How to Diagnose Polycystic Disease
Polycystic ovary syndrome (PCOS) is a common endocrine disease, affecting approximately 5%-10% of women of childbearing age worldwide. In recent years, with the increase in health awareness, the diagnosis and treatment of polycystic ovary syndrome have become a hot topic. This article will combine the hot content of the entire network in the past 10 days, introduce the diagnostic methods of polycystic ovary syndrome in detail, and provide structured data for readers to better understand.
1. Common symptoms of polycystic ovary syndrome
The symptoms of polycystic ovary syndrome vary. The following are common clinical manifestations:
| Symptoms | Description |
|---|---|
| Irregular menstruation | Prolonged menstrual cycle (more than 35 days) or amenorrhea |
| hirsutism | Excess hair on the face, chest, or back |
| Acne | Stubborn acne, especially on the jaw and back |
| Obesity | Weight gain, especially abdominal obesity |
| Infertility | Difficulty conceiving due to ovulation disorders |
2. Diagnostic criteria for polycystic ovary syndrome
According to international consensus, the diagnosis of polycystic ovary syndrome requires two of the following three conditions:
| diagnostic criteria | Specific content |
|---|---|
| Ovulation disorder | Oligomenorrhea or amenorrhea, no ovulation on ultrasound |
| hyperandrogenemia | Clinical or biochemical manifestations of androgen excess |
| polycystic ovarian changes | Ultrasound shows an increase in ovarian volume, with the number of follicles ≥ 12 (diameter 2-9mm) |
3. Examination items for diagnosing polycystic ovary syndrome
To confirm the diagnosis, doctors usually recommend the following tests:
| Check items | purpose |
|---|---|
| Six items of hormones | Test testosterone, LH, FSH and other hormone levels |
| Ultrasound examination | Observe ovarian morphology and number of follicles |
| Blood glucose and insulin testing | Assess insulin resistance |
| Blood lipid test | Understand the risks of metabolic abnormalities |
4. Differential diagnosis of polycystic ovary syndrome
Polycystic ovary syndrome needs to be distinguished from other diseases. The following are common differential diagnoses:
| disease | Differences from PCOS |
|---|---|
| Abnormal thyroid function | Abnormal thyroid hormone levels, which can be distinguished by a TSH test |
| Cushing's syndrome | Excessive cortisol levels, accompanied by classic signs such as "moon face" |
| hyperprolactinemia | Elevated prolactin levels, which may lead to amenorrhea and galactorrhea |
5. Treatment recommendations for polycystic ovary syndrome
Although there is no cure for PCOS, symptoms can be improved by:
| Treatment | function |
|---|---|
| lifestyle adjustments | Control weight, eat a balanced diet, and exercise regularly |
| drug treatment | Oral contraceptives, insulin sensitizers, etc. |
| assisted reproductive technology | Suitable for infertile patients |
6. Recent hot spots and polycystic ovary syndrome
In the past 10 days, the hot topics about polycystic ovary syndrome on the Internet have mainly focused on the following aspects:
| hot topics | Content overview |
|---|---|
| Diet and PCOS | Effects of low-carbohydrate and Mediterranean diets on improving PCOS symptoms |
| Exercise and PCOS | The improvement effect of high-intensity interval training (HIIT) on insulin resistance |
| mental health | The incidence and intervention measures of anxiety and depression in PCOS patients |
Conclusion
The diagnosis of polycystic ovary syndrome requires a combination of clinical manifestations, hormone levels, and ultrasonographic findings. If you suspect that you may have PCOS, it is recommended to consult a professional doctor as soon as possible for a comprehensive examination and evaluation. Through scientific diagnosis and reasonable treatment, symptoms can be effectively controlled and quality of life improved.
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