Medical Classroom

Be fat and ugly, beware of "polycystic ovarian syndrome"

2018-02-08 04:43:15


The following 7 symptoms, as long as there are 4 hooks, sputum may be patients with polycystic ovary syndrome (PCOS)

Four characteristics of polycystic ovarian syndrome

If your mother or sister has polycystic ovarian syndrome, the chances of developing polycystic ovary syndrome are greatly increased.
Most of the patients with polycystic ovary have obvious features, and it is estimated that polycystic ovary syndrome can be presumed from the clinic. Most of the signs from appearance to ultrasound and blood hormone tests can be diagnosed.

The following are four main observational features:
Obesity: Fat or full body, short-term weight gains rapidly and is difficult to decline. Especially in the abdomen, buttocks of subcutaneous fat.
Taking acne: skin condition is not good, there are acne, sebum is particularly strong and easy to produce oil.
There are many body hairs: there are many hairs on the limbs, and some women even have beards.
Black echinoderma: There is melanin deposition in the back of the neck, under the armpits, under the armpits.

A picture to understand polycystic ovary syndrome

Because of the obstacles in ovulation, there is no regular ovulation on time every month. These immature follicles that fail to be discharged accumulate around the ovaries. Under the ultrasonic waves, the ovaries seem to be filled with vesicles such as pearl necklaces. Ultrasonic examination revealed that there were many small follicles on both sides of the ovary, and at least ten or more; and patients with polycystic ovarian syndrome were unable to grow normally due to abnormal secretion of hormones.



Association with infertility

The most common cause of infertility is abnormal ovulation, mostly due to polycystic ovarian syndrome. The incidence of polycystic ovary disease is about 5-10%. At least one-third of the patients with polycystic ovary disease experience in the experience of diagnosis, and usually the disease has developed for many years, but they do not know, mostly because of marriage. I want to get pregnant but I don't go well. I only know that I have polycystic ovary syndrome.

Some young girls have long-term menstrual periods or disorders, and when they have contacts, they find that the situation is serious, because their own menstruation may not affect the future fertility, and patients with polycystic ovary are at high risk of infertility and abortion. Groups, diabetes, cardiovascular disease, endometrial cancer and other diseases are also more likely to be affected than the average person.


The main cause of infertility

Because of ovulation disorders or ovulation on time, it is always irregular for a long time; serious or even long-term non-ovulation causes amenorrhea, no ovulation has no chance of successful pregnancy. Or because of irregular ovulation, always in the wrong time, so eggs and sperm often can not meet.
Because women with polycystic ovary disease have abnormal ovarian function, they are prone to luteal function and have low temperature, so the risk of miscarriage is higher even in pregnancy.


How to treat

In addition to medication, eating habits, exercise, and maintaining normal weight, it is more effective in controlling hyperinsulinemia and lowering insulin resistance than on a single drug treatment, improving polycystic ovarian syndrome and promoting ovulation.
Among them, weight control is the most important. For obese patients with polycystic ovary syndrome, weight loss is the first to lose weight. Weight loss can often return to normal hormonal status, and then normal ovulation and reduced abortion.
People who have been diagnosed with polycystic ovarian syndrome cannot ignore this symptom even if they do not have any symptoms.
Improve your lifestyle, pay attention to your eating habits, and stay active to make your body healthier.

Weight control: weight loss often restores normal hormonal status
Multi-sports: improving insulin response
Diet control: should be light, and should eat less starch, increase protein intake, and avoid sweets
Ovarian and androgen inhibition: oral contraceptives
Reduce insulin resistance: drugs for treating diabetes
Stimulating ovulation: oral ovulation



Pregnancy real case

A 40 year old Ms. Shen was married for three years and her belly was still not moving until she was diagnosed with a patient with polycystic ovarian syndrome. Finally, with the help of Dean Zhong Jixian, a IVF treatment was given, and two blastocysts were implanted. The baby's heartbeat, the expected date of birth in October.


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