Patient's question:
Last August, while playing at the beach and getting into cold water, I realized I had my period. That period was dark brown and lasted for over twenty days. After taking Motherwort and Bao Gong capsules, it stopped, but then it didn't come back. However, my underwear is always dirty, often with dark brown discharge, not like a period, and there's also a bad odor!Doctor's answer:
The diagnostic consensus for Polycystic Ovary Syndrome (PCOS) is as follows:1. Menstrual disorders or oligo-ovulation (clinical symptoms).
2. Polycystic ovarian morphology (confirmed by ultrasound imaging).
3. Clinical (infertility, hirsutism, obesity, acne) or laboratory evidence of hyperandrogenism (elevated androgens).
If at least two of these three criteria are met, and other endocrine disorders such as congenital adrenal hyperplasia, androgen tumors, or hyperprolactinemia are excluded, a diagnosis of PCOS can be made.
The primary goal of PCOS treatment is to establish normal ovulatory menstrual cycles, restore fertility, and eliminate hirsutism. Currently, there is no cure for PCOS, and treatment is primarily symptomatic. It is not advisable to delay menstruation for an extended period, as this increases the risk of endometrial cancer.