How to restore menstruation in polycystic ovary syndrome

How to restore menstruation in polycystic ovary syndrome

Polycystic ovary can cause ovulation disorders in women, that is, there are many eggs, but they do not develop. In this case, women cannot get pregnant, and many patients with polycystic ovary do not have menstruation. In this case, timely treatment is necessary to restore menstruation as soon as possible and restore fertility. So, how can polycystic ovary restore menstruation? Let's take a look.

1. Weight loss method: This method focuses on increasing exercise to reduce weight, because of the endocrine and metabolic disorders caused by obesity. Then losing weight can effectively restore endocrine system gradually. In this way, after the ovulation period is normal, the chance of pregnancy will greatly increase, and polycystic ovary will gradually subside.

2. Insulin resistance method: Relieving insulin resistance can increase SHBG, leading to a decrease in the level of male hormones, and can effectively treat polycystic ovary and infertility caused by excessive male hormones.

3. Clomiphene drug therapy: It competes with endogenous estrogen at the hypothalamic-pituitary level for protein kinase, inhibits the negative feedback of estrogen, increases the pulse frequency of GnRH metabolism, and thus regulates the metabolic ratio of LH and FSH. This will increase the ovulation rate. However, this drug has side effects, such as abdominal discomfort, decreased vision, rash, hair loss, etc.

4. Urinary gonadotropin drug therapy: It is mainly used for patients with endogenous pituitary gonadotropin and decreased estrogen secretion. However, this drug has more side effects than clomiphene and has a significant stimulation to the uterus and ovaries.

5. Gonadotropin-releasing hormone therapy: It can promote the release of FSH and LH from the pituitary gland, but long-term use will make the kinase of pituitary cells insensitive, resulting in a decrease in gonadotropin, thereby reducing the production of ovarian estrogen.

6. Bilateral uterine and ovarian wedge removal therapy: remove part of the uterus and ovaries, remove the excess androgen produced by the uterus and ovaries, and correct the disorder of the hypothalamic pituitary-pituitary-uterine and ovarian axis. However, the location of removal and the amount of tissue removed are related to the efficacy, and the efficiency varies. This method has a high recurrence rate after surgery.

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