Women always have various uncomfortable symptoms in their daily lives, among which the feeling of ovarian swelling is a very common one. The ovaries are a very important organ for women and have a direct relationship with fertility. Therefore, when the ovaries appear swollen, people need to pay special attention. They should understand the cause and then take effective measures to treat it. The following will introduce what is going on when the ovaries feel swollen. Once suffering from ovarian cysts, women will often experience various discomfort symptoms in their daily lives, among which lower abdominal distension is one of the symptoms. Moreover, women with ovarian cysts will experience lower abdominal distension and pain whether they exercise or stand up after sitting still. Typical symptoms: 1. Amenorrhea is divided into primary amenorrhea and secondary amenorrhea. Secondary amenorrhea occurs before the age of 40. There are no characteristic signs of menstrual abnormalities before amenorrhea in POF patients. Some women suddenly experience amenorrhea after regular menstruation, some experience amenorrhea after stopping birth control pills or giving birth, and some experience irregular menstrual cycles and periods before amenorrhea. 2. Infertility is the main reason for patients with premature ovarian failure to seek medical treatment and suffer. There are primary infertility and secondary infertility. 3. Symptoms of low estrogen. Symptoms of low estrogen are rare in patients with primary amenorrhea. If they occur, they are mostly related to previous use of estrogen replacement therapy. Symptoms of low estrogen are common in patients with secondary amenorrhea. treat [Treatment policy] Estrogen-progesterone replacement therapy, osteoporosis prevention, ovulation induction therapy, immunotherapy, donated egg embryo transplantation, etc. can be used as appropriate. [Drug treatment] 1. Estrogen-progesterone replacement therapy (HRT) Estrogen-progesterone replacement therapy is very important for young POF patients. It can relieve the symptoms of low estrogen and urogenital tract atrophy, prevent long-term complications, and reduce the risk of colon cancer by 37%. 2. Prevent osteoporosis
In addition to HRT, ensure 1200 mg of calcium intake per day. Vitamin D 400~800IU/d, and engage in necessary physical exercise. 3. Ovulation induction therapy Generally, after HRT or GnRHa is used to suppress endogenous gonadotropin to a lower level, sufficient hMG/hCG is given to induce ovulation while monitoring by ultrasound. The dosage of hMG is required to be large and the duration is long. [Surgical treatment] 1. To date, donated egg embryo transfer is still the most effective treatment for POF patients to achieve pregnancy. 2. Ovarian transplantation. |
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