Patient's question:
Polycystic ovary syndrome, is it better to take hormone medication prescribed by the doctor or to regulate menstruation with traditional Chinese medicine? I had six hormone tests done at the hospital, and my testosterone levels were high. The doctor said I have typical polycystic ovary syndrome and that it may lead to infertility in the future. He prescribed Dian 35, a hormone medication. I want to know if this medication has significant side effects and whether it can cause harm to the uterus or ovaries. Is it necessary to take hormone medication for this condition? Can it be regulated through traditional Chinese medicine or by paying attention to diet alone? I haven't given birth yet, and I really don't dare to take hormone medication because I'm afraid of the side effects being too severe.Doctor's answer:
Hello: Polycystic ovary syndrome (PCOS) is caused by dysfunction of the hypothalamic-pituitary-ovarian (HPO) axis, disrupting the interdependent regulation among these components. As a result, the ovaries fail to ovulate regularly, leading to infertility. This is a lifelong condition, but effective treatment can ensure that it does not affect fertility or quality of life.There are two main treatment methods for PCOS: medication and surgery. Medication is often not ideal. If conservative treatment with medication does not yield results within 3-6 months, advanced minimally invasive surgery should be considered early. Minimally invasive surgery can reduce androgen levels, alleviating interference with the HPO axis. This helps restore the luteinizing hormone (LH)/follicle-stimulating hormone (FSH) ratio to normal, allowing follicles to develop and mature properly, leading to ovulation.
This surgical approach can restore ovulation function in over 90% of patients, with postoperative pregnancy rates exceeding 70%. Laparoscopic surgery for this condition is characterized by simple procedures, minimal postoperative pelvic adhesion, and rapid recovery. Typically, pregnancy can be achieved as early as the second month after minimally invasive surgery.
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