In today's article, I mainly take out the most recent patients asked the most questions about the preparation for pregnancy of polycystic ovary syndrome, and focus on answering it. Without further ado, get straight to the point.
◆ Doctor, I have been pregnant for almost a year, I have not been pregnant, my menstruation has not been very good, irregular, sometimes once every two or three months, the amount is very small, is it polycystic ovary syndrome?
▲ A: The diagnosis of POLYCYS ovary syndrome mainly has the following three aspects:
1. Rare menstruation, amenorrhea or irregular uterine bleeding (this is a necessary condition for diagnosis);
2. Hyperandrogen manifestations or hyperandrogenemia;
3. Ultrasound is manifested as polycystic changes in the ovaries (1 and 2 can meet one); and other diseases that may cause high androgens and diseases that cause abnormal ovulation can be excluded to determine the diagnosis.
The situation of the patient needs to go to the hospital for related examinations, causing many reasons for menstrual irregularities, polycystic ovary syndrome is only one of them, such as: hypo-ovarian function, endocrine disorders, etc. can also cause menstrual irregularities. Therefore, first go to the hospital to make a clear diagnosis, and then treat the symptoms.
◆ Q: Doctor, I am "fat and multi-sac", is weight loss really so important for pregnancy preparation?
▲ A: Weight loss is a very important part of the "fat multi-cyst" treatment process. Weight loss can improve hyperinsulinemia, insulin resistance, and hyperandrogenemia, thereby restoring menstruation and reducing symptoms of hirsutism and acne. Losing weight can greatly increase the chances of conception and reduce the chances of miscarriage. Weight loss also has long-term benefits of reducing the risk of concurrent cardiovascular disease, diabetes and endometrial cancer in patients with PCOS.
Therefore, weight loss is the first and most important step in polycystic treatment. Moderate exercise is more effective in the treatment of POLYOS.
◆ Q: Doctor, I have polycystic ovary syndrome, high testosterone, have eaten anti-drainage drugs, taken Traditional Chinese medicine, follicles are always not long, B ultrasound monitoring has been 5 to 6 times, none of them have follicles, the uterus is small, the lining is thin, some people say that eating menstrual pregnancy pills has an effect, do not know if you can eat? The most pelvic inflammatory disease, ask the doctor for guidance on how to get pregnant?
▲ A: It is recommended that you treat pelvic inflammation first. Thin endometrium and follicular dysplasia are associated with high testosterone. Do not use drugs yourself, be sure to adjust the endocrine under the guidance of the doctor, try to lower the testosterone, make the endocrine as normal as possible, the menstrual cycle is regular, and then promote ovulation under the guidance of the doctor to try to conceive.
◆ Q: Director Yu, I am polycystic, luteinizing hormone is more than twice as high as follicle-stimulating hormone, eating ten months of Daying, hormones adjusted to normal last month, like my case, is the probability of pregnancy high? It is no problem to check the fallopian tubes.
▲Answer: The level of hormones in women's bodies is not normal, which will reduce the success rate of pregnancy, so we must actively cooperate with the doctor's treatment, follow the doctor's instructions, and let the hormones be at normal levels. As long as all aspects are normal, after ovulation induction treatment, guide the trial pregnancy, and the probability of conception is relatively large. But the odds are not easy to calculate. Therefore, it is recommended that you do not be too nervous, as long as there is normal ovulation, the fallopian tubes are unobstructed, and the man is normal, it is possible to harvest a good pregnancy.
◆ Q: During polycystic treatment, the doctor asked me to do a tubal examination, is it necessary?
A: It is necessary. Many patients think that it is not enough to treat me with POLYCYS? Is the testing of the fallopian tubes an overexamination? In fact, for polycystic patients to a certain stage of treatment, be sure to check the fallopian tubes. Tubal testing is done to rule out conditions such as salpingitis, tubal obstruction, or blocked fallopian tubes. If the fallopian tubes are not smooth, the risk of ectopic pregnancy will increase, and if it is completely blocked, it is futile to blindly promote ovulation.
◆ Q: What should I do if the follicles are always immature?
▲A: Polycystic patients will face a problem, follicles do not grow much, what is the reason?
Follicle development is affected by many factors, polycystic patients due to high androgens, insulin resistance problems lead to follicles can not grow to form dominant follicles, so a good endocrine environment is the root of follicle growth.
The treatment of polycystics is generally based on the application of endocrine drugs to add ovulation-promoting drugs to achieve the purpose of follicle development and maturation. High testosterone must be lowered, for insulin resistance must also be intervened, polycystic therapy can improve insulin resistance can be conducive to menstrual recovery, infertility treatment. The preferred treatment for obese patients with PCOS remains lifestyle changes such as drug modulation plus diet and exercise.
◆ Q: Director Yu, my husband and I live apart because of our work relationship, and we can see each other once a week. I have been pregnant for 2 years without getting pregnant, before I had polycystic ovary syndrome, this year's menstrual conditioning is still normal, but I have not been pregnant and I am also anxious, what to do?
▲ A: After polycystic ovary syndrome is conditioned, you are better to see how ovulation is, and it is best to go to the hospital B ultrasound to monitor ovulation is the most accurate. If there is normal ovulation, if you try to conceive, you must notify your husband in advance, and the probability of conceiving at the right time is relatively high. If you don't have normal ovulation and need to induce ovulation, you may have to run to the hospital often for a period of time to monitor ovulation. I would still suggest that you two get closer and try your pregnancy at any time.