Can polycystic ovary syndrome be treated with surgery?

Written by He Bing
Obstetrics and Gynecology
Updated on September 08, 2024
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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.

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Written by Zhang Chun Yun
Obstetrics and Gynecology
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How to cultivate dominant follicles in polycystic ovary syndrome?

Polycystic ovary syndrome (PCOS) is a multifactorial disease and a polymorphic clinical endocrine syndrome, characterized mainly by hyperandrogenism and chronic anovulation. It is one of the most common causes of menstrual irregularities in women of reproductive age and is also a cause of female infertility. Women often desire to have children and upon discovering they have polycystic ovary syndrome, they may use ovulation-inducing drugs under the advice of a doctor. Ovulation-inducing drugs can help develop dominant follicles. If you have tried a wide range of Western medicines with limited success, you can also consider using traditional Chinese patent medicine or herbs under a doctor’s prescription to further cultivate dominant follicles. Because the development of dominant follicles requires expertise, it must be conducted under the direction and advice of professional medical practitioners. If you have further questions, it is advisable to consult a doctor at a hospital for more detailed information.

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Written by Sun Shan Shan
Obstetrics and Gynecology
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What are the causes of polycystic ovary syndrome?

Polycystic ovary syndrome is a common gynecological endocrine disease, often seen in adolescence, primarily characterized by high levels of androgens. Clinically, it is mainly characterized by persistent anovulation and polycystic ovarian changes. It is often accompanied by insulin resistance and obesity. The exact cause of the disease has not yet been fully clarified, and it may be due to the interaction of genetic factors and environmental factors. Polycystic ovary syndrome requires timely treatment with hormonal drugs or laparoscopic ovarian drilling surgery, followed by further management based on the examination results.

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Written by Wang Jing Hua
Obstetrics and Gynecology
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The difference between polycystic and polycystic ovary syndrome

Some women may discover they have polycystic ovaries during occasional gynecological exams. If their menstrual cycle is regular, with good ovulation, and does not affect pregnancy, then it is just a polycystic ovarian state, not called polycystic ovary syndrome. Polycystic ovary syndrome primarily involves irregular menstruation, poor ovulation, and difficulty in becoming pregnant. The condition of polycystic ovary syndrome varies greatly among individuals; some show clear signs of high androgens or have laboratory tests indicating high androgen levels, and many people experience a significant increase in luteinizing hormone, among other symptoms. Therefore, these are two different conditions.

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Written by Shen Li Wen
Obstetrics and Gynecology
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How to diagnose polycystic ovary syndrome?

When suspecting polycystic ovary syndrome in females, it is essential to first inquire about the woman's menstrual history and menstrual cycle. A detailed observation of the woman's body type should be made, as some women may appear somewhat overweight and have increased body hair, such as small mustaches around the lips, and some may even have acne on their faces. In addition, a thorough physical examination should be conducted, including a gynecological examination, where some women may find an increased volume in both ovaries. Hormonal tests can also be conducted, showing elevated levels of androgens, or an imbalance in the levels ratio of luteinizing hormone to follicle-stimulating hormone. Some women may exhibit insulin resistance, with abnormalities in blood glucose and lipid levels. Ultrasound examination can show many small follicles in both ovaries on the same plane, without a dominant follicle, and the number of small follicles generally exceeds 12.

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Written by Du Rui Xia
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Polycystic Ovary Syndrome Pregnancy Probability

When suffering from polycystic ovary syndrome (PCOS), patients have a lower chance of becoming pregnant, mainly due to the impact of PCOS on female fertility. This often causes ovulation disorders, resulting in rare ovulation or anovulation. Without normal ovulation, pregnancy cannot occur normally. When diagnosed with PCOS, it is recommended that patients undergo ovulation induction therapy. Obese women should promote bodily recovery by losing weight, and generally, women can conceive after their normal ovulation is restored through treatment.