The cause of polycystic ovary syndrome is not very clear, divided into congenital and acquired factors.
Congenital factors are genetic factors. For example, mothers suffer from polycystic ovary syndrome to increase the chance of daughter suffering from polycystic ovary syndrome.Some experts believe that the factors of the father may also be inherited, that is, the dad is bald, and the daughter born may be the polycystic ovary syndrome, but the specific genetic factors are not yet certain.
The acquired factors generally include environmental factors, bad living habits and schedules.
The so-called polycystic ovary refers to one ovarian or bilateral ovarian. When doing B-ultrasound, it is found that there are many small sinus follicles. Generally, 2-9mm small sinus follicles are greater than 12.Before the menstrual period, 3 to 11 follicles in the ovaries will continue to develop and mature to prepare for ovulation.At the same time as these follicles are developing, estrogen, androgen and progesterone are also secreted.Only one follicles can be fully developed and discharged every month, clinically called advantageous follicles.After ovulation, the luteal is formed. If there is no pregnancy of the luteal atrophy and the endometrium falls off, the menstruation arrives as scheduled.
There are many small sinus follicles in the polycystic ovary syndrome, but the follicles grow up at the same time during the growth and development of the follicles. The ovarian superior follicle selection mechanism is invalid, and the superior follicles cannot be selected.The quality of the follicles cannot be mature normally, and it is closed as half.After locking, no ovulation occurred, and there was no chance to degenerate luteum. Therefore, the level of estrogen was high, hormone level disorders occurred, the endometrium did not fall off, and the menstruation could not come.Essence
For some polycystic ovary syndrome, if therogen is high, the symptoms of high androgen will occur, such as hairy, especially on the breast, the lips, subms, and around the navel.Black hair, also known as sexual hair.
Before treatment, you should generally check six individual hormones to see the specific situation of hormone levels.
For obese multi -cyst ovary syndrome, we first actively lose weight, and at least 30%of energy intake is reduced every day.Adjusting lifestyle, not staying up late, and adhering to the regular movement, it has certain benefits to alleviate polycystic and irregular menstruation.Generally, exercise is required to reach 2-3 times/week, 30-40 minutes/time; this is the first-line treatment, and it is also a very important method.
Irregular menstruation, hairy, acne, short -acting oral contraceptives or progesterone can be used for treatment.If there are patients with insulin resistance, you can apply di metacrama oral drugs.
If you have fertility requirements, you can apply ovulation -promoting drugs to help pregnancy.
The treatment of polycystic ovaries is relatively complicated, nor is it just like treating for one month or months.It needs long -term treatment, follow -up, observation, management, and each stage is different.For example, the process of developing in adolescence is mainly to suppress testosterone and control weight, and proper menstruation.If women with childbearing age have fertility requirements, the focus is that the development of follicles can be pregnant.Therefore, the treatment of polycystic ovary syndrome depends on which stage, what needs, and symptoms, etc., and formulate a different treatment plan under the guidance of a doctor.