What causes polycystic ovary syndrome?

Sep 22, 2024 Source: Cainiu Health
Dr. Zhang Lu
Introduction
In general, polycystic ovary syndrome (PCOS) may be caused by factors such as genetics, obesity, poor mental health, hyperinsulinemia, and hyperandrogenism. It is important to maintain a balanced diet by consuming more foods rich in fiber and protein. Additionally, engaging in appropriate aerobic exercises such as brisk walking, jogging, and swimming can help reduce body weight and improve endocrine system function.

Under normal circumstances, polycystic ovary syndrome (PCOS) may be caused by factors such as genetics, obesity, poor mental health, hyperinsulinemia, and hyperandrogenism. It is recommended to seek medical attention promptly, identify the underlying cause, and receive symptomatic treatment under the guidance of a qualified physician. The specific analysis is as follows:

1. Genetics

Polycystic ovary syndrome may have a hereditary tendency within families. If family members have PCOS, an individual's risk of developing the condition increases. It is important to manage lifestyle comprehensively, maintain a healthy diet, engage in appropriate physical activity, and keep a healthy weight.

2. Obesity

Obesity-induced insulin resistance can lead to elevated levels of androgens in the body, thereby interfering with normal ovarian function and contributing to PCOS. Active weight control is essential, including adopting a low-sugar, low-fat diet and engaging in regular physical exercise.

3. Poor Mental Health

Long-term stress, anxiety, fear, depression, and other negative emotions may affect the release of gonadotropin-releasing hormone from the hypothalamus, leading to ovulation disorders, fallopian tube spasms, and other symptoms that promote the development of PCOS. It is important to maintain a cheerful mood and emotional stability, and to relieve stress through activities such as traveling, socializing, or listening to music.

4. Hyperinsulinemia

An excess of blood glucose-raising hormones in the body may stimulate over-secretion of insulin, resulting in hyperinsulinemia. Elevated insulin levels can promote androgen production in the ovaries and inhibit the liver's synthesis of sex hormone-binding globulin, leading to increased free testosterone levels. This disrupts follicular development and ovulation, thus contributing to PCOS. Symptoms often include headache and frequent urination. Medications such as pioglitazone hydrochloride tablets, voglibose tablets, or acarbose chewable tablets may be used for treatment under a doctor’s supervision.

5. Hyperandrogenism

Hyperandrogenism is usually caused by medication effects, adrenal cortical hyperfunction, or insulin resistance. Excessive androgen secretion by the ovaries and adrenal glands may suppress the normal feedback mechanism of the hypothalamic-pituitary-ovarian axis, leading to PCOS. Common accompanying symptoms include menstrual irregularities and acne. Treatment may include medications such as spironolactone tablets, cyproterone acetate tablets, or metformin hydrochloride tablets, taken as directed by a physician.

In daily life, it is important to maintain a balanced diet by consuming more high-fiber and protein-rich foods such as vegetables, fruits, eggs, dairy products, and whole grains. Engaging in moderate aerobic exercises such as brisk walking, jogging, or swimming can help reduce body weight and improve endocrine system function.

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