Patient's question:
Doctor, hello. I have had my period twice in a year, and I only get it after taking progesterone. She didn't do any tests and said it was polycystic ovary syndrome (PCOS). After taking progesterone for three months, my periods stopped if I didn't take it. I went to the hospital again for an ultrasound, and the results showed an endometrial thickness of 6.9 mm, left ovary size 3433 mm, with 2521 mm fluid-filled areas inside, good sound transmission, right ovary size 3517 mm, with over 10 small follicular echoes inside. No obvious abnormal blood flow signals were seen in the pelvic cavity. The endometrium is of medium thickness with slightly increased echo intensity. The left ovary shows a cyst, and the right ovary shows polycystic changes. The doctor said I have pelvic inflammatory disease (PID) and prescribed medication, but it hasn't been very effective. I've been experiencing lower back pain, poor sexual function, hair loss, and insomnia.Doctor's answer:
Medication can counteract the effects of androgens and promote ovulation in the ovaries. The primary drugs used are oral contraceptives, which can also regulate the menstrual cycle. Generally, the medication is taken for about 3-6 months, and it can be discontinued after normal hormone level tests. Laparoscopic surgery may also be considered.Irregular menstruation not only affects the patient's physical health but can also lead to gynecological diseases. Therefore, it is best to undergo a vaginal examination at the gynecology department of a hospital to identify the cause and receive targeted treatment. Additionally, maintaining good personal hygiene and keeping the perineal skin clean is important.