It is quite difficult to completely cure a disease like polycystic ovary syndrome, which leads to many patients being unable to control the development of their disease in the first place. Their condition will worsen again and again, and will eventually completely affect their daily lives. If the condition worsens, you can drink some Chinese herbal medicine to regulate your body, which can fundamentally treat it. 1. Promoting fertility For patients who want to have children, the purpose is to promote fertility: (1) Drug-induced ovulation treatment: Choose appropriate drugs to induce ovulation based on the patient's specific situation. Polycystic ovulation can easily lead to ovarian hyperstimulation syndrome, so patients must follow the doctor's advice when taking medication; (2) For PCOS patients who are not responsive to drug treatment and still cannot conceive normally, surgical treatment is required. Currently, the best surgical treatment option is minimally invasive ovarian wedge resection, followed by appropriate use of drugs to induce ovulation. Adjust the menstrual cycle and lower LH. For patients who do not desire to have children, the main purpose is to adjust and restore the menstrual cycle and prevent excessive proliferation of the endometrium or even cancer. (1) The pituitary gland is more sensitive to GnRH, and LH secretion is excessive, which increases ovarian androgen levels and promotes follicular atresia. The dominant follicle cannot be formed, and the normal androgen secretion pattern is interrupted. Many small follicles still secrete estrogen. Excessive androgen is converted into estrogen in the periphery. Polycystic ovary syndrome presents with high androgen and high estrogen, with excessive androgen being dominant. (2) Insulin resistance produces hyperinsulinemia, which stimulates the synthesis and secretion of androgens by theca cells, ovarian stroma, and adrenal cortex. As androgens increase, estrogen conversion increases. Positive feedback causes LH to increase further, while negative feedback reduces FSH secretion. High LH further increases androgens, continuing a vicious cycle of anovulation. Insulin and estrogen promote follicular development, while androgens promote follicular atresia, resulting in follicular development but maturation disorders, no dominant follicle formation, and anovulation. The full name of PCOS is polycystic ovary syndrome, which has menstrual disorders (oligomenorrhea or amenorrhea), anovulation, hirsutism, obesity, infertility, etc. as the main clinical manifestations. It is characterized by bilateral enlargement of the ovaries showing polycystic changes. Its endocrine characteristics are excessive androgen, insulin resistance and hyperinsulinemia, increased LH/FSH ratio and persistent anovulation. It is one of the common causes of menstrual disorders and infertility in women of childbearing age. |
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