Polycystic ovary syndrome (PCOS) is one of the most common endocrine disorders in women, which is the main cause of anovulation infertility and hyperandrogenemia. Doctors at Antai Hospital said that this is one of the most common endocrine disorders in women, and is the main cause of anovulation infertility, and polycystic ovary is a polygene-related disease, manifested by a complex genetic pattern, its basic characteristics include excessive androgen, abnormal ovulation function and/or polycystic changes in the ovary.
Diagnostic criteria for polycystic ovary syndrome
Polycystic ovary syndrome (PCOS) can be diagnosed by the presence of two of the following three factors: (1) Sparse menses or anovulation, (2) clinical manifestations of hyperandrogenemia or hyperandrogen (e.g., hirsutism, acne, etc.), and (3) ultrasonography of bilateral ovaries with polycystic changes.
In addition, other causes other than hyperandrogenemia (such as hyperprolactinemia and thyroid disease, congenital adrenocortical hyperplasia, Cushing’s syndrome, androgen secreted tumor, atypical adrenocortical hyperplasia with 21 hydroxylase deficiency, exogenous androgen use, etc.) should be diagnosed.
Antai Hospital reproductive health and infertility department experts Dr Chen Fenglin suggest that patients with polycystic ovary syndrome should be actively treated for this disease, rather than simply for pregnancy. As for the treatment of polycystic ovary syndrome, Dr. Fenglin Chen from Antai Hospital has been practicing for many years. He believes that polycystic ovary syndrome is actually a gonadal malstructural disease, that is, the ovaries have remaining testicular tissue (ovaltestis) during the differentiation period. Therefore, the treatment should not be limited to changing the clinical symptoms of the disease, but to reduce the testicular tissue in the ovary (changing the gonadal malstructure gene) through laparoscopic technique. Then, according to the type of PCOS, supplemented by drug regulation. Simple surgical drilling of the ovaries can not achieve this purpose, therefore, the treatment effect and pregnancy rate is not ideal.
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