Patient's question:
Married for 3 years without pregnancy, diagnosed with polycystic ovary syndrome in 2005. Irregular menstruation, low volume. Took "Dian 35" for 3 months, and started taking "Clomiphene" this month. Not sure if I can get pregnant this month. Undergone auxiliary examinations such as iodine oil contrast, immunological infertility, endocrine, etc., with no abnormalities. Uterus is anteverted, bilateral multiple follicles, right ovary is larger, and testosterone is elevated.Doctor's answer:
Hello, you need to choose laparoscopic surgery.Polycystic ovary syndrome (PCOS) is one of the main causes of infertility. It is a common endocrine disorder in women, with typical clinical manifestations including: oligomenorrhea, infertility, hirsutism, and obesity. The infertility rate is approximately 75%, with primary infertility being more common.
The characteristics of this condition include: anovulation, enlarged ovaries with multiple cysts; polycystic ovaries producing excessive androgens or hormonal imbalances; changes in hormone levels are of great significance to the clinical manifestations and diagnosis of the disease.
Laparoscopic ovarian drilling is the most effective treatment for PCOS, with a postoperative pregnancy rate of over 90%. However, PCOS is often accompanied by uterine septum or endometrial polyps. A definitive diagnosis requires digital dynamic hysterosalpingography or hysteroscopy. If present, hysteroscopic septoplasty and polypectomy should be performed, as otherwise, it may lead to habitual abortion.
Benefits of early treatment for PCOS
1. Treating infertility – Postoperative pregnancy rates can reach over 90%, and menstruation will gradually return to normal.
2. Preventing malignant tumors – Long-term and continuous stimulation of the endometrium by estrogen, combined with delayed menopause, can lead to endometrial cancer.
3. Preventing changes in body shape – Approximately half of PCOS patients are obese. If not treated in time, they will continue to gain weight regardless of any medication, and their body shape cannot be changed. Therefore, timely treatment is essential.