What are the symptoms of polycystic ovary syndrome? What tests are needed for polycystic ovary syndrome

Polycystic ovary syndrome is a disease related to the ovaries of women. We need to detect it early, especially when there are abnormal changes in the body. We must go to the hospital for reasonable examination in a timely manner, and also make judgments based on our own situation.

What is polycystic ovary syndrome

Polycystic ovary syndrome (PCOS) is one of the most common gynecological Endocrine disease. It is clinically characterized by clinical or biochemical manifestations of androgen excess, persistent anovulation, and polycystic ovarian changes, often accompanied by insulin resistance and obesity. The endocrine characteristic is an increase in serum LH and an increase in androgens.

Polycystic ovary disease is more common in adolescence, and its etiology has not yet been elucidated. Currently, research suggests that it may be due to the interaction between certain genetic genes and environmental factors. The treatment of Polycystic ovary syndrome includes reducing androgen level, adjusting Menstrual cycle, improving insulin resistance, promoting ovulation, etc.

Symptoms of polycystic ovary syndrome

1. Menstrual disorder: the main symptom of polycystic ovary syndrome. Menstrual sparsity (cycle of 35 days to 6 months) and more amenorrhea result in less money or more menstrual sparsity. It can also be manifested as irregular uterine bleeding, Menstrual cycle, irregular physiological days and physiological quantities.

2. Infertility: Fertility in women due to ovulation disorders.

3. Hairy and acne: The most common manifestation of hyperandrogenism. There are varying degrees of hirsutism, mainly sexual hair. The pubic hair is dense and tends to be male shaped, extending to the area around the anus, groin, and midline of the abdomen. Long hair appears around the fine whiskers of the upper lip and areola. Oily skin and acne are common, which is related to the accumulation of androgen in the body and stimulation of Sebaceous gland secretion.

4. Obesity: more than 50% of patients are obese (body mass index ≥ 25kg/m2), and Abdominal obesity (waist/hip circumference ≥ 0.80) is more common. Obesity is associated with insulin resistance, androgen excess, and the increase of testosterone ratio with leptin resistance.

5. Acanthoderma nigricans: Gray brown pigmentation appears in the wrinkles of the labia, nape of the neck, armpits, breasts, and groin, which is symmetrical and thick, with a soft texture.

Examination for polycystic ovary syndrome

1. Ultrasound examination: Polycystic enlargement of both ovaries with thickened membranes and strong echogenicity. Under the membrane, cystic follicles with a diameter of 2-7mm can be seen for several days. Ovarian interstitial echo is uneven, endometrial hypertrophy, and attention should be paid to excluding uterine and ovarian tumors and adrenal lesions.