Patient's question:
1. Pregnant in October 2013, prenatal examination in January 2014 revealed neural tube defect (anencephaly), so I underwent induced abortion at our county maternal and child health hospital. Postoperatively, I did not have a menstrual period for two months. The doctors at the county maternal and child health hospital diagnosed me with polycystic ovary syndrome and prescribed Dian 35 for three months, with follow-up to be determined based on the situation.2. I have chronic hepatitis B with high levels of hepatitis B surface antigen. Two months after taking Dian 35, my blood test showed elevated alanine aminotransferase (ALT). On June 1, 2014, my ALT was 115, and my aspartate aminotransferase (AST) was 41. During this period, I took silymarin, and on June 10, at the city maternal and child health hospital, my ALT was 97.5, and my AST was 47.80. I then stopped taking silymarin and switched to glycyrrhizin capsules. On June 28, at the county people's hospital, my ALT was 130.
3. On June 10, I underwent hepatitis B DNA qualitative and quantitative testing at the city people's hospital. The results were: qualitative: positive, quantitative: 2.74E+07.
Doctor's answer:
Hepatitis B is in an active phase, and it can also cause elevated transaminase levels, making immediate pregnancy unsuitable, as both maternal and fetal complications would be high. It is recommended to first treat the hepatitis B. Polycystic ovary syndrome (PCOS) is characterized by infrequent ovulation, making it difficult to conceive but not absolutely impossible. Monitoring follicles or basal body temperature can guide intercourse to improve the chances of conception, or ovulation induction measures can be taken after the hepatitis B stabilizes. Dian can indeed worsen liver function abnormalities, so it is advised to avoid it for now. Regular progesterone withdrawal bleeding can be used to control the menstrual cycle, with each cycle not exceeding two months. If overweight, active exercise combined with dietary control and weight management should be pursued, which is highly beneficial for restoring ovulation.