Patient's question:
I have had irregular menstruation since I was a child. Sometimes it could be as long as half a year between periods. In 2009, I was diagnosed with polycystic ovary syndrome after being tested for six sex hormones.Doctor's answer:
Increase exercise to reduce weight, correct endocrine and metabolic disorders exacerbated by obesity, reduce insulin resistance and hyperinsulinemia, lower IGF-1, increase IGfBP-1, and simultaneously increase SHBG to reduce free androgen levels. Weight loss can restore ovulation in some obese women with PCOS and prevent the occurrence of type 2 diabetes and cardiovascular diseases. Metformin treatment can be used for both diabetic and non-diabetic individuals, effectively reducing weight, improving insulin sensitivity, lowering insulin levels, reducing hair growth, and even restoring menstruation (25%) and ovulation. Since obesity and insulin resistance are the main causes of PCOS, any medication that can reduce weight and increase insulin sensitivity can treat this syndrome.