Patient's question:
The doctor said I have a gynecological endocrine disease.Doctor's answer:
The main endocrine glands in the human body are: the pituitary gland, ovaries (female)/testes (male); the adrenal glands, thyroid gland, parathyroid glands, etc.Gynecological endocrinology is a specialized field within obstetrics and gynecology: it primarily focuses on ovarian endocrinology, strictly speaking, the "hypothalamus-pituitary-ovary" axis. The treatment targets include:
1. Menstrual disorders, functional uterine bleeding, and amenorrhea caused by the hypothalamus, pituitary gland, or ovaries.
2. Menstrual disorders, oligomenorrhea, and amenorrhea caused by hyperprolactinemia.
3. Premenstrual and menstrual tension syndrome; menopausal syndrome, etc.
4. Benign and malignant breast diseases (such as hyperplasia and breast lumps) closely related to ovarian endocrinology (should be classified under breast surgery).
5. Early pregnancy tests, induced abortions, and medical abortions.
6. Infertility and subfertility caused by ovarian dysfunction, such as polycystic ovary syndrome (PCOS), ovulation disorders, and luteal phase deficiency leading to spontaneous or habitual abortions; menstrual disorders, ovulation disorders, and infertility caused by hyperprolactinemia.
7. Ovarian cysts; benign gynecological diseases closely related to ovarian endocrinology, such as uterine fibroids, adenomyosis, and endometriosis.
8. Ovarian malignancies; endometrial cancer (should be classified under gynecological oncology), with an additional note: cervical cancer (gynecological oncology) is unrelated to ovarian endocrinology but is associated with chronic local irritation.
Endocrinology is a specialized field within general internal medicine, primarily treating:
Hyperplasia of the adrenal cortex, hyperadrenocorticism;
Hyperthyroidism, hypothyroidism, and other thyroid diseases;
Diabetes caused by insulin abnormalities;
Growth hormone deficiency leading to short stature, and excessive growth hormone causing abnormal height, etc.
Gynecological endocrinology (pituitary gland, ovaries) and internal medicine endocrinology (adrenal glands, thyroid, etc.) can be interconnected. For example, some menstrual disorders are related to hyperadrenocorticism, while others are linked to hyperthyroidism. In some cases, integrated treatment by both gynecological endocrinology and internal medicine endocrinology is required.