Why is there polycystic ovary syndrome when menstruation is normal?

Polycystic ovary syndrome is a common infertility condition in women of childbearing age, characterized by high androgen levels and long-term anovulation. Patients with polycystic ovary syndrome often show varying degrees of menstrual disorders, including scanty menstruation, abnormal uterine bleeding due to imbalanced function, etc. So, can they still have polycystic ovaries if their menstruation is normal?

Normal menstruation does not rule out PCOS, because menstrual disorders are the most common clinical symptom of PCOS patients. However, a small number of PCOS patients have regular menstrual cycles, but B-ultrasound ovulation monitoring shows that they do not ovulate during the regular cycle. These patients also need clinical ovulation induction treatment to help them get pregnant.

Patients with polycystic ovary syndrome need to undergo six hormone tests 2-4 days after the menarche. Most patients with polycystic ovary syndrome do not have regular menstrual cycles, and their endocrine hormones do not change regularly. Therefore, they can have blood tests immediately without waiting for the menarche. They can also perform luteal copper withdrawal and repeat the test after the menarche.

If you have polycystic ovary syndrome, you should control your diet and exercise. If you have the requirements for pregnancy, you can regulate your menstruation and promote ovulation. If there is no requirement for pregnancy and menstruation is to be maintained within two months, then progesterone is used to protect the uterine wall. If you see polycystic ovary-like changes during B-ultrasound, but everything else is normal, that is, it does not affect pregnancy, and your menstrual periods are very regular, then it is a normal physiological phenomenon and does not require treatment.

What are the symptoms of polycystic ovary

1. Irregular menstrual period

The menstrual blood volume is small, amenorrhea, and in rare cases, it may manifest as multifunctional abnormal uterine bleeding. It often occurs during puberty and is the recurrence of irregular menstruation after the first menstruation, sometimes accompanied by dysmenorrhea.

2. More hair

Excessive hair growth is common, with an incidence rate of 69%. Due to the increase in male hormones, the vellus hair on the upper lip, chin, chest, back, center of the lower abdomen, both sides of the upper thighs and around the anus becomes larger, thicker and more numerous.

3. Obesity

Those with a body mass index of more than 20% and a body mass index of ≥25 account for 30% to 60%. Obesity is mostly concentrated in the body, with a waist/hip ratio of >0.85. It usually starts during puberty and gradually worsens with age. 4. Enlarged ovaries

A very small number of patients can feel the enlarged and firm uterus and ovaries through routine gynecological examination, but most of them need auxiliary examination to confirm.

5. Infertility

Due to long-term anovulation, most patients suffer from infertility, and sometimes have occasional ovulation or miscarriage, with an incidence rate of up to 74%.