Patient's question:
I am 26 years old, and my menstruation has been irregular since my first period at the age of 14. After being diagnosed by a doctor with polycystic ovary syndrome (PCOS), repeated adjustments have not shown improvement, and I am a bit desperate. The doctor said that when I want to have children, further treatment will be required. So, may I ask, can I stop taking medication now and wait until after I get married to start treatment when I want to have children? What consequences might this have?Yesterday I had a B.
Doctor's answer:
Hello, based on the endometrial thickness, it seems like your period is coming soon. You can wait a bit longer to see.Additionally, Polycystic Ovary Syndrome (PCOS) is one of the main causes of infertility. It is a common endocrine disorder in women, with typical clinical manifestations including: irregular menstruation, difficulty conceiving, hirsutism, obesity, etc. The infertility rate is approximately 75%, with primary infertility being more common.
The characteristics of this condition include: anovulation, enlarged ovaries with polycystic changes; polycystic ovaries producing excessive androgens or hormonal imbalances; changes in hormone levels are significant for the clinical presentation and diagnosis of the disease.
Laparoscopic ovarian drilling is the most effective treatment for PCOS, with a postoperative pregnancy rate of over 90%. However, PCOS is often accompanied by uterine septum or endometrial polyps. A definitive diagnosis requires digital dynamic hysterosalpingography with iodinated oil or hysteroscopy. If these conditions are present, hysteroscopic septoplasty and polypectomy should be performed, as otherwise, it may lead to habitual abortion.
Benefits of Early Treatment for PCOS
1. Treating Infertility – Postoperative pregnancy rates can reach over 90%, and menstruation will gradually return to normal.
2. Preventing Malignant Tumors – Long-term and continuous stimulation of the endometrium by estrogen, combined with delayed menopause, can lead to endometrial cancer.
3. Preventing Body Shape Changes – Approximately half of PCOS patients are obese. If not treated in time, weight gain will continue regardless of medication, and body shape cannot be altered. Therefore, timely treatment is essential.