Patient's question:
NoDoctor's answer:
Hello, the effect of taking medication alone is too poor, and such drugs are also meaningless. Laparoscopic ovarian drilling or partial resection is the most effective treatment for PCOS. The pregnancy rate after surgery reaches over 90% within 6 months. However, PCOS is often accompanied by uterine septum or endometrial polyps. Diagnosis requires digital dynamic hysterosalpingography or hysteroscopy. If these conditions are present, hysteroscopic septoplasty and polypectomy should be performed, otherwise, it may lead to habitual abortion. Medication is an auxiliary measure after surgery and is ineffective when used alone. Even if menstruation becomes regular after medication, pregnancy will not occur, as these drugs are often contraceptives (such as Dian-35). The worst part is that symptoms immediately recur after stopping medication, making the treatment ineffective. Choosing appropriate auxiliary medications after surgery can quickly restore hormones and metabolism to normal levels, sometimes with immediate effects. Drug selection depends on the type, such as hyperandrogenemia and acne types, which can use Dian-35; high DHEA can use prednisone; hyperprolactinemia can use bromocriptine; hyperinsulinemia can use metformin; obesity can use lipid-lowering and weight-loss drugs; high 17-hydroxyprogesterone can use spironolactone (Aldactone); high estrogenemia can use tamoxifen, etc. The specific medication plan and duration still follow the principle of individualization and must be followed according to medical advice. Early treatment can prevent changes in body shape, prevent long-term stimulation of estrogen on the endometrium, and delay menopause, which may lead to endometrial cancer. If you have any questions, you can call for detailed consultation.