Can I smoke if I have PCOS?

Smoking is a popular way for people to relieve stress. When people are under too much pressure, they always light a cigarette to relax themselves slowly. Smoking is also different for different people. Some people cannot smoke, such as pregnant women, people with lung diseases, etc. Polycystic ovary syndrome is a disease that women are more likely to suffer from. So, can women with polycystic ovary syndrome smoke? Let’s take a detailed introduction below.

Polycystic ovary syndrome is a benign disease caused by complex endocrine and metabolic disorders. It has little to do with smoking, but it is related to being overweight. It is recommended to use medication to regulate menstruation and establish a normal menstrual cycle. Control your weight. Control your diet.

Treatment:

[Treatment policy]

Current drug therapy has replaced surgical treatment as the first-line treatment method, and the purpose of treatment is mainly related to the patient's fertility requirements.

[Drug treatment]

1. Drug treatment to reduce hyperandrogenism

(1) Oral contraceptive pills (OCPs): They have been used as a traditional long-term treatment for women with PCOS. They are mainly used to protect the endometrium, regulate the menstrual cycle, and improve hirsutism and/or acne by reducing the production of androgens in the ovaries.

(2) Glucocorticoids: used to treat hyperandrogenism caused by excessive adrenal androgen synthesis, with dexamethasone and prednisone being the most effective. Long-term use can inhibit the hypothalamic-pituitary-adrenal axis.

(3) Spironolactone: It is an aldosterone analogue. Its effectiveness in inhibiting enzymes is similar to that of cyproterone acetate, so the therapeutic effects of the two drugs are also similar.

(4) Flutamide: It is a steroid compound. Compared with cyproterone acetate, it increases the level of serum androgens (including total testosterone and free testosterone) after treatment. However, since the target organ effect of androgens is antagonized, the clinical manifestations are not aggravated despite the increase in serum androgen levels.

2. Ovulation-inducing drug treatment (1) Clomiphene (CC). (2) Gonadotropin (Gn). (3) Letrozole.

[Surgical treatment]

1. Bilateral ovarian wedge resection (BOWR) is the earliest and most effective method for treating anovulatory PCOS. The surgery requires the removal of 1/3 of the ovarian tissue.

2. Laparoscopic ovarian electrocautery or laser drilling (LOD): The current preferred surgical treatment method is laparoscopic ovarian drilling using thermal penetration or laser, which improves the response to ovulation induction treatment after surgery.

3. Transvaginal hydrolaparoscopy (THL): Mainly used for examination of fallopian tube and ovarian structure in patients with infertility without obvious pelvic causes.

4. In vitro fertilization (IVF): IVF-ET is an effective treatment for patients with refractory PCOS.

5. In vitro oocyte maturation technology (IVM): It is a technology that simulates the maturation environment of oocytes in vivo, allowing immature oocytes collected from the ovaries to reach final maturity in vitro.