Polycystic change of the ovaries

Patient's question:

No

Doctor's answer:

Polycystic ovary syndrome (PCOS) is an endocrine disorder characterized by enlarged ovaries containing numerous small fluid-filled cysts, elevated androgen levels, and an inability to ovulate. The primary symptoms in patients include menstrual irregularities, typically ranging from oligomenorrhea (infrequent periods) to amenorrhea (absence of periods). Due to excessively high androgen levels and impaired ovulation, infertility may occur.
Treatment should focus on the following three aspects:
1. General treatment: Patients should actively engage in exercise, reduce the intake of high-fat and high-sugar foods, and lower their weight. This can help lower androgen levels, which is beneficial for restoring ovulation.
2. Medication: Medication can counteract the effects of androgens and promote ovulation. The primary drugs used are oral contraceptives, which also help regulate the menstrual cycle.
3. Laparoscopic surgical treatment: If the above methods are ineffective, laparoscopic surgery may be considered. Under laparoscopy, the surgeon punctures the follicles to reduce androgen levels, thereby achieving the therapeutic goal.

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