Patient's question:
Started experiencing irregular menstruation in October 2013, with periods occurring every 50 days or so. After being married for half a year without getting pregnant, I went to the hospital because I wanted to have a child. The hospital diagnosed me with bilateral fallopian tube blockage and polycystic ovary syndrome. Now, the fallopian tubes have been treated, but menstruation and ovulation are still abnormal.Doctor's answer:
On the 2-4 days of the woman's menstrual period, check endocrine (sex hormones) and antibodies on an empty stomach in the morning; after the menstrual period is clean, perform a vaginal ultrasound to examine the endometrial thickness and blood flow, as well as the development and ovulation of eggs in the ovaries; and do a fallopian tube on days 3-7 after the menstrual period is clean.The consensus for diagnosing polycystic ovary syndrome (PCOS) is as follows:
1. Menstrual disorders or infrequent ovulation (clinical symptoms).
2. Polycystic ovary appearance (confirmed by ultrasound imaging).
3. Clinical (infertility, hirsutism, obesity, acne) or laboratory (elevated androgens) signs of androgen elevation. Two of the three must be met, and other endocrine diseases such as congenital adrenal hyperplasia, androgen tumors, hyperprolactinemia, etc., must be ruled out to diagnose PCOS.
The most important thing is not whether you wear the "hat" of PCOS, but rather to determine your ovulation status. If you do not ovulate or have infrequent ovulation, there is no chance of pregnancy. If you want to get pregnant, you should undergo ovulation induction, which is a fundamental principle.