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guidelines for Polycystic Ovary Syndrome-Polycystic Ovary Syndrome

guidelines for Polycystic Ovary Syndrome-Polycystic Ovary Syndrome
The compass for polycystic ovary syndrome answers the questions that patients with polycystic ovary syndrome often ask when they go to the hospital, for example, what department number does polycystic ovary syndrome hang? Precautions before examination of polycystic ovary syndrome? What do doctors usually ask? What tests should polycystic ovary syndrome do? What do you think of the examination results of polycystic ovary syndrome? Wait. The purpose of polycystic ovary syndrome treatment guidelines is to facilitate patients with polycystic ovary syndrome to seek medical treatment and solve the doubts of patients with polycystic ovary syndrome.
Typical symptom
Scarce menstruation, female infertility, obesity
Suggested visiting department
Gynecology
Best visit time
No special, see a doctor as soon as possible
Duration of visit
One day is reserved for the first visit, and half a day is reserved for the second visit
Frequency of follow-up visit/diagnosis and treatment cycle
Outpatient treatment: Follow-up every week until menstruation is rare and relieved, and discomfort is followed up. Severe cases need to be admitted to hospital for treatment, and female infertility disappears and then transferred to outpatient treatment.
Preparation before seeing a doctor
No special requirements, pay attention to rest.
Common consultation contents
1. Describe the reason for seeing a doctor (when did you start and what's wrong?)
2. Is the feeling of discomfort caused by obvious factors?
3. Are there any accompanying symptoms such as hirsutism and obesity?
4. Have you been to the hospital, have you done those examinations, and what are the examination results?
5. How is the treatment?
6. Is there any history of drug allergy?
7. Are there any patients with polycystic ovary syndrome at home?
Key inspection items
1. HCG
Human chorionic gonadotropin (HCG) α β is synthesized by syncytiotrophoblast. HCG begins to secrete on the 6th day after fertilization, and can be detected in serum and urine of pregnant women on the 7th day after fertilization, which can be used for the diagnosis of early pregnancy. The serum concentration reached the peak at 8 ~ 10 weeks of pregnancy, about 50-100kU/L, and decreased rapidly after 10 days.
2. Six tests of sex hormones
Six tests of hormones (six tests of sex hormones and six tests of reproductive hormones) are routine examinations of female reproductive system.
3. Dexamethasone inhibition test
Dexamethasone inhibition test was designed according to the feedback inhibition effect of plasma glucocorticoids on CRH release from hypothalamus and ACTH release from pituitary gland.
Diagnostic criteria
1. Clinical diagnosis of irregular menstruation, rare menstruation and/or amenorrhea for many years after menarche, accompanied by obesity and hirsutism, infertility after marriage, etc. PCOS should be suspected. Typical cases have the above symptoms and signs, namely menstrual disorder, hirsutism, acne, obesity, infertility and so on. Atypical cases can be manifested as: ① Simple amenorrhea without obesity, hirsutism and ovarian enlargement, excluding other diseases, and patients with positive progesterone test should still be considered as PCOS. ② Ovulation-type dysfunctional hemorrhage. ③ Abnormal menstruation with hirsutism. ④ Abnormal menstruation with masculine symptoms and no obvious obesity. ⑤ Dysfunctional uterine bleeding with infertility. For atypical cases, it is necessary to ask about the medical history in detail, such as onset age, growth and development, onset process, medication history, family history, personal living habits, and whether there are systemic diseases in the past. Combined with auxiliary examination, other diseases were excluded, and the diagnosis was confirmed by B-ultrasound. 2. Diagnostic criteria Because of the heterogeneity of this disease, the diagnostic criteria have not been unified. Most scholars can determine the diagnosis of this disease according to puberty onset, abnormal menstruation and ovulation, hirsutism, elevated blood LH and/or LH/FSH ratio, high androgen level, polycystic ovary signs in ultrasound examination, and excluding other similar diseases.


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