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Polycystic ovaries are divided into many types, Western medicine is divided into high testosterone, high prolactin, low estrogen, low ovulation induction hormone, and low luteinizing hormone, Chinese medicine is divided into spleen and kidney deficiency, liver and kidney yin deficiency, liver depression and fire, phlegm and dampness block, multi-symptom inclusion), etc., classification conditioning, starting from the root cause, combined with your personal physical characteristics, selective use, my space diary has a detailed explanation, you take a look slowly, if there is no understanding of the consultation, many of the comments in the diary are left by patients, you can also communicate with these patients** experience. The space diary also records dietary taboos and dietary therapy for polycystic ovaries.
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Traditional Chinese medicine Jin Guochun.
Traditional Chinese medicine treats the root cause.
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Polycystic ovaries** should first control weight, pay attention to diet and lifestyle, drugs** are usually the use of clomiphene, gonadotropin-releasing hormone, pure follicle-stimulating hormone, etc., if necessary, laparoscopic surgery can also be considered**, in addition, according to the specific syndrome differentiation using some traditional Chinese medicine conditioning can also play a certain auxiliary role**.
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Use traditional Chinese medicine to nourish the yin and turn the sac.
Don't use drugs indiscriminately, use traditional Chinese medicine, if you want to mix other medicines**, it is best to nourish the yin doctor.
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Exercise more and be careful not to gain weight. Stimulation can be done before pregnancy. It is best to regulate with traditional Chinese medicine, and the effect is better than that of Western medicine.
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Polycystic ovary syndrome (PCOS) is a complex endocrine and metabolic disorder commonly caused by women of childbearing age. The main clinical manifestations are irregular menstrual cycles, infertility, hirsutism and/or acne, which are the most common female endocrine diseases.
1.Drugs**.
At present, PCOS drugs have replaced surgery as a first-line method, and the purpose of PCOS is mainly related to the patient's fertility requirements.
2.Surgery**.
The ** of PCOS patients has always been a difficult problem in the clinic. The earliest effective method was bilateral ovarian wedge resection (BOWR), reported by Stein and Leventhal in 1935, which ushered in the era of surgical infertility. Surgery** can reduce some granulosa cells in the ovaries, and the androgen production of the ovarian interstitium is reduced, which reduces the level of androgens in the circulation, and then decreases the GNRH, resulting in a further decrease in serum androgen concentration, which also indicates that the ovarian interstitium is also regulated by the pituitary-ovarian axis.
Due to the decrease in androgen levels, most patients can resume spontaneous ovulation and menstruation after surgery, and some may become pregnant spontaneously, but most pregnancies occur about 6 months after surgery.
3.Assisted reproductive technology.
For PCOS patients who ovulate but are not pregnant after applying a standard ovulation induction cycle of more than 6 months**, or patients who are ovulatory and anxious to become pregnant with multiple drugs** and adjuvant**, assisted reproductive technology of embryo transfer can be selected.
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1. General**.
Lifestyle interventions are the cornerstone of choice in patients with PCOS**, especially those with PCOS who are overweight or obese. Lifestyle interventions should be given before and/or with medication**. Lifestyle interventions include dietary control, exercise, and behavioral interventions.
Lifestyle interventions are effective in improving health-related quality of life in patients with polycystic ovary syndrome who are overweight or obese.
1. Diet control: Diet control includes adhering to a low-calorie diet, adjusting the main nutrients, and replacing the diet. Monitoring caloric intake and healthy food choices are major components of dietary control.
Limit calorie intake for a long time, choose a low-sugar, high-fiber diet, and replace saturated fatty acids with unsaturated fatty acids. Change bad eating habits, reduce mental stress, quit smoking, drink less alcohol, and reduce coffee. Families should give encouragement and support to the patient so that they can persist for a long time without losing weight**.
2. Exercise: Exercise can effectively reduce body weight and prevent body weight increase. Regular energy-consuming physical exercise (30 minutes a day, at least 5 times a week) and reducing sedentary behavior are the most effective ways to lose weight.
It should be individualized, tailored to the individual's wishes and taking into account the limits of the individual's physical strength.
3. Behavioral interventions: Lifestyle interventions should include behavioral interventions that strengthen compliance with low-calorie diet plans and increased exercise.
2. Drugs**.
1. Adjust the menstrual cycle: suitable for patients who have no fertility requirements during adolescence and childbearing age, as well as patients with menstrual disorders caused by ovulation disorders. For patients with infrequent menstruation but regular ovulation, if there is no need for fertility or contraception, and the cycle length is less than 2 months, it can be observed and followed up without medication.
1) Periodic use of progestogens: It can be used as the first choice for patients with puberty and perimenopausal polycystic ovary syndrome, and can also be used for patients with polycystic ovary syndrome who have pregnancy plans during childbearing age. Natural progestogens or dydrogesterone are recommended, which have the advantage of not inhibiting the function of the ovarian axis or are less inhibited, more suitable for adolescent patients, and have less metabolic effects.
The disadvantage is that it does not reduce androgens, **hirsutism, and contraception.
2) Short-acting combined oral contraceptives: Short-acting combined oral contraceptives (COC) can not only regulate the menstrual cycle and prevent endometrial hyperplasia, but also reduce hyperandrogen symptoms, and can be used as the first choice for patients with polycystic ovary syndrome who have no fertility requirements during childbearing age. It can be used as appropriate in adolescent patients and in patients without high-risk factors for thrombosis during perimenopause, but it should be used with caution and is not preferred.
3 After 6 cycles, the drug can be stopped for observation, and the drug can be reused after symptoms (if there is no childbearing requirement, continuous use is recommended during the childbearing age), and the contraindications of COC should be paid attention to when taking the drug.
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Another important factor causing polycystic is quite close to emotion, emotional fluctuations will lead to or aggravate the occurrence and development of polycystic, traditional Chinese medicine believes that women's hepatitis B is congenital, and the liver is the main emotion, so the quality of the emotion directly leads to the increase in the incidence of women, so a good and pleasant emotional experience is very important for women's polycystic**, of course, your current situation is still more difficult to have a good mood, which is understandable as a doctor, so it is particularly important to establish a good **confidence, In the past, Western medicine believed that polycysts could not be **, and that there was no specific drug for polycysts, but in fact, from a medical point of view, it was wrong, and Chinese medicine believed that polycysts belonged to the categories of "late menstruation", "amenorrhea", "infertility" and so on. It is related to factors such as kidney qi deficiency, qi and blood deficiency, chong ren disorder, liver stagnation and qi stagnation, spleen deficiency, phlegm and dampness. The experience of clinical TCM** is:
The goal is not to let menstruation come on a monthly basis, but to allow the follicles to mature, have a dominant follicle, and make the patient pregnant.
It is suggested that a combination of Chinese and Western programs should be adopted to fundamentally regulate the treatment. Mainly use traditional Chinese medicine, and use less Western medicine if necessary. Because Western medicine is mostly hormones, it is very easy to stop the drug and it is easy to miscarry even if you are pregnant.
And traditional Chinese medicine is fundamentally regulated. The traditional Chinese medicine Ma Ji Lu placenta gum powder capsule is used to replenish qi and nourish blood, maintain ovaries, repair damaged uterus, enhance immunity, and promote early healing of physical and mental wounds. Ma Ji Deer Placenta Powder Capsules improve endocrine and delay aging, and have a good effect on maintenance.
The polycystic ** cycle is often very long, so we must be psychologically prepared, positive, optimistic, confident, and persistent!
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The main methods that can help us with polycystic ovary syndrome are as follows:
1. Ovulation induction is a common way to deal with polycystic ovary syndrome. Patients with polycystic ovary syndrome who have fertility requirements can take letrozole, clomiphene, insulin sensitizers and gonadotropin drugs and other ovulation induction drugs under the guidance of professional doctors to achieve the effect of the disease.
2. Oral contraceptives can also be used for polycystic ovary syndrome, which is a more traditional recurrence of polycystic ovary syndrome, mainly by adjusting the menstrual cycle, protecting the endometrium and lowering androgens to effectively improve the manifestations of various abnormal diseases. This method has the advantages of simplicity and economy for female patients who do not have fertility requirements.
3. The best way of polycystic ovary syndrome also includes assisted reproductive technology. Some patients with more serious polycystic ovary syndrome should have some more common ways that can not get the best effect, but some patients have more urgent requirements for pregnancy, so at this time we can use embryo transfer as an assisted reproductive technology to get the disease.
4. Surgery is also a more commonly used method for patients with polycystic ovary syndrome, according to the actual needs of patients and the severity of the condition, we need to develop different surgical plans and adopt different surgical methods.
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Polycystic ovary syndrome (PCOS), as a common clinical disease, can lead to obesity, hirsutism, menstrual disorders, and even amenorrhea in women, leading to infertility, so women with such symptoms should consider that it may be related to this disease. So, what should I do if I have PCOS?
1.There are many ways and methods of polycystic ovary syndrome, and it is necessary to formulate a plan according to the specific symptoms of the patient, such as some patients with polycystic syndrome who present with irregular menstruation, dysmenorrhea, menstrual disorders, etc., are mainly based on menstrual regulation. Targeted Chinese medicine decoction or Chinese patent medicine can be used to regulate menstruation**, and good results can generally be obtained.
2.Some patients with polycystic ovary syndrome have obesity, hirsutism and acne as the main manifestations of hyperandrogenism, for which a certain cycle of progestogen** is given to the deficient progesterone**. For example, under the guidance of a doctor, the use of certain contraceptive pills** can effectively improve symptoms and reduce the manifestations of hyperandrogenism.
3.There are also surgeries**, such as perforating in the ovaries or taking partial excision**, and the removal of excess small follicles through laparoscopic and other surgical methods can change the secretion of estrogen, and then perform ovulation induction**, which is mainly for patients with polycystic ovary syndrome who need to have a pregnancy.
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The main thing is the usual living habits, the living habits should be changed, don't stay up late to pay attention to the light diet, refuse to take out and combine the doctor's **.
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The first aspect: adjust your lifestyle, control your weight, increase physical activity, **!! It's also good for your endocrine.
The second aspect: for the menstrual cycle.
Taking birth control pills to regulate menstruation is more suitable for patients who need contraception. If adolescent girls rely on contraceptive pills to regulate, it is not that they can't, and it is best not to take them for a long time. Contraceptive pills should be progestin-based (progestogen) contraceptives, and the way to take each drug is different, please refer to the instructions for details.
There is also a way to take birth control pills. This method eats a smaller amount (as long as it is eaten in the second half of menstruation). It is more suitable for people with mild symptoms:
Oral administration (dydrogesterone 10 mg 2 times a day for 10 days) on days 16 to 25 of menstruation.
Medroxyprogesterone acetate tablets and progesterone are all available, and the specific method and dosage are not detailed.
The third aspect: how about the problem of having a lot of hair and acne (acne)?
It is also an oral contraceptive, and the preferred drug is (cyproterone acetate), **Acne, which should be taken for at least three months. **Hairy, at least six months.
Incredibly, these symptoms will be ** after stopping the drug! It's heartbreaking.
Fourth: Obesity and insulin resistance.
Metformin is a better drug. Obese patients cooperate with **, it is good to eat some metformin. Metformin will make your stomach uncomfortable after eating. It is recommended to eat it all together with a meal.
All of the above are for patients who do not need to get pregnant for the time being.
If you want to have a baby and haven't been pregnant for a year or two, then you should go to a doctor to help you do ovulation induction**, I won't talk about the specific method of ovulation induction, this is not something that can be said clearly in one or two sentences.
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It is a quack doctor who prescribes medicine to you, I advise you sisters not to eat these hormones indiscriminately, the most undesirable thing about Dyne 35 is to stop the medicine immediately **, which is equal to a white cure. I ate it too, but I found that it only aggravated the condition.555 I cried; I'm going to exercise now, **, adjust food, take Chinese medicine, and then find a boyfriend (many old people in rural areas say that this disease is a premarital disease, but it's not good when I'm older), if it's not good, my physical fitness is also better, and then I'll go for surgery when the time comes, so that the success of the operation will be much greater. 2000 This year, it seems that the newspaper said that antibiotics will be poisoned, and the harm to the body is particularly great, so in the future, if you have other diseases, colds, or whatever, it will be difficult for you to **.
I feel that now you should take Chinese medicine like me, and then cooperate with this ** to regulate food. But this disease does not seem to be very terrible to many old people, and in many rural areas it is called a premarital disease, and it will be better to have sex after marriage. According to the current situation, many older women still have no way**; Therefore, there should be an age and physical fitness limit.
It is recommended that you can take Chinese medicine, **, adjust food, and find a reliable person if you can. Generally speaking, this problem is not very difficult at your age, as long as you adjust it yourself, it will be fine. But if you don't adjust it in time, it will be difficult to get older, and your state seems to be easy to cause diabetes.
So be sure to pay attention. Many people in the countryside say that this is a premarital disease, and many of them have been cured, and I hope so.
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