How to diagnose polycystic ovary syndrome?

Written by Zhang Xiu Rong
Obstetrics and Gynecology
Updated on September 10, 2024
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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.

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Written by He Bing
Obstetrics and Gynecology
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Can polycystic ovary syndrome get pregnant?

Patients with polycystic ovary syndrome (PCOS) suffer from endocrine disorders, which prevent follicles from developing and maturing, leading to anovulation or rare ovulation, and consequently, amenorrhea and infertility. Although it is much more difficult for patients with PCOS to become pregnant compared to the average person, there is still a great hope for natural conception through a series of targeted treatments. For patients with reproductive needs, ovulation induction treatment can be chosen based on improved lifestyle habits. Under the guidance of a doctor, medications can be used to adjust menstrual cycles and stimulate ovulation. Then, by having intercourse around the time of ovulation, the chances of pregnancy can be increased. However, it is important to emphasize that all these should be conducted under the guidance of a professional doctor. The female endocrine system is like a precise instrument, and improper use of medication on one's own can potentially lead to endocrine disorders and result in infertility.

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Written by He Bing
Obstetrics and Gynecology
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Foods to Avoid with Polycystic Ovary Syndrome

Patients with polycystic ovary syndrome should avoid the following foods: First, animal offal. Second, avoid spicy and stimulating food, sweets, mung beans, crabs, persimmons, etc. Third, no smoking or drinking, and avoid high-sugar diets. Fourth, avoid snacks, such as puffed food, etc. In addition to diet, patients with polycystic ovary syndrome should also engage in aerobic exercise at least five days a week, exercise the body, and maintain a good mindset, which is conducive to the recovery of symptoms.

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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 He Bing
Obstetrics and Gynecology
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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.

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Written by Zhang Xiu Rong
Obstetrics and Gynecology
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Can polycystic ovary syndrome naturally conceive?

Polycystic ovary syndrome (PCOS) is characterized by symptoms such as amenorrhea, obesity, infertility, acne, and hirsutism. In cases of PCOS, the chances of natural conception are slim unless one regularly maintains a disciplined lifestyle, manages PCOS through exercise, weight loss, and a regulated life routine which normalizes hormone levels, thus enabling normal ovulation and the possibility of natural conception. Otherwise, a distinctive feature of PCOS is anovulation, and to achieve conception, hormone levels must be normalized. Once hormone levels are normalized, some individuals may ovulate on their own, while others may need medication to stimulate ovulation. Therefore, the chances of natural conception with PCOS are very low.