What tests should patients with polycystic ovary syndrome do?

The best thing for women is to go to the hospital for ovarian examination every year, because the ovaries are related to women's fertility and health issues, and young ovaries can truly mean a young body for women. As women age, they may have polycystic ovary syndrome. Although this is a common gynecological disease, it can be life-threatening in severe cases, so it should be taken seriously.

Diagnosis includes actual examination of typical PCOS, the so-called Stein-Leventhal syndrome. The diagnosis is not difficult, but atypical cases are more common clinically and necessary experimental examinations and ovarian pathology should be performed.

1. Hormone determination

(i) Gonadotropin: About 75% of patients have elevated LH, normal or decreased PSH, and LH/FSH ≥ 3.

(ii) Steroid hormones

1. Elevated androgens, including testosterone, dihydrotestosterone, androstenedione, and 17-ketosteroids. As SHBG decreases, free androgens increase.

2. The total amount of estrogen can reach 140pg/ml, and androdiol is equivalent to the early follicular level of about 60pg/ml. The increase in extragonadal estrogen production makes E1/E2 ≥1.

3. Increased adrenal DHEAS production, plasma concentration ≥ 3.3 μg/ml, 17-hydroxyprogesterone also increased (normal laparoscopy, to directly observe ovarian morphology or perform biopsy, puncture, wedge resection and electrocautery and other treatments.

2. CT and MRI

To identify and exclude pelvic tumors.

3. Laparotomy

It is performed when an ovarian tumor is suspected or an ovarian wedge resection is to be performed.

symptom:

① Occurs in women of childbearing age, 22 to 31 years old, accounting for about 85%.

② Oligomenorrhea, oligomenorrhea, and secondary amenorrhea account for about 60%, and anovulatory menstruation, menorrhagia, excessive menstruation, or functional uterine bleeding account for about 20%.

③Hairy, accounting for about 70%, most prominent on the upper lips, arms, and lower limbs. There may be 1 to several long hairs around the breasts and the midline of the lower abdomen.

④ Obesity, accounting for about 30%, or only weight gain but no obvious obesity.

⑤ Infertility, accounting for about 75%, with primary infertility being the most common.

⑥ Gynecological examination: about 67% of patients can feel one or both ovaries.

The examination for polycystic ovary syndrome is very comprehensive, so women do not need to worry about not being able to detect the disease. In addition, it is best for women to use a shower when bathing, because showers can prevent the invasion of bacteria. In addition, underwear should be changed frequently, and attention should be paid to cleanliness after sexual intercourse. This can help prevent the incidence of this disease.