Patient's question:
I would like to ask, what is the most effective treatment for polycystic ovary syndrome (PCOS)? I went to the hospital for a check-up, and the doctor said I have this condition. They performed a vaginal ultrasound and an endocrine test. The doctor prescribed Dian, but I don’t want to take it because the side effects are too frightening, and it can also cause weight gain. I would like to ask if there is a way to treat it with traditional Chinese medicine instead of Western medicine. Additionally, the doctor who treated me mentioned there is a medication similar to Dian that has a similar effect and won’t cause weight gain. I would like to ask what that medication is. Below are the test results: the uterus is 6.04.23.2 in size with smooth contours, uniform uterine wall echoes, an endometrial thickness of about 0.5 cm, and both ovaries are of normal size with atypical polycystic changes.Doctor's answer:
Analysis of the condition: Based on your test results, there is a possibility of polycystic ovary syndrome (PCOS). PCOS is more common in women of reproductive age (20-40 years old) and is characterized by irregular menstruation, amenorrhea, anovulation, hirsutism, obesity, infertility, and bilateral ovarian enlargement with cystic changes. Patients may exhibit all typical symptoms or only some of them, but infertility due to ovulation disorders is the main clinical manifestation of PCOS.Guidance:
It is recommended to undergo standardized treatment.
1. First, exercise should be strengthened, diet should be controlled, and hypometabolic drugs should be taken to reduce weight, which is beneficial for lowering insulin and androgen levels, as well as restoring ovulation and fertility.
2. Medication can counteract the effects of androgens and promote ovulation in the ovaries. Oral contraceptives or Diane-35 can be used. Generally, medication is taken for 3-6 months, and it can be discontinued after normal hormone levels are detected.
3. If the above two methods do not yield satisfactory results, laparoscopic surgery can be considered.