Patient's question:
I have had very irregular menstruation for the past 45 months. On the 78th day of the month, it comes for about 5 days, but then around the 25th, it comes again, lasting 23 days. The flow is mostly dark red and very light, like leukorrhea, with some black, sticky clumps, like jelly-like substances, which are quite disgusting. Today, I had an ultrasound to thoroughly examine the uterus and adnexa.Uterus: The uterus is in an anterior position, with an anteroposterior diameter of about 2.9 cm. The myometrium has uniform echoes, and no lesions are observed. The endometrium shows no fusion or abnormal echoes.
Adnexa: Multiple cystic, anechoic lesions, approximately 5 mm in size, are observed in both adnexal regions.
The doctor said it might be polycystic ovary syndrome (PCOS) and suggested I get a test for "testosterone" among the six hormone tests. I feel this condition is quite frightening. I just did some research and found that some of the symptoms match, which made me even more scared. I hope experts can help me make an educated guess.
Doctor's answer:
From the ultrasound results, both ovaries appear polycystic, with a high possibility of polycystic ovary syndrome (PCOS). PCOS is caused by endocrine disorders, and its clinical manifestations include menstrual disorders, amenorrhea, infertility, obesity, hirsutism, and acne, among others. The commonly used medication for treating PCOS is Dian35. It is recommended to undergo a six-item sex hormone test. If the results show LH/FSH greater than 2, PCOS can be diagnosed. Oral Dian35 should be taken to regulate the endocrine system for treatment, and it can also be combined with traditional Chinese medicine for regulation.