How to Examine and Treat Polycystic Ovary Syndrome (PCOS)
Disease description:
During a previous health check-up at my workplace, the results suggested that I might have polycystic ovary syndrome (PCOS). I am planning to visit a hospital for further evaluation and would like to know what tests are required to diagnose this condition, as well as what treatment options are available.
Doctor's answer (1)
Dr. Zhang Lu
Polycystic ovary syndrome (PCOS) is primarily evaluated through clinical symptom assessment, including irregular menstrual cycles, weight gain, hirsutism, acne, and other manifestations. Blood tests are also conducted to measure levels of androgens, indicators of insulin resistance, thyroid function, and lipid profiles. In addition, ultrasound examinations may be performed to observe whether the ovaries are enlarged and whether multiple small cysts have formed.
Treatment for PCOS mainly involves medication. Oral contraceptives are used to regulate menstrual cycles, anti-androgen medications such as cyproterone acetate are prescribed to reduce elevated androgen levels, and metformin is used to treat insulin resistance. Additionally, ovulation-inducing agents such as clomiphene may be administered. It is important to use these medications only under the guidance of a physician and not to take them arbitrarily. General treatment approaches include lifestyle modifications, such as weight management and increased physical activity. For patients with fertility concerns who experience difficulty conceiving naturally, assisted reproductive technologies may be considered.
The goals of PCOS treatment are to alleviate symptoms, prevent complications, and improve quality of life. As the condition varies among individuals, treatment plans should be tailored to each patient's specific needs.
