Cystoovarian menstrual bleeding

For girls, protecting their health is very important. Especially nowadays, few women have normal menstruation, it is either early or late. If you have irregular menstruation, you need to take this issue very seriously. Because this may affect whether you can have children in the future. If you have cystic ovary bleeding, you need to consult a doctor in time and regulate your body.

1. Menstrual disorders

PCOS causes anovulation or infrequent ovulation in patients, and about 70% of them have menstrual disorders. The main clinical manifestations are amenorrhea, oligomenorrhea and dysfunctional uterine bleeding, accounting for 70% to 80% of women with abnormal menstruation, 30% of secondary amenorrhea, and 85% of anovulatory dysfunctional uterine bleeding. Due to the ovulation dysfunction and lack of cyclical progesterone secretion in PCOS patients, the endometrium is under simple high estrogen stimulation for a long time. The continuous proliferation of the endometrium is prone to simple endometrial hyperplasia, abnormal hyperplasia, and even atypical endometrial hyperplasia and endometrial cancer.

2. Clinical manifestations related to hyperandrogenism

(1) The amount and distribution of hirsutism varies with gender and race. Hirsutism is one of the important manifestations of increased androgen levels. There are many methods for evaluating hirsutism clinically. Among them, the method recommended by the World Health Organization is the Ferriman-Gallway hair scoring standard. In my country, hirsutism is not serious in most PCOS patients. The results of a large-scale community epidemiological survey show that hirsutism can be diagnosed if the mFG score is >5 points. Excessive sexual hair is mainly distributed on the upper lip, lower abdomen and inner thighs.

(2) Hyperandrogenic acne PCOS patients are mostly adult female acne with rough skin and enlarged pores. Unlike adolescent acne, they are characterized by severe symptoms, long duration, stubbornness, and poor response to treatment.

(3) Female pattern hair loss (FPA): PCOS women begin to lose their hair around the age of 20. It mainly occurs on the top of the head, extending forward to the front of the head (but not invading the hairline) and backward to the back of the head (but not invading the back of the head). The hair on the top of the head becomes diffusely sparse and falls out. It neither invades the hairline nor causes baldness.

(4) Seborrhea PCOS produces excessive androgens, resulting in hyperandrogenism, which increases sebum secretion, causing excessive oil on the patient's head and face, enlarged pores, slightly red and greasy skin on both sides of the nasolabial groove, dandruff and itchy scalp, and increased oil secretion on the chest and back.