What to do if you suffer from polycystic ovary syndrome

Polycystic ovary syndrome can be intervened by adjusting lifestyle, medication, surgery, etc.

1. Adjust your lifestyle

Maintaining a regular schedule can help improve endocrine disorders. It is recommended to ensure 7-8 hours of sleep every day. Appropriate aerobic exercise, such as brisk walking, swimming, etc., for more than 150 minutes per week can help control weight and improve insulin resistance. In the diet, it is necessary to reduce the intake of high glycemic index foods, increase the proportion of whole grains and dietary fiber, and pay attention to supplementing vitamin D and calcium.

2. Oral contraceptives

Ethinyl estradiol cyproterone tablets can regulate the menstrual cycle and improve symptoms of hyperandrogenism. Drospirenone and ethinylestradiol tablets can inhibit the excessive secretion of androgens from the ovary. Desogestrel and ethinylestradiol tablets can improve symptoms of acne and hirsutism. It needs to be used under the guidance of a doctor to evaluate the effect after 3-6 months, and pay attention to monitoring liver function.

3. Insulin sensitizer

Metformin hydrochloride enteric-coated tablets are suitable for patients with insulin resistance and can improve glucose metabolism. Pioglitazone and metformin tablets can enhance the uptake and utilization of glucose by peripheral tissues. Blood sugar and renal function need to be monitored regularly during medication, as gastrointestinal adverse reactions may occur.

4. Ovulation induction treatment

Letrozole tablets promote follicle development by inhibiting estrogen synthesis. Clomiphene citrate capsules stimulate the pituitary gland to secrete gonadotropins. Urinary gonadotropin injection directly acts on the ovary to promote ovulation. When used, it needs to be accompanied by ultrasound to monitor follicle development.

5. Surgical treatment

Laparoscopic ovarian drilling is suitable for patients who have failed drug treatment. 4-10 holes are drilled on the ovarian surface through electrocoagulation or laser. Wedge resection of the ovaries is now rarely used and is considered only in special circumstances. Postoperative adhesions need to be prevented and hormone levels reviewed regularly.

It is recommended to establish a long-term health management plan and review hormones and ultrasound every 3-6 months. Keep your BMI between 18.5-23.9, quit smoking, limit alcohol consumption, and avoid staying up late. It can be combined with traditional Chinese medicine conditioning such as acupuncture, auricular acupuncture and other auxiliary treatments. Patients preparing for pregnancy need to develop an individualized plan under the guidance of a reproductive specialist, and pay attention to recording basal body temperature and ovulation status.