Irregular menstruation, sparse hair, amenorrhea, hirsutism, obesity, infertility and changes in endocrine hormones are common symptoms of polycystic ovary syndrome. B-ultrasound showed that there were more than 10 to 12 follicles with a diameter less than 8 mm in one or both ovaries. Although there are many follicles, few follicles mature and ovulate in each menstrual cycle. Therefore, the main cause of infertility caused by polycystic ovary syndrome is anovulation.
After losing weight successfully, 30% patients can conceive naturally.
"Three highs" diet, disorder of work and rest, and great mental stress.
It may be the cause of "polycystic syndrome"
How polycystic ovary syndrome is produced is still inconclusive. Some say it's genetic, some say it's caused by the environment, and some say it's caused by mental stress, inflammation, abnormal immunity and other factors. Clinically, it is related to the disorder of hypothalamus-pituitary-ovary axis.
In the menstrual cycle of normal people, the brain (usually called hypothalamus-pituitary-ovary axis) secretes hormones to female gonads and ovaries, but the patients with polycystic ovary syndrome do not. Some of their hormones that should not be elevated, such as androgen and luteinizing hormone, are higher than normal people, and some people even have hyperinsulinemia, while estradiol, which really belongs to estrogen, cannot reach the hormone level before ovulation, thus interfering with the hormone secretion law of normal menstrual cycle. High-fat and high-sugar diet and high mental stress may lead to the disorder of "hypothalamus-pituitary-ovary axis"
Many patients with polycystic syndrome have unhealthy lifestyles.
After successfully losing weight, 30% of patients can get pregnant naturally.
Many patients with polycystic ovary syndrome have unhealthy lifestyles, such as "three highs" diet, overeating and inactivity. Last Thursday, a typical patient came to the expert clinic of Director Zhu Yimin.
Ms. L, 27 years old, is1.67m tall. I have been married for more than a year and have never been pregnant. When asked about her weight and menstruation, Ms. L was filled with emotion and said that menstruation was never allowed. She used to come every forty days, but later she came every fifty days, sometimes every two months. I went to the hospital and took some medicine, but the effect was not satisfactory.
What bothers Ms. L more is her weight. "Before I got married, I was very thin, weighing only 100 kilograms, and I didn't even weigh 1 10 kilograms. My young ladies all envy my figure. " Ms. L said, "I began to gain weight as soon as I got married. The most exaggerated thing is that I gained nearly 30 pounds a month and felt that I was gaining weight every day. Up to now, I 150 kilograms, almost 160 kilograms. "
"I was fat at first, and I thought it had something to do with what I ate. I had a particularly good appetite at that time. Eat snacks, potato chips, chocolate and all kinds of fried food in the street after every meal. Later, I found that I couldn't eat like this, so I controlled my diet very much. I basically didn't eat snacks and ate less, but I don't know why I still can't lose weight. " Ms. l said.
Combined with relevant examinations, Ms. L was diagnosed as polycystic ovary syndrome. After giving her some related drugs, I specifically told her to shut up, take her legs and lose weight.
Studies have shown that changing lifestyle, actively losing weight and controlling weight can also greatly improve the symptoms of polycystic ovary syndrome. Weight loss of 7%- 15% can improve the problems of hirsutism, acne and menstrual disorder, and improve the ovulation function of ovary, while weight loss of 10kg can reduce insulin level by 40% and testosterone level by 3.5%, which may lead to ovulation recovery.
In the outpatient department, about 30% of obese patients with polycystic ovary syndrome naturally get pregnant after successfully losing weight. Because, when you lose weight, too much androgen and insulin in your body will drop, menstruation will slowly recover and ovulation will be normal, so the chances of pregnancy will increase.