Patient's question:
Hello, must women with polycystic ovary syndrome take hormone medication?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. As a result, the ovaries fail to ovulate regularly over a long period, leading to infertility. It is a lifelong condition, but with effective treatment, it does not affect fertility or quality of life.There are two main treatment methods for PCOS: medication and surgery. Medication is generally not very effective. 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, thereby alleviating interference with the hypothalamic-pituitary-ovarian axis function. 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. After minimally invasive surgery, pregnancy can typically be achieved as early as the second month.