Women ovulate and menstruate as their hormones change periodically according to their menstrual cycle. In order for ovulation to occur, one dominant follicle in the ovary must grow large and burst, but the condition in which the follicles are immature and young to produce the dominant follicle and the strings grow like beads is called polycystic ovaries.
So, when does a doctor diagnose polycystic ovary syndrome? First, we can identify the polycystic ovaries that I mentioned earlier. When the ovaries are enlarged in size and the follicles look like 12 or more beads, this is called polycystic ovaries.
The second is if you have an ovulation disorder. That's why I don't menstruate or I don't get my period very often. It is a symptom observed in about 60%~85% of patients with polycystic ovary syndrome. If you have less than 8 periods a year or your menstrual cycle is more than 35 days, you can indirectly confirm that you have an ovulation disorder.
The third is hyperandrogenemia (hyperandrogenemia), which refers to a condition in which there is a high concentration of male hormones called androgens. Male hormones are measured with blood tests at hospitals, but they can be identified by hirsutism, acne, male pattern baldness, and thickening of the voice. Hirsutism is not hair thinning, but hair growing in unnecessary areas. From the perineum to the thigh bridge. It has a hairy appearance up to the thighs or around the navel. If you have two of these three symptoms, you are diagnosed with polycystic ovary syndrome.
If you have polycystic ovary syndrome, your risk of metabolic syndrome increases. Typical symptoms of metabolic syndrome include insulin resistance, dyslipidemia, and obesity. When insulin doesn't work, the risk of developing diabetes increases and the risk of cardiovascular disease.
In addition, patients with polycystic ovary syndrome have a three-fold increase in the incidence of endometrial cancer. If you are a woman with polycystic ovary syndrome, you should have your uterine lining checked by ultrasound at least once a year. You can also use Mirena to protect your endometrium.
In addition, because ovulation becomes irregular, the overall pregnancy rate decreases. If you have irregular periods and are trying to have a baby, trying to conceive by inducing ovulation from the beginning of your period is a way to increase your chances of getting pregnant.
The first is that regular living, regular exercise, and diet are essential. Losing weight is often enough to bring the menstrual cycle back to normal.
The second is to use drugs to induce ovulation. Inducing ovulation is an active way to try to conceive. You will take medications such as clomiphene and femira. In addition, meformin, which is known as a diabetes drug, is also used because it improves insulin resistance and has a weight loss effect. Medications called inositol can also help improve insulin resistance and regulate the menstrual cycle.
The third is oral contraceptives. Oral contraceptives are the most commonly used method for women with polycystic ovary syndrome because they can eliminate irregular bleeding, menstrual irregularities, and amenorrhea, as well as control menstrual cramps and help treat acne and hirsutism.
In particular, YAZ, a fourth-generation contraceptive pill, works to reduce androgens, so if you have acne and need to take oral contraceptives, you should choose Yaz. However, it is not recommended to take birth control pills to treat acne.
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