Patient's question:
Detailed medical condition and consultation purpose: I got married in May this year, but didn't get pregnant until August or September. I went to the hospital for a check-up and was diagnosed with polycystic ovary syndrome (PCOS). The doctor prescribed me a medication called "Diane," which is both a birth control pill and a regulator for your menstrual cycle. I started taking it on the fifth day of my period. Since October, I have taken two boxes of it so far. After taking the medication, my period became regular (PCOS seems to appear more often in obese people, and it often causes irregular periods and underdeveloped follicles). Starting this month, I am taking a medication called "Clomiphene Citrate Capsules," which promotes follicular development. However, this medication can cause...Doctor's answer:
Polycystic Ovary Syndrome (PCOS) is one of the main causes of infertility. It is a common endocrine disorder in women, with typical clinical manifestations including: oligomenorrhea, infertility, hirsutism, and obesity. The infertility rate is approximately 75%, with primary infertility being more common.The characteristics of this condition include: anovulation, enlarged ovaries with multiple cysts; polycystic ovaries producing excessive androgens or hormonal imbalances; and changes in hormone levels are of great significance to the clinical manifestations and diagnosis of the disease.
Laparoscopic ovarian drilling is the most effective treatment for PCOS, with a postoperative pregnancy rate exceeding 90%. However, PCOS is often accompanied by uterine septum or endometrial polyps. A definitive diagnosis requires digital dynamic hysterosalpingography with iodized oil or hysteroscopy. If present, a hysteroscopic septoplasty or polypectomy should be performed, as otherwise, it may lead to habitual abortion.
Benefits of Early Treatment for PCOS
1. Treating Infertility – Postoperative pregnancy rates can reach over 90%, and menstruation will gradually return to normal.
2. Preventing Malignant Tumors – Long-term and continuous stimulation of the endometrium by estrogen, along with delayed menopause, can lead to endometrial cancer.
3. Preventing Body Shape Changes – Approximately half of PCOS patients are obese. If left untreated, weight gain will continue regardless of medication, so timely treatment is essential.
If you are currently undergoing ovulation induction, consider trying it for three months to see if pregnancy occurs. If you are unable to conceive, it is recommended to undergo laparoscopic surgery for treatment.