control their diet appropriately, eat less fatty and rich foods, and avoid overeating. Consume more vegetables, fruits, and high-quality protein. Quit smoking and limit alcohol consumption. Thirdly, women who are trying to lose weight should not blindly use weight loss drugs and should avoid excessive dieting and rapid weight loss in a short period. Fourthly, exercise regularly, such as walking, jogging, playing sports, swimming, martial arts, practicing Wuxinqi (Five-Animal Exercises), and various forms of dance. However, avoid intense exercises and maintain a balance between work and rest. Fifth, maintain emotional stability and a positive mindset. Avoid extreme anger, depression, excessive tension, and long-term anxiety. Sixth, obese women with menstrual irregularities should take note: if the menstrual cycle is significantly prolonged, or if it occurs every few months or not at all, and if acne develops on the face, they should seek medical attention promptly. Seventh, reduce stress and maintain a good psychological state. Build confidence in treatment and be patient with the treatment process. Young female patients who are not treated have a very high probability of developing Type 2 diabetes in middle and old age, which can lead to infertility. Therefore, once this disease appears, behavior modification, dietary restriction, and exercise therapy should be combined, and, under the guidance of a professional doctor, coordinated with medication therapy. Eighth, doctors, family members, and spouses should actively encourage and support the patient in losing weight, providing psychological understanding and assistance.

Other Voices

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Written by Zhang Xiu Rong
Obstetrics and Gynecology
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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.

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Written by He Bing
Obstetrics and Gynecology
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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.

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Written by He Bing
Obstetrics and Gynecology
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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.

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Written by Li Lin
Obstetrics and Gynecology
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Can polycystic ovary syndrome naturally conceive?

Polycystic ovary syndrome is an endocrine disorder characterized by reproductive dysfunction and abnormalities in glucose metabolism, with persistent anovulation, excess androgens, and insulin resistance as its main features. Therefore, patients with polycystic ovary syndrome often suffer from infertility. The use of medication to reduce androgens, stimulate ovarian ovulation, control insulin resistance, combined with weight loss, can lead to the resumption of ovulation in the ovaries, thus allowing natural conception in polycystic ovary syndrome.

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Written by Zhang Xiu Rong
Obstetrics and Gynecology
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What foods should be eaten with polycystic ovary syndrome?

The characteristics of polycystic ovary syndrome include amenorrhea, obesity, infertility, acne, hirsutism, and hormone level tests generally indicate high testosterone, high luteinizing hormone, and low estrogen levels. Therefore, dietary intake should avoid large portions of meat, high-fat, and high-calorie foods. It is beneficial to consume more vegetables and fruits, and foods that are high in estrogen levels, such as beans and soy products, especially soy milk made from black soybeans. Besides pharmacological treatments, it is crucial for patients with polycystic ovary syndrome to regulate their daily routines and diet. If a patient is significantly overweight, it is essential to lose weight through exercise.