Patient's question:
I have polycystic ovary syndrome and high androgen levels, with anovulation. I have taken clomiphene twice for ovulation induction, but the follicles did not develop. I urgently need to have a child. I am 20 years old. Is surgery suitable for me?Doctor's answer:
Polycystic ovary syndrome (PCOS) is characterized by menstrual disorders, amenorrhea, anovulation, hirsutism, obesity, infertility, and bilateral ovarian enlargement with cystic changes. Medication treatment is recommended. Medications can counteract the effects of androgens and promote ovulation. The main drugs used are oral contraceptives, which can also regulate the menstrual cycle. Generally, the medication is taken for about 3-6 months, and it can be stopped after normal hormone levels are detected. Laparoscopic surgery can also be considered. Under laparoscopy, the surgeon punctures the follicles to reduce androgen levels, thereby achieving the therapeutic goal. Prognosis: maintaining a healthy weight and following a low-calorie diet is beneficial.