Patient's question:
Girl, 15 years old, had her first menstrual period in July 2012, and her menstruation was relatively normal. Starting from 2013, her menstruation was always incomplete, with monthly menstruation always dripping.Doctor's answer:
Increase physical activity 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 drug that can reduce weight and increase insulin sensitivity can treat this syndrome.