Patient's question:
How should patients with polycystic ovary syndrome control their weight if the condition does not improve with treatment? Thank you.Doctor's answer:
Polycystic ovary syndrome (PCOS) is caused by dysfunction of the hypothalamic-pituitary-ovarian axis, disrupting the interdependent relationships and regulation between these components, leading to prolonged anovulation. The typical clinical manifestations of this condition include menstrual disorders due to anovulation, such as amenorrhea, dysfunctional uterine bleeding, oligomenorrhea, or anovulatory cycles. It is often accompanied by hirsutism, obesity, infertility, bilateral ovarian enlargement or unilateral ovarian growth, as well as changes in hormone levels.Treatment methods include:
1. General treatment. Patients should actively engage in exercise and lose weight, which can help lower androgen levels and promote the restoration of ovulation.
2. Medication. Medication can counteract the effects of androgens and stimulate ovulation. The primary drugs used are oral contraceptives, which can also regulate the menstrual cycle.
3. Surgery. Minimally invasive surgery can address ovulation disorders. After normalizing hormone levels, pregnancy should be attempted under the guidance of a doctor.