Patient's question:
Yesterday, it was found that I have polycystic ovary syndrome. On the fourth day of my period, I had six tests, and my luteinizing hormone was high. No ultrasound was done, such as color Doppler or transvaginal ultrasound. The doctor said I have polycystic ovary syndrome. Previously, I had an ultrasound at another hospital, and the uterus was fine. I want to ask if this could be a misdiagnosis.Doctor's answer:
Hello, Polycystic Ovary Syndrome (PCOS) is also known as Polycystic Ovary Disease, and its cause remains unclear to this day. Currently, the medical community believes that this condition is primarily related to endocrine dysfunction. It is often triggered by factors such as mental stress, the abuse of drugs, or other diseases, leading to endocrine disorders in the hypothalamus-pituitary-ovary axis. This disrupts the balance between follicle-stimulating hormone (FSH) and luteinizing hormone (LH) secreted by the pituitary gland. Due to the decrease in FSH and the increase in LH, the ovarian follicles fail to develop fully and cannot ovulate, forming cystic follicles, which eventually lead to polycystic ovaries. Clinically, it is characterized by chronic anovulation, amenorrhea, or oligomenorrhea, infertility, obesity, hirsutism, and polycystic enlargement of the ovaries. Diagnosis can be confirmed through ultrasound examinations and hormone level tests. Western medicine typically uses hormonal medications for treatment, but long-term use of such drugs can damage the liver and kidneys. It is recommended that you take "Guiling Xiaoyuan Wan," which is a traditional Chinese medicine preparation and has a very effective treatment outcome.