There are a few days every month that I feel uncomfortable. What if I don’t have menstruation? Ladies must not think about it this way. If the menstrual period is disordered, or even the four seasons, menstruation occurs only once in a few months, it is possible to develop polycystic ovary disease. This is a hormonal imbalance syndrome, which usually occurs in women during their childbearing period. About 6 to 8% of women suffer from this disorder. The cause of this disease is temporarily unknown, but it is believed to be related to environmental factors such as weight, exercise, diet, and family inheritance.
The symptoms of polycystic ovary disease include many aspects: 1. The patient has obesity, claiming to eat less food but increasing weight. This situation is especially obvious in most patients between 20 and 30 years old. If the patient has obesity, obesity and hormonal imbalance can lead to insulin resistance, and the risk of hypertension, diabetes, and high cholesterol is also increased.
2. The patient’s menstrual period is sparse and less. Because there is no ovulation, or there is no regular ovulation cycle, so the menstrual period will become looser, even only four times a year. If there is no ovulation, the endometrium is stimulated by estrogen for a long time, which may cause the endometrium to proliferate and increase the risk of cancer.
3. Increased male hormones cause skin problems, such as acne and excess body hair, which is also one of the symptoms of polycystic ovary disease.
Diagnosing polycystic ovary disease
In addition to determining the patient’s menstrual condition and whether the male hormones are too high, when undergoing an ultrasound examination, you will see larger ovaries with follicles attached to the surface. Polycystic ovary disease is just one of the possible causes of menstrual irregularity. Doctors need to perform other tests, including blood tests, to rule out whether thyroid disorders, high prolactin, and other hormone problems that cause irregular menstruation.
Once diagnosed with polycystic ovary disease, the patient does not need to worry too much. The doctor will provide professional treatment plans based on the patient’s clinical condition. In view of obesity, it is recommended that patients lose weight, pay attention to diet, and maintain proper exercise. If you can successfully lose weight, it will usually help to improve your menstrual period, ovulation will return more frequently, and the infertility problem is expected to be resolved.
If weight loss alone does not work, consider prescribing hormonal drugs. In general, the use of contraceptives can restore a regular cycle of patients, and will make the endometrium thinner, reducing the risk of endometrial hyperplasia. Some patients refuse to take contraceptives, worrying about weight gain. However, the author reminds that patients must always balance the health risks brought by long periods of absence.
As for the infertility problem, many women suffering from polycystic ovary disease are troubled. The doctor will help the patient find the cause of infertility. If it is determined that ovulation is the only cause of infertility, consider prescribing ovulation drugs. Patients can also receive artificial insemination, so as to achieve the wish of motherhood.
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Author: Dr. Liu Qiaofen, Specialist in Obstetrics and Gynecology, Bachelor of Medicine and Bachelor of Surgery of Hong Kong University, Fellow of Hong Kong Academy of Medicine (Obstetrics and Gynecology), Fellow of Hong Kong Academy of Obstetrics and Gynecology
Column name: Urban Clinic