The treatment of polycystic ovary should be divided into short-term and long-term goals, treatment should be "the person"

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Polycystic ovary syndrome (polycystic ovary syndrome, PCOS) is the most common endocrine disorder in women. Scanty menstruation, hirsutism,


Polycystic ovary syndrome (polycystic ovary syndrome, PCOS) is the most common endocrine disorder in women. Scanty menstruation, hirsutism, obesity, long acne is a typical symptom of the disease." This is the most common explanation for the polycystic ovary syndrome. Some people will see this explanation. There are some patients, found that some of the symptoms can not be met, it will suspect the diagnosis of out-patient clinic. Recently, a reader Luo Min (a pseudonym), sent a consultation on polycystic ovary syndrome mail.

Menstrual disease "polycystic curse"?

Luo Min is 24 years old. Speaking of her polycystic ovary syndrome, from her menstruation. It is understood that her menstrual menarche, from the beginning to. She is 15 years old. At that time, her menarche, menstruation is particularly much, but time is long.

As a result, Luo min ran to the hospital, the doctor gave her to open a paste of Chinese medicine, eating Chinese medicine after menstruation will not, and then it is more normal. Later, I do not know how, menstruation slowly turned into two months to. At the age of 17, two times a year.

At the age of 17, Luo Min went to see a doctor, the doctor said to be caused by the pressure of learning, but also said that the conditioning will be good. So I didn't care. As a result, later learning has been more intense, so there is no good treatment of menstrual disease.

Until the age of 20, learning pressure slightly lighter, Luo Mincai began to pay attention to the problem of irregular menstruation. This time, Luo min ran to see Western medicine, the results were diagnosed with polycystic ovary syndrome. This diagnosis, she was a little puzzled, because the Internet is said to be obese people suffering from polycystic. But she is very thin, only more hair.

In order to cure, Luo Min did not say anything, under the guidance of a doctor. She had a year with that year, menstruation is normal, but they eat a lot of bad stopped. Therefore, find a doctor of traditional Chinese medicine, Chinese and Western medicine treatment. At that time, eat medicine is clomiphene citrate tablets. Effect is very good, but if the month to stop eating, menstruation will not come.

To consult a doctor, the doctor told her, "when you get married and have children, menstruation will be normal." The explanation could not satisfy Luo Min at all. "Now I do not ovulate, and more than a year to have a period of how can also have a child?" Luo Min wrote in an email.

"I don't know what to do, I hope you can help me, thank you."

Polycystic is not a patent for fat people

With Luo Min's question, the reporter interviewed Hangzhou Traditional Chinese Medical Hospital, deputy director of the Department of gynaecology, Dr. Zhao Hongli. Zhao doctors said that there are a lot of people on the polycystic ovary syndrome, there are many errors in the clinic often encounter many patients believe that only fat people suffering from polycystic". Actually otherwise.

"The study of polycystic ovary syndrome is far from over, and the diagnostic criteria are also developing. At present, the domestic standard is the Rotterdam standard in 2003:

1, thin hair ovulation or anovulation;

2. The clinical manifestations of hormone in Kaohsiung and / or Kaohsiung;

3, polycystic ovary: unilateral or bilateral ovarian follicles larger than 9mm in diameter of 2 ~ 12, and / or ovarian volume was more than 10ml.

4, the 3 in line with the 2 in Kaohsiung, hormone level and exclusion of other causes (after congenital adrenal hyperplasia, Cushing syndrome, androgen secreting tumors), the diagnosis can be made of PCOS. These diagnostic criteria are suitable for Chinese people, remains to be studied.

Thus, whether the diagnosis of polycystic ovary syndrome and people, is Never mind.

Zhao told reporters that polycystic ovary syndrome is the most common endocrine diseases in women, affecting 5% to 10% of women of childbearing age, accounting for about 1/3 of patients with menstrual disorders.

The purpose of treatment to short-term and long-term treatment to "the person"

"Because the underlying cause of PCOS is not clear, may be the" lifetime "exists (premenopausal), so the treatment of this disease is a long-term target for regulating the menstrual cycle: Recently, treatment of hirsutism and acne, weight control; the long-term target for the prevention of diabetes, endometrial, endometrial cancer and cardiovascular disease prevention. The clinical manifestations of PCOS, heterogeneous, specific needs of each patient is different, so clinicians treating this disease should distinguish between primary and secondary contradictions, "the person", that is according to the specific condition of patients, individualized treatment." Zhao said.

For example, for those who are pregnant. These people can choose to promote ovulation treatment, increase the chances of pregnancy. On the contrary, for no fertility requirements, should not be used, such as HMG clomiphene ovulation drugs, because of excessive application of ovulation will consume the ovarian reserve, there are reports that the risk may also increase ovarian cancer.

Luo sensitive situation, Dr. Zhao believes that she is very young, if there is no fertility requirements, it is not necessary to use clomiphene. As for Diane 35 can control the menstrual, have reduced male role, but after treatment, symptoms tend to return to the past, often palliatives. This kind of patient through proper traditional Chinese medicine conditioning, basic can restore normal reproductive endocrine state, have independent ovulation, achieve ideal treatment purpose.

Zhao also reminded that at the same time in the treatment must pay attention to adjust the way of life, a reasonable diet, and adhere to exercise. According to the study, polycystic ovary syndrome is often also insulin resistance, and type 2 diabetes, lipid metabolism and other metabolic disorders have a certain relationship.

In other words, if your elders have diabetes, then you have a higher probability of developing polycystic ovary syndrome. Of course, even if you have no relatives in people with diabetes, but you have meat every day and do not love sports, but also some suffering from metabolic diseases.

As with other metabolic diseases, they also have insulin resistance, either lean or fat people. In the treatment, if they can change the way of life, or the use of insulin sensitizer treatment, there will be a certain effect. Lifestyle changes, including eating fried foods, high cholesterol foods, to manage the mouth, moving his legs.

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