Patient's question:
Detailed medical condition and consultation purpose: The doctor mentioned polycystic ovary syndrome, and what other tests can confirm this?Auxiliary tests: Six endocrine tests
Medical history: Irregular menstruation
Duration and onset of the current illness: I haven't had my period for two months now, and I also have abdominal pain. I took the traditional Chinese medicine prescribed by the doctor, and it worked when I took it, but stopped working when I didn't. This time, even after taking the medicine for two weeks, it hasn't come yet (usually, it comes after one week of taking the medicine). So, am I now completely relying on medication to get my period? ?? What about the duration of treatment to regulate it? Because I don't want to have a child right now.
Doctor's answer:
Polycystic Ovary Syndrome (PCOS) DiagnosisDiagnosis includes laboratory tests. Typical PCOS, also known as the Stein-Leventhal syndrome, is not difficult to diagnose, but atypical cases should undergo necessary experimental tests and ovarian pathology examinations.
1. Hormone Testing
(1) Gonadotropins: Approximately 75% of patients have elevated LH, normal or decreased FSH, and an LH/FSH ratio ≥3.
(2) Steroid Hormones
1. Androgens, including testosterone, dihydrotestosterone, androstenedione, and 17-ketosteroids, are elevated. Due to decreased SHBG, free androgens increase.
2. Total estrogen levels can reach 140 pg/ml, and estradiol is comparable to early follicular levels, approximately 60 pg/ml. Increased extragonadal estrone production leads to an E1/E2 ratio ≥1.
3. Adrenal DHEAS production increases, with plasma concentrations ≥3.3 μg/ml, and 17-hydroxyprogesterone also rises (normal