Patient's question:
I have been to the hospital many times. The doctor said it can only be treated with medication. Now, I can only rely on medication to regulate my menstrual cycle. If I stop taking the medication, it won't come. Today, I read online that this condition can lead to infertility—is that true? Can someone tell me? I'm only 20 years old and haven't found a boyfriend yet. If I really can't have children in the future, how will I get married?Doctor's answer:
Hello:It can lead to infertility and requires active treatment.
The main goal of 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 clomiphene citrate or Serophene. It is now widely recognized as the first-line treatment for PCOS. Clomiphene induces the release of gonadotropin-releasing hormone from the hypothalamus, which in turn promotes the release of follicle-stimulating hormone (FSH) from the pituitary gland, 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 for 1–2 cycles is ineffective, the dose can be increased to 100 mg daily for 5 days. During treatment, basal body temperature is measured to observe for 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 medication.
（3）Traditional Chinese medicine. The method of invigorating blood and tonifying the kidneys is used to induce ovulation