Among women with long-term infertility, some suffer from polycystic ovary syndrome, a disease that causes a lack of ovulation. Once a woman does not discharge eggs, it is just like a man does not ejaculate sperm, and pregnancy is simply impossible.
To know whether you are suffering from polycystic ovary syndrome, you can use the following methods to judge.
◎ Hormone test
To determine whether you have polycystic ovary syndrome, you need to do a hormone test, because although the formation of polycystic ovary syndrome It is related to many factors, but the ultimate manifestation is endocrine imbalance. When you get the hormone test report, you should check it carefully. If you have polycystic ovary syndrome, then some hormones must be high, such as testosterone, deoxyepiandrosterone, androstenedione, and deoxyepiandrosterone sulfate. (DHEA-S), estrogen and luteinizing hormone (LH); some hormones are low, like estradiol (E2) and follicle-stimulating hormone (FSH).
There are many professional terms mentioned above, and many people will be confused and don’t know what they are. Usually we check for 6 hormone items. The English letter representing androgen is T (testosterone). However, in the hormone report obtained by some sisters, the letters representing androgen are D (deoxyepiandrosterone) and DS (deoxysulfate sulfate). Epiandrosterone) or A (androstenedione). When you see these items, you should know that the doctor suspects that you have polycystic ovary syndrome. If the doctor does not suspect that you have polycystic ovary syndrome, he will generally not do special items such as D, DS or A.
The following introduces some basic knowledge about polycystic ovary syndrome. More than 95% of DS is produced by the adrenal glands, and 50% of patients with polycystic ovary syndrome show elevated DS, so DS is a must-do item. As long as DS exceeds the standard and LH/FSH (LH data divided by FSH data) is greater than 3, then polycystic ovary syndrome is almost certain. In some hospitals, as long as LH/FSH is greater than 2, the patient will be diagnosed with polycystic ovary syndrome. Polycystic ovary syndrome was suspected.
◎ B-ultrasound examination
In addition to hormone analysis, B-ultrasound examination can also detect the characteristics of polycystic ovary syndrome. When patients with polycystic ovary syndrome undergo B-ultrasound examination, they can clearly see that the bilateral ovaries are enlarged and the surface is uneven; in addition, more than 10 follicles of varying sizes (2 to 7 mm) can be found in both ovaries. without the dominant follicle, the follicle cannot mature, and finally thisSome follicles are atretic and theca cells are luteinized.
◎ Analysis of physical abnormalities
Due to hormonal disorders, women with polycystic ovary syndrome will have physical abnormalities. Elevated androgens can cause hirsutism, obesity, and blackish acanthosis in some women. The basal body temperature of women with polycystic ovary syndrome is unidirectional, with no changes in high and low temperatures, no signs of ovulation, or insufficient luteal function.
Using the above three methods for comprehensive analysis, it is relatively easy to determine whether you have polycystic ovary syndrome. However, when diagnosing polycystic ovary syndrome, you must also distinguish it from several diseases. Kailai:Ovarian tumors, adrenal cortex hyperplasia or tumors, hyper or hypothyroidism. These three diseases
have very similar symptoms to polycystic ovary syndrome and must be ruled out by a doctor.
If you are determined to have polycystic ovary syndrome, the general treatment method is to use clomiphene to induce ovulation. If you still cannot ovulate after using clomiphene, you can further use human menopausal gonadotropin (HMG). ). Here, I would like to remind sisters to pay attention to several issues:
◎ Long-term use of clomiphene will cause the ovarian tunica cells to hypertrophy due to long-term stimulation of the ovaries by external LH;
◎ After using drugs to induce ovulation, the rate of ovulation is 80%, but the rate of pregnancy is only about 40%.
This article is provided by Baidu Reading and is excerpted from \”Pregnancy Can Be Simple\” Author: Feifei Mom