How to treat if pregnancy is not successful with Polycystic Ovary Syndrome (PCOS) during conception?

Patient's question:

Female, 29 years old, trying to conceive for over a year without success, irregular menstrual cycle, diagnosed by the doctor as PCOS, how should it be treated

Doctor's answer:

Polycystic ovary syndrome (PCOS) can lead to reduced menstrual flow, oligomenorrhea, and amenorrhea with anovulation. There are symptoms of androgen excess. Your testosterone test results are normal, and you don't have hirsutism. It's been a year since your last menstrual period, and you haven't sought treatment yet? The endometrial thickness is already 12 mm. Take progesterone soft capsules orally, wait for a week for your period to come, and take them for three cycles. Then, recheck the sex hormones on the third day of your period. The amenorrhea is caused by PCOS. Also check insulin and blood sugar levels to see if there is insulin resistance.

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