Patient's question:
Medical history: Irregular menstruation. The doctor said it might be polycystic ovaries.First follow-up question: I have been taking Dian 35 for nearly a year. Can Dian 35 treat polycystic ovaries?
However, during the medication period, my menstruation is normal. If I stop taking the medication, I don’t get my period.
What should I do in this case?
I am married and want to have children.
Second follow-up question: Thank you for the answers from fanzhenli and Qingchun Tonglu. I would like to ask one more thing: If surgery is performed, how long does it usually take? What are the approximate costs? Is it necessary to
Doctor's answer:
Hello: The main goal of polycystic ovary syndrome (PCOS) treatment is to establish a normal ovulatory menstrual cycle, restore fertility, and eliminate hirsutism. Once a normal menstrual cycle is established, pregnancy can occur, the ovaries no longer produce excessive androgens, and hirsutism also disappears. The methods to restore a normal menstrual cycle are as follows.(1) Clomiphene, also known as chlorphenesin or Serophene. It is now widely recognized as the first-line treatment for PCOS. Clomiphene induces the hypothalamus to release gonadotropin-releasing hormone (GnRH), which in turn promotes the pituitary to release follicle-stimulating hormone (FSH), thereby promoting normal follicular development. Elevated FSH levels are key to inducing ovulation in PCOS patients. Clomiphene treatment can induce ovulation in more than 80% of patients. The specific dosage is 50 mg once daily, starting from day 5 of the menstrual cycle, for 5 consecutive days. Ovulation typically occurs 7–10 days after starting the medication. If treatment is ineffective after 1–2 cycles, the dose can be increased to 100 mg daily for 5 days. During treatment, basal body temperature is measured to observe for the presence of an ovulatory biphasic pattern.
(2) Ovarian wedge resection, which involves removing a wedge-shaped portion of the ovary. Before the introduction of clomiphene, the treatment for PCOS was ovarian wedge resection. The efficacy was significant. Most patients ovulated and became pregnant shortly after surgery. With the availability of clomiphene, ovarian wedge resection is rarely used today and is reserved only for patients who do not respond to medical treatment.