Polycystic ovary syndrome (PCOS) is a gynecological disease. After illness, many patients are particularly worried. The biggest concern is whether they can be cured. We must treat them Symptomatic treatment according to their own conditions.
Can polycystic ovary syndrome be treated
Polycystic ovary syndrome can be treated. Polycystic ovary syndrome is mainly treated with medication, and surgery is feasible if necessary.
Polycystic ovary syndrome is a lifelong metabolic disorder that can also be accompanied by metabolic syndrome. This endocrine disorder can lead to lipid metabolism disorders, hypertension, abdominal obesity, and abnormal glucose metabolism in patients. Multiple risk factors indirectly increase the risk of cardiovascular disease. Therefore, even if patients with polycystic ovary syndrome no longer have fertility requirements, they should continue to receive treatment under the guidance of gynecological endocrinologists and actively prevent long-term complications.
Drug therapy for polycystic ovary syndrome
1. Regulate Menstrual cycle: It is very important to use drugs regularly and reasonably to resist the effect of androgen and control Menstrual cycle.
① Oral contraceptives: It is an estrogen combined periodic therapy. Pregnancy hormone can reduce the production of estrogen by ovaries and directly act on the endometrium through negative feedback, which can promote the production of sex hormone and globulin in the liver by regulating the excessive hyperplasia of endometrium in the Menstrual cycle. Short acting oral contraceptives are commonly used and can be taken periodically. The course of treatment is generally 3-6 months and can be used repeatedly. It can effectively inhibit hair growth and treat acne.
② Pregnancy hormone therapy in the second half cycle can regulate menstruation and protect the endometrium. It also has an inhibitory effect on excessive secretion of LH. It can also achieve the effect of restoring ovulation.
2. Reduce blood androgen levels:
① Glucose Corticosteroid: androgens applicable to polycystic ovary syndrome are mostly from adrenal or mixed adrenal and ovarian sources. The commonly used drug is dexamethasone, 0.2525mg orally, which can effectively inhibit the concentration of Dehydroepiandrosterone sulfate. The dosage should not exceed 0.5mg per day to avoid excessive inhibition of pituitary adrenal axis function.
② Cycloprogesterone: 17 α- Hydroxyprogesterone derivatives, with strong Antiandrogen effect, can inhibit the secretion of pituitary Gonadotropin and reduce the testosterone level in the body. Oral contraceptives composed of Ethinylestradiol are effective in reducing hyperandrogenism and treating hyperandrogenism signs..