Patient's question:
The patient is 20 years old this year and was diagnosed with hyperthyroidism at the age of 14. Previously, they took propylthiouracil and Jiazhongling. In the past two years, they stopped taking Jiazhongling. According to the follow-up in May and June of 2013, the hyperthyroidism indicators have basically returned to normal, but the immune function is still lacking.Since the patient's first menstrual period at the age of 14, they have experienced irregular menstruation, with periods occurring only once every few months, and each period may last for a month. It was originally thought that the irregular menstruation was caused by hyperthyroidism. However, even after the improvement of hyperthyroidism symptoms, the menstrual irregularity has not improved. Therefore, last year, they underwent a gynecological ultrasound examination, which revealed polycystic ovary syndrome. They started taking Dian35. During the medication period, they occasionally stopped taking it for one or two months to see if the menstruation returned to normal. So far, whenever they stop taking the medication, their menstruation stops as well.
Doctor's answer:
The diagnostic criteria for polycystic ovary syndrome (PCOS) include meeting at least 2 of the following 3 items:1. Oligoovulation or anovulation, meaning infrequent menstruation or amenorrhea;
2. Elevated androgens or signs of hyperandrogenism, such as hirsutism or acne;
3. Polycystic ovaries, meaning the presence of multiple small follicles.
Each of these items has a clear definition and requires medical judgment, such as what constitutes infrequent menstruation (e.g., cycle length) and how many follicles in the ovaries qualify as polycystic. Additionally, other causes of hyperandrogenism and menstrual disorders must be ruled out. Therefore, it is best to seek a definitive diagnosis from a reputable hospital.