What tests are needed to treat polycystic ovaries?

Polycystic ovaries or polycystic ovary syndrome are the causes of infertility in women, mainly ovulation disorders. For ovulation disorders, first of all, it is necessary to improve the metabolic and endocrine status by adjusting the lifestyle, including less sugar and less oil, exercise, weight loss, and oral medications**; Then, ovulation induction** is used to achieve normal ovulation of the ovaries. Polycystic ovary syndrome is one of the important causes of female infertility, the cause of the disease is unknown, the biggest feature is that when doing ultrasound, you can find that there are many small follicles on both ovaries, and there are at least 10 ovaries on each side, but although there are many eggs, most of them are immature.

<> if PCOS is definitively diagnosed, there may be abnormalities in hormone levels, as well as abnormal ovulation. Some patients may also have hyperinsulinemia. All of these conditions can affect the pregnancy.

It is recommended to visit a hospital for necessary check-ups. There are also many drawbacks, which you may also know, such as high cost, high miscarriage rate, great harm to the mother, and the impact on offspring is not clear.

Polycystic ovary syndrome infertility is mostly due to oligoovulation or anovulation, high androgens, and insulin resistance. For polycystic fans, it helps fans recover ovulation through TCM syndrome differentiation and type conditioning, and only those fans with strong fertility requirements will consider ovulation induction. Infertility caused by polycystic can be done IVF, and most diseases can cause infertility can be IVF, the key is to see whether the success rate is high or not, and whether it is necessary.

I guess you're talking about polycystic ovary syndrome. Polycystic ovaries are ovarian changes seen on ultrasound, and the ovaries are "polycystic", but this is not the same as polycystic ovary syndrome, because 16% to 22% of people in the normal population are accompanied by polycystic changes of the ovaries. Only polycystic ovary syndrome can cause infertility.

Polycystic women tend to occur in young and middle-aged women, accounting for a certain proportion of infertility, and if they suffer from polycystic, they will have obesity, hirsutism, oligomenorrhea or amenorrhea. Most patients have amenorrhea due to non-ovulation, and a small number of patients have dysfunctional uterine bleeding.

Polycystic ovaries generally have abdominal ultrasound examination, 6 sex hormone tests, vaginal discharge routine examinations, fasting blood sugar checks, and thyroid tests.

Polycystic ovaries generally need to be examined items: color ultrasound, hormone examination, endocrine examination and laparoscopy, etc., as long as you choose a regular hospital for the corresponding examination, you can get very accurate examination results, find out the cause and carry out it under the guidance of the doctor.

It is recommended to go to the hospital for ultrasound and six tests of sex hormones, six tests of sex hormones, preferably 3 to 5 days after the onset of menstruation, and it is best to check the development of follicles during the menstrual cycle. Polycystic ovaries are generally caused by endocrine disorders, and the level of low-heat androgens in the body is increased, which may often lead to symptoms such as decreased menstrual flow and hirsutism, and may appear as multiple immature follicles on ultrasound images.

Polycystic ovary syndrome requires five sex hormone tests, B ultrasound and routine examinations, the purpose of these examinations is to observe the basic conditions of the pelvis, fallopian tubes, uterus and ovaries, so as to carry out the corresponding **.

A physical examination should be done to check for obesity, hirsutism, acne, high blood pressure, diabetes, and ultrasound examination, and six sex hormones should be checked. Do blood biochemistry tests.

B-ultrasound examination can be done first, and both ovaries can be found to be larger than 1 4 of the normal uterus, and there are multiple cystic follicles in it; B-ultrasound descending ovarian puncture to extract purulent secretions, which is the acute stage of oophoritis. Hormone measurement is also one of the must-check items. Luteinizing hormone, follicle-stimulating hormone.

At this time, you need to do B-ultrasound, and you can also do CT examination, and you can also go to check the blood routine, and you can also do ultrasound examination or endometrial examination.

The first point is to see if there is any tumor phenomenon in which you have appeared, which should be paid attention to, the second point is whether there is any sign of cancer is a very important examination, and the third point is to do a blood test to see if you have the possibility of pregnancy.

Polycystic ovaries can be diagnosed by ultrasonography, six blood hormones, laparoscopy, and clinical findings.

Many women will have irregular menstruation, excessive hair and even infertility, may not be concerned about these phenomena at first, but gradually all aspects of the body will appear polycystic ovary characteristics, at this time patients can use the following methods to detect whether they have polycystic ovaries.

First, B-ultrasound examination is a common examination method for examining women's uterus and ovaries in hospitals. If the size of the ovaries on both sides of the woman is enlarged and there are more than 10 follicles less than 1 cm in size through ultrasound, the patient is considered to have polycystic ovaries.

Second, you can check the six hormones of women, if the male hormones in the six female hormones are high, the LH is also high, the FSH is normal or low, and if there is also a lot of body hair and acne, the woman has polycystic ovaries.

Thirdly, laparoscopy can also be used to examine the ovaries of women, and it can be seen that the ovaries on both sides of the woman show polycystic enlargement.

Fourth, women can also observe their menstruation, if there is no menstruation for more than 35 days or 3 to 6 months, this condition is oligomenorrhea, and further examination is required to rule out polycystic ovary syndrome.

Experts from Changsha Donghua Hospital said that polycystic ovaries are an endocrine disorder syndrome in which reproductive dysfunction and abnormal glucose metabolism coexist, and the common polycystic ovary examination items are as follows

1. B-ultrasound examination: This is a relatively common examination method for modern women, and women should pay attention to excluding the possibility of uterine and ovarian tumor lesions when performing Li Shou B-ultrasound examination.

Erhu number, endoscopy: This method has a good effect on detecting polycystic ovaries, and the ovarian morphology can be directly observed, which is convenient for later stage.

3. Hormone determination: Measurement of female hormones, such as estrogen, prolactin, etc., which will have a direct response to the condition of women's ovaries and can help us detect diseases in time.

4. Laparoscopic stool examination: When women use laparoscopy, they can see the phenomenon of polycystic enlargement of bilateral ovaries, which is a major method for examining female polycystic ovaries.

Question 2: How to check for polycystic ovary syndrome? What items are required? Common polycystic ovary examinations** are as follows:

1)**Examination: About 67% of patients can have one or both ovaries palpable, if one or both cystic or solid spherical masses and other pelvic abnormalities are found after examination, further diagnosis should be confirmed by various methods.

2) Six assays of sex hormones: LH and FSH are abnormal in polycystic ovary patients, FSH (follicle-stimulating hormone) is at a low level, LH (luteinizing hormone) is high, LH FSH 2 3 is formed, and androgen (T) level is increased.

3) Ultrasonography: Patients with polycystic ovaries can see bilateral ovarian symmetry enlargement, and multiple small sacs can be seen in the ovaries with different sizes. It has a diameter of 2 6 mm and is mainly distributed around the periphery of the ovarian cortex.

4) Laparoscopy: Patients with polycystic ovaries can directly see that both ovaries are polycystic enlargement, and the capsule is thickened and grayish-white.

Question 3: What tests are needed to check for polycystic ovaries? Polycystic ovary patients are often accompanied by hirsutism, obesity, infertility, bilateral ovarian enlargement or unilateral ovarian enlargement and some hormone level changes, normal people's ovaries are one egg a month, but polycystic ovary syndrome patients ovulate very irregularly, may be one, may be many.

Although there may be a large number of eggs, they do not meet the requirements for conception. For polycystic diseases, it is recommended to go to Changsha Sunshine Hospital, have a detailed examination, and under the guidance of a professional doctor, carry out targeted treatment**, and wish a healthy early pregnancy.

If a woman has severe dysmenorrhea, menstrual disorders, or even amenorrhea, excessive obesity, etc., such symptoms may be related to polycystic ovary syndrome in ** disease, so women with this symptom need to go to the hospital for necessary examinations to confirm the diagnosis. So, what tests are needed for polycysts?

1.Patients with polycystic ovary syndrome often have a number of obvious symptoms, including irregular menstruation, hyperandrogen manifestations or high androgen in blood tests, infertility symptoms, so the disease should be first physically examined, because polycystic ovary syndrome is often accompanied by obesity, so it is necessary to check weight and body fat index.

2.Also check for hairiness. Patients with polycystic ovary syndrome often have centripetal hirsutism, acanthosis nigricans on the back of the neck and lips, or more hair on the arms and thighs, accompanied by acne, which can be preliminarily diagnosed by physical examination.

3.Patients with polycystic ovary syndrome (PCOS) who have hyperandrogenic manifestations also need to be tested for biochemical testing. The main tests should be 6 sex hormones, blood lipids, blood sugar, thyroxine, and B ultrasound examination to understand the endometrium deficiency and ovarian size, check whether there are more small follicles of different sizes in the ovaries, etc., and the above are some common examination items required for polycystic ovary syndrome.

The ancillary tests for polycystic ovary synthesis include the following:

1. Basal body temperature measurement, showing a mononomial basal body temperature curve.

2. Ultrasound examination shows that the ovaries are enlarged, the capsular echo is enhanced, and there are 12 or more anechoic areas with a diameter of 2-9 mm on one or both ovaries, which is called necklace sign.

3. Laparoscopy showed that the ovaries were enlarged, the capsule was thickened, the surface was smooth, multiple follicles were exposed under the capsule, and there were no signs of ovulation. Microscopic ovarian or tissue examination confirms the diagnosis.

4. Diagnostic curettage to understand the situation of endometrial hyperplasia, which is rarely used at present.

5. Endocrine measurement, increased androgen, LH FSH ratio greater than or equal to 2-3, and mild increase in prolactin.

If it is polycystic ovaries, it should be done color ultrasound or B ultrasound, which can be detected, and it is recommended to go to the hospital to take a color ultrasound to see if it is polycystic ovaries.

There are the following types of auxiliary tests for polycystic ovary synthesis. The first, endocrine assays, and the second, diagnostic curettage. In the case of endometrial hyperplasia, it is rarely used at present.

The third is laparoscopy. If the ovaries are enlarged, the surface is smooth, and the capsule is thickened, and multiple follicles are exposed under the capsule, and there are no signs of ovulation, the diagnosis can be confirmed by microscopic ovarian or tissue examination. Fourth, ultrasonography.

If the ovaries are enlarged and synovial echo is enhanced, with 12 or more ovaries on one or both sides and anechoic areas of two to nine millimeters in diameter, it is called the necklace sign. The fifth, basal body temperature measurement, is manifested as a one-way basal body temperature curve.

Polycystic ovary doctors generally make a comprehensive diagnosis by asking about medical history, clinical manifestations, physical examination, auxiliary examinations, etc., and most of the patients in the history have irregular menstruation, sparse menstruation, or even amenorrhea, hirsutism, acne, and increased facial sebum secretion. Women of childbearing age have long-term infertility or recurrent miscarriages after pregnancy, and some can be accompanied by excessive obesity.

Laboratory tests may show an increase in male hormones, and ultrasonography may show an increase in the diameter of one or both ovaries, with more than 12 follicles in one section. If two of the three indicators of medical history, B-ultrasound and laboratory tests meet the diagnostic criteria, it can be considered as polycystic ovary syndrome.

Routine examination is ultrasonography, which shows ovarian enlargement, capsular echogenicity, smooth contours, and interstitial echogenicity; One or both ovaries have more than 12 anechoic areas with a diameter of 2 9 mm, which surround the edge of the ovary and are arranged in a wheel-like pattern, which is called the "necklace sign". Serial monitoring showed no signs of dominant follicular development and ovulation. Laparoscopy shows enlarged ovaries, thickened capsule, smooth surface, grayish-white, and neovascularization.

Multiple follicles are exposed under the capsule, no signs of ovulation, no ovulation hole, no blood, and no corpus luteum. Microscopic ovarian biopsy confirms the diagnosis. Finally, you need to do a sex hormone six to see the hormone levels.

The main methods of examination for polycystic ovary syndrome are as follows:

1. Inquire about medical history: including the patient's condition, height, weight, waist circumference, hip circumference, and evaluate the degree of obesity of the patient;

2. Physical examination: acne on the face and back, hirsutism;

3. B-ultrasound: it can be seen that the ovaries on both sides show polycystic changes, and the ovaries are large in size, which is more typical of polycystic ovary syndrome, showing beads around the ovaries. Occasional ovulation or no ovulation may be detected during the dynamic process;

4. Hormone level: the ratio of luteinizing hormone to follicle-stimulating hormone is more than 2-3, and androgen and testosterone are high;

5. Glucose tolerance test and insulin sensitivity test.

In fact, there are still more examination items for polycystic ovary examination, but because many people do not know much about this aspect, they do not know what the items of polycystic examination are, especially women's ovaries are still very important, so it is better to be familiar with these examination contents, so what are the examination items of so cystic ovaries?

1. Patients with polycystic ovaries need to do examination items including: examination, six determinations of sex hormones, ultrasound, laparoscopy, etc., if the patient feels uncomfortable, he should pay attention to it, and go to a professional hospital for examination in a timely manner, or go to a regular specialized hospital for examination, generally after these detailed examinations, you can guide the patient's condition to be, and actively carry out it after understanding the condition, you can control the disease of polycystic ovaries, It will not have an adverse impact on the patient's body, and the patient should also maintain an optimistic attitude, and a good mood will also be of great help to the recovery of the condition, and can not always be depressed, nor can it always be anxious and irritable.

2. Patients must pay attention to their own dietary structure in daily life, and can not let their bodies accumulate a lot of fat, otherwise it will cause a greater risk factor of aggravation, and should choose a low-fat, low-sugar and low-calorie diet on weekdays, it is very important to ensure good eating habits, and it is important to increase the nutritional composition of food in time, which will also have a good effect on the patient's recovery, and should also actively exercise and increase the time of exercise, which can not only improve immunity, but also facilitate endocrine coordination. It will also have a good effect on improving the patient's condition, and attention should also be paid to keeping the stool smooth, and the symptoms of constipation cannot always appear, and long-term constipation is also very harmful to women.

Finally, female friends must adjust their bodies reasonably, only when they are healthy will not make their condition more serious, patients should also adjust their mentality, every day should be a comfortable girl, can not always give themselves a lot of pressure and burden, if there is pressure at work, must be released in time.

If you want to know if it is polycystic ovaries, you can perform an ovarian examination through ultrasound, and then through six hormones, if the male hormone is high, most of the reasons are due to polycystic ovaries. Both tests can be performed when a woman has been trying to conceive for a long time and has irregular menstruation or even amenorrhea.

If you are sure to have polycystic ovaries, you don't need to worry too much, as long as you regulate and resume your normal menstrual cycle, you can get pregnant. It is hoped that every woman should have a detailed examination when preparing for pregnancy, only when the body is healthy, the success rate of preparing for pregnancy will be higher, and the baby will be healthier after pregnancy.

If you are a more obese woman, you should also do outdoor sports in your life and ensure a good sleep time every day, so that the body can recover faster and make the woman's body better.