How to treat Polycystic Ovary Syndrome (PCOS)

Patient's question:

I was diagnosed with PCOS in 2006. Later, after being treated by a doctor, I gave birth to two boys in 2008. Now, I want a second child. I started seeing a doctor last year, but after a year and a half with no significant results, I gave up. My menstrual cycle has always been irregular.

Doctor's answer:

Hello, there are two treatment options for polycystic ovary syndrome (PCOS): one can be treated with medication, and the other with surgery. PCOS is caused by dysfunction of the hypothalamic-pituitary-ovarian axis, disrupting the interdependent regulation among these components, leading to prolonged anovulation in the ovaries. The typical clinical manifestations of this condition include menstrual disorders due to anovulation, such as amenorrhea, dysfunctional uterine bleeding, oligomenorrhea, or anovulatory cycles, often accompanied by hirsutism, obesity, infertility, bilateral ovarian enlargement or unilateral ovarian growth, as well as changes in hormone levels.

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