Symptoms of polycystic uterus

Polycystic uterus is a common disease in women. It can easily lead to menstrual disorders or intrauterine bleeding. It can also easily lead to symptoms such as dysmenorrhea, increase in male hormones, excessive oil secretion of the skin, changes in voice, and infertility.

What are the symptoms of polycystic uterus?

symptom

1. Abnormal menstruation: infrequent menstruation, amenorrhea, and in a few cases, functional uterine bleeding. It often occurs during adolescence, as a continuation of irregular menstruation after menarche, sometimes accompanied by dysmenorrhea.

2. Hirsutism is common, with an incidence rate of up to 69%. Due to the increase in androgen levels, the vellus hair on the upper lip, lower jaw, chest, back, middle of the lower abdomen, both sides of the upper thighs and around the anus may become thicker and more numerous, but the degree of hirsutism is not proportional to the androgen level (affected by multiple factors such as the number of receptors, estrogen, SHBG and the sensitivity of hair follicles to androgens). It may also be accompanied by acne, excessive facial sebum secretion, deep and rough voice, enlarged clitoris, Adam's apple and other signs of masculinization.

3. Infertility: Due to long-term anovulation, patients often suffer from infertility, and sometimes there may be occasional ovulation or miscarriage, with an incidence rate of up to 74%.

4. Obesity accounts for more than 20% of the body weight, and those with a body mass index ≥25 account for 30% to 60%. Obesity is mostly concentrated in the upper body, with a waist/hip ratio > 0.85. It usually starts during adolescence and gradually worsens with age.

5. Ovarian enlargement: In a few patients, enlarged and firm ovaries can be felt through general gynecological examination, but most of them require auxiliary examinations to confirm the diagnosis.

6. Estrogen effect All patients showed good estrogen effect. During examination, a large amount of cervical mucus may be seen. Continuous and large amounts of estrogen can cause rapid endometrial hyperplasia, atypical hyperplasia, and even cancer.

Cause harm

Early treatment is the key to polycystic ovary syndrome. Here we would like to remind you that the earlier the treatment is, the better the effect will be. If you wait until you are infertile after marriage to go to the hospital for treatment, it will cause greater mental trauma to the patient. Regardless of whether or not you want to have children, once PCOS is diagnosed, you should seek treatment immediately to avoid irreparable regrets. More importantly: you should go to a regular hospital to see a professional doctor. Do not believe the misleading propaganda of black clinics and small hospitals that claim to "cure all diseases" so as not to delay the treatment and cause lifelong regrets for the patient.

You should be aware of any changes in your body and be alert to the early "signals" of PCOS so as not to give the disease a chance to spread. If you find that your menstruation is irregular, sparse, or even amenorrhea, you are hirsutistic, or you are obese, you should consider the possibility of polycystic ovary syndrome and go to the hospital for a check-up in time.

Treatment

1. General treatment: Patients should actively exercise, reduce the intake of high-fat and high-sugar foods, and lose weight. This can cause the androgen level to drop, which is beneficial for restoring ovulation.

2. Drug treatment: Drug treatment can counteract the effects of androgens and induce ovarian ovulation. The drugs used are mainly oral contraceptives, which can also regulate the menstrual cycle. It is usually taken for about 3-6 months, and you can stop taking the medicine after the hormone level test is normal.

Drug treatment

In view of the fact that the main characteristics of this disease are persistent anovulation and excessive androgen, traditional drug treatment includes two aspects, namely ovulation induction and anti-androgen. Although some patients can ovulate through drug treatment, clinically, side effects such as high ovulation rate, low pregnancy rate, and increased probability of ovarian hyperstimulation syndrome and multiple pregnancy are common. In addition, polycystic ovary syndrome can be divided into hyperandremia acne type, high dehydroepiandrosterone type, hyperprolactinemia type, hyperinsulinemia type, obesity type, high 17-hydroxyprogesterone type, hyperestrogenemia type, etc. Treatment must select drugs according to different causes and different types.