I saw many patients with POLYOS on the outpatient clinic, who had more than one miscarriage, and it was difficult to get pregnant, but the child could not be brought. These people have a common feature is that there are menstrual irregularities, obesity, hirsutism, acne and other symptoms have not attracted enough attention, anxious pregnancy, for polycystic ovary syndrome, the desire is not fast.
◆ Why is polycystic ovary syndrome difficult to conceive and easy to miscarry?
Polycystic ovary syndrome is the most common reproductive endocrine disorder and metabolic disorders in women of childbearing age coexist syndrome, the main reason for the difficulty of pregnancy in POLYCYS ovary syndrome is due to endocrine disorders, insulin resistance, hyperandrogenemia caused by ovulation disorders, women rare ovulation or non-ovulation, no ovulation of course is difficult to get pregnant.
The incidence of polycystic syndrome is about 8% to 13%, while patients with polycystic ovary syndrome have recurrent miscarriages up to 40% to 56%, and polycystic ovary syndrome has two important pathological bases of high androgens and insulin resistance, which can adversely affect pregnancy, specifically the following:
1. Polycystic ovary syndrome will often have follicle development disorders and egg quality decline; some patients have abnormal uterine bleeding, and the endometrium is stimulated by single estrogen for a long time, which may develop into endometrial hyperplasia or endometrial Ca.
2. Due to the existence of endocrine, metabolic changes, obesity and other factors in patients with polycystic ovary syndrome, the independent or joint action of various factors can lead to abnormal embryonic quality; hyperhomocysteinemia, which causes an increase in the risk of thrombosis and increases the risk of recurrent miscarriage; after ovulation, it is easy to have insufficient luteal function, which in turn induces miscarriage. At the same time, the addition of the first endometrial abnormality also increases the risk of miscarriage.
3. High incidence of pregnancy complications, such as gestational diabetes, gestational hypertension, preeclampsia, premature birth, fetal growth restriction, etc.
◆ What preparations should patients with polycystic ovary syndrome prepare for pregnancy?
1, if you want to seed well, you must first regulate menstruation: through the intervention of early integration of traditional Chinese and Western medicine, let the symptoms of menstrual irregularities be alleviated, or normal, amenorrhea patients come to menstruation, will not be because of long-term menstrual irregularities or amenorrhea caused a great impact on the body, so that women's endocrine indicators to reach a relatively suitable state for pregnancy, endocrinology is good, the quality of seeds can be good.
2. Actively improve insulin resistance: polycystic ovary syndrome leads to insulin resistance will cause patients to be obese, patients must actively lose weight through exercise before pregnancy, and cooperate with the doctor's drug conditioning to improve insulin resistance. Many patients will get great improvement in menstruation and ovulation by losing weight, which will play a multiplier effect on treatment.
3. Active treatment of hyperandrogenemia: reduce androgens through drug conditioning, restore ovulation promotion function, and improve follicle quality.
4. Develop an individualized ovulation promotion program and strict monitoring: through the previous conditioning, and according to the results of the review, after the patient's endocrine reaches the condition of pregnancy test, if there is no ovulation, ovulation induction treatment can be taken, and the doctor requires regular medical monitoring and testing of follicles in the ovulation promotion stage, and guide the trial pregnancy at the appropriate time.
5. Give full play to the advantages of traditional Chinese medicine and integrated traditional Chinese and Western medicine: under the principle of holistic treatment and dialectical treatment of traditional Chinese medicine, menstruation will be treated in stages, which reflects its advantages in the treatment of polycystic ovary syndrome.
It should be noted that patients with polycystic ovary syndrome who are naturally pregnant or who become pregnant after ovulation induction therapy are prone to insufficient luteal function, so during the pregnancy test, the doctor will give the patient a healthy luteum, which lasts until the germ fetal heart beat can gradually stop the drug.
Polycystic ovary syndrome is incurable, but as long as we have the correct understanding and formal treatment, we can have a smooth pregnancy and give birth to a healthy and lovely baby.