Patient's question:
Female. 27 years old. Married. No sexual history. Started menstruating in primary school, and ever since middle school, high school, and even college, her periods were never regular—sometimes monthly, sometimes yearly, and sometimes she wouldn’t have one for a year… When she did have her period, it didn’t cause cramps. Later, she took Chinese and Western medicine intermittently. During her studies, her lifestyle wasn’t healthy, and she didn’t restrict her diet—she ate a lot of cold and spicy food, so she has always been quite overweight. After the training, she never really addressed the issue of her menstruation. Acne wasn’t severe—just occasional breakouts—and she didn’t have excessive hair growth. Two years ago, she weighed over 140 pounds, and now she’s around 120. She’s 158 cm tall. She hasn’t had her period for over a year. She just wants her period to return so she doesn’t keep losing hair—she’s almost bald. Today, she got a thorough examination and was diagnosed with polycystic ovary syndrome. How should she treat it?Doctor's answer:
Polycystic ovary syndrome (PCOS) can lead to reduced menstrual flow, infrequent menstruation, and anovulatory amenorrhea. There are symptoms of increased testosterone. 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. Your endometrial thickness is now 12 mm. Take progesterone soft capsules orally for three days, and wait for your period to come in one week. On the fifth day of your period, start taking Dian-35. Take it for three cycles. Then, on the third day of your next period, recheck your sex hormones. The amenorrhea is caused by PCOS. Also check your insulin and blood sugar levels to see if there is insulin resistance.