Patient's question:
Problem Description: The examination results show small follicles in the ovaries, but there are no echo-free areas. If the endocrine test indicates high androgen levels, does this necessarily mean Polycystic Ovary Syndrome (PCOS)?Doctor's answer:
Hello: Hyperandrogenemia refers to the condition where androgen levels are excessively high and their activity is too strong in women. Typical symptoms include hirsutism, menstrual disorders, and infertility. In some cases, hyperandrogenemia is caused by specific conditions such as adrenal and ovarian tumors, adrenal cortical hyperplasia, Cushing's syndrome, hyperprolactinemia, or medication-induced effects. Our hospital is a specialized institution for treating infertility and primarily uses medication and surgical interventions to manage hyperandrogenemia.(1) Medication Treatment: The goal is to suppress androgen production or block androgen activity, control weight, and reduce hirsutism.
(2) Surgical Treatment: When medication is ineffective and there is no desire for further fertility, women with excessive ovarian-derived androgens may undergo bilateral oophorectomy. Polycystic ovary syndrome (PCOS) patients who wish to conceive can undergo laparoscopic electrocautery or laser ablation to remove polycystic ovaries, thereby reducing androgen levels and promoting ovulation.
We recommend that you visit our hospital to identify the underlying cause and seek early treatment. Wishing you good health!