Can polycystic ovary syndrome be cured?

Written by Xu Xiao Ming
Obstetrics and Gynecology
Updated on December 22, 2024
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Polycystic Ovary Syndrome (PCOS) is a reproductive dysfunction accompanied by abnormal glucose metabolism, constituting an endocrine disorder syndrome primarily characterized by persistent anovulation, high androgen levels, and insulin resistance. To address the three main features of PCOS, treatment options include controlling diet and increasing physical activity to enhance insulin sensitivity and reduce levels of insulin and testosterone, thereby restoring ovulation and fertility functions.

Oral contraceptives, such as Diane-35, can be taken. Oral administration of Diane-35 acts on the endometrium to inhibit excessive proliferation and regulate the menstrual cycle. To reduce androgen levels, progestogens like cyproterone can be used to counteract high androgen levels. If there is high blood sugar, it is also necessary to improve insulin resistance, which can be treated with medications like metformin.

(Medications should be used under the guidance of a physician, and self-medication should be avoided.)

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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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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.

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Written by Shen Li Wen
Obstetrics and Gynecology
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The difference between polycystic ovary syndrome and polycystic ovaries

Polycystic ovary syndrome (PCOS) and polycystic ovaries are different. Firstly, polycystic ovaries are diagnosed through ultrasound, wherein more than 12 small follicles are found in both ovaries simultaneously under ultrasound guidance. This condition can occur in some normal women as well as women who have been taking short-acting birth control pills for a long time. In subsequent check-ups, this condition might not be detected. On the other hand, polycystic ovary syndrome is a disease represented by a cluster of clinical symptoms. For instance, women may experience infrequent ovulation, longer menstrual cycles, and it can also lead to infertility. There are also manifestations of increased androgen levels, such as increased body hair and facial acne. Polycystic ovary syndrome primarily affects a woman's normal fertility functions and thus requires treatment; whereas, polycystic ovaries usually just require observation.

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Written by Zhang Xiu Rong
Obstetrics and Gynecology
1min 27sec home-news-image

Polycystic ovary syndrome (PCOS) is what matter?

Polycystic Ovary Syndrome (PCOS) is a type of gynecological endocrine disorder. Its clinical manifestations include amenorrhea, obesity, infertility, acne, and hirsutism. A key characteristic of the disease is anovulation which affects fertility. Therefore, the general diagnostic procedure for patients with suspected PCOS begins with an ultrasound at a hospital. If the ultrasound suggests PCOS, it is necessary to have a blood test for sex hormone levels on an empty stomach during the 2nd to 5th day of the menstrual cycle. Diagnosis is generally determined through a combination of sex hormone tests and ultrasound examinations, which can confirm whether one has PCOS. The causes of PCOS are generally attributed to staying up late, dieting, high stress, irregular lifestyle, indiscriminate use of contraceptives and diet pills, obesity, and patients with other endocrine disorders. Since PCOS affects fertility and is difficult to treat, patients diagnosed with this condition must seek treatment in hospital endocrinology departments or specialized gynecology departments.

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Written by Liu Wei Jie
Obstetrics
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Is the chance of getting pregnant with polycystic ovary syndrome high?

Polycystic ovary syndrome (PCOS) manifests as absent or irregular menstrual periods, and is also associated with obesity, hirsutism, insulin metabolism disorders, as well as elevated blood sugar and cholesterol levels. The mechanism behind the development of PCOS is unclear but may be related to genetic factors, diet, and lack of exercise. Due to the irregular menstrual cycles, which stem from anovulation (lack of ovulation), the likelihood of pregnancy decreases. It is challenging to calculate the specific probability of pregnancy, but overall, the chances of becoming pregnant with PCOS are very low, although there is still a possibility. Treatment for PCOS generally starts with lifestyle changes, such as avoiding staying up late and refraining from eating sweets. Weight management is also crucial; weight gain is recommended for those who are underweight, whereas weight loss is advised for those who are overweight, along with appropriate exercise.