Polycystic ovary syndrome is not uncommon for women of childbearing age, and even became a nightmare for women of childbearing age for a time. Because of its appearance, many women are infertile and may not achieve the desired effect even if they go to the hospital for examination and symptomatic treatment. Regarding polycystic ovary syndrome, there are many clinical symptoms that are easy to be ignored or missed by people, so from the perspective of treatment and management, there is a certain lag in polycystic ovary syndrome. So, how should polycystic ovary syndrome be diagnosed? These three diagnostic criteria need to be mastered.
1. Diagnostic criterion 1: the patient's clinical manifestations
How to determine whether a patient may have PCOS based on the patient's external manifestations? In fact, these clinical manifestations may indicate that the patient has a tendency to suffer from PCOS. First, the patient shows hirsutism, acne, and seborrheic dermatitis, second, the patient has female virilization and even hair loss, and third, the patient is obese and tries to conceive but is unable to conceive (provided that no contraception is used).
If these clinical manifestations are present, then it is basically certain that the patient has abnormal ovarian reproductive function, such as abnormal ovulation, or abnormal sex hormone secretion, so through these appearances, the patient may need to undergo further tests to determine whether it is PCOS.
2. Diagnostic criterion 2: the patient's menstrual condition
For patients with polycystic ovary syndrome, there are nine times out of ten the phenomenon of irregular menstruation, and the patient's menstruation can show the following characteristics: first, the patient's menstrual flow is scarce, and every time he menstruates, the menstrual period is very little, and can even be described as almost none; second, the menstrual cycle is very irregular, sometimes even not a menstrual period for several months, so the patient can also show amenorrhea; third, the patient's menstrual period is very short, under normal circumstances, the menstrual period is almost three to five days, but for patients with polycystic ovary syndrome, it may be less than three days, or even shorter。 Therefore, it is also possible to judge whether the patient has a tendency to suffer from polycystic ovary syndrome through menstruation.
3. Diagnostic criterion 3: ultrasound imaging
Ultrasound is an important basis for diagnosing polycystic ovary syndrome because it can intuitively distinguish whether the ovaries are polycystic or not. According to the existing diagnostic criteria, if it is found that there are more than or equal to 12 follicles in one or both ovaries through ultrasound imaging, and the diameter is 2~9mm, the ovarian volume is greater than 10ml, and the medullary echogenicity is also enhanced, then the diagnosis of polycystic ovary syndrome can be basically confirmed.
However, in clinical practice, the diagnosis of polycystic ovary syndrome is often not confirmed by a single index, and it is necessary to conduct a comprehensive evaluation based on the patient's clinical manifestations and imaging.
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