Patient's question:
BR>Since my menstruation started (at the age of 16), it has never been very regular. It usually comes about every two months, and during school, I often took traditional Chinese medicine, but it never improved. Recently, I had another check-up, and the results are as follows: I was prescribed three months of hormone supplements. During the medication period, it came once a month, but after stopping the medication, it stopped again. Can I skip regulation now and wait until before I get married and want to have a child to slowly adjust it at the hospital? I’m afraid that taking too many medications will affect my future fertility.History of previous diagnosis and treatment, as well as effectiveness:
1. Ultrasound results showed: anteverted uterus, normal size, clear uterine cavity line, endometrial thickness of 0.31 cm, uniform uterine wall echo, and bilateral ovaries.
Doctor's answer:
Hello, 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, etc. The infertility rate is approximately 75%, with primary infertility being more common. The characteristics of this syndrome include: anovulation, ovarian enlargement, and polycystic ovaries; polycystic ovaries produce 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 with iodized oil or hysteroscopy. If present, a hysteroscopic septoplasty or polypectomy should be performed, as otherwise, it may lead to habitual abortion.
The benefits of early treatment for PCOS are as follows:
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 body shape changes – Approximately half of PCOS patients are obese. If not treated in time, weight gain will continue to increase, and no medication can alter the body shape. Therefore, timely treatment is essential.