多嚢胞性卵巣症候群 (PCOS), 臨床現場では PCOS と呼ばれることが多い, 女性に影響を与える一般的な内分泌代謝疾患です. コメントセクションでもプライベートメッセージでも, 私たちは、多くの人が PCOS に直面して混乱しているのを目撃してきました。, パニック, そして圧倒される感覚.
今後のブログシリーズで, I will strive to provide comprehensive knowledge about PCOS. Here is a guide for your reading:
- What are the three diagnostic criteria for PCOS?
- How are ovarian cystic changes related to PCOS?
- Is PCOS different from polycystic ovaries syndrome?
- Are hirsutism and acne caused by PCOS?
- Diagnosis of PCOS requires having two or more symptoms simultaneously.
- The reasons for the occurrence of PCOS are not clear.
- What medical tests are required for a confirmed PCOS diagnosis?
- PCOS患者はインスリン抵抗性を経験する可能性がある.
- Both patients and doctors feel frustrated with PCOS.
- How can PCOS patients prepare for pregnancy?
- What are the side effects of drug-induced ovulation?
- What is surgical ovulation induction?
- How can PCOS patients determine if they are ovulating?
- Is it necessary to continue taking birth control pills for an extended period?
- What to do if you feel uncomfortable after taking birth control pills?
- Is a regular menstrual cycle really important?
- If acne does not improve with birth control pills, what should be done?
- Are PCOS patients more likely to have endocrine disorders?
- If unwilling to take birth control pills, can one use a contraceptive ring like NuvaRing?
- How to determine if there is insulin resistance?
- Can PCOS resolve on its own?
- Is premature ovarian failure related to PCOS?
- Is dysmenorrhea related to PCOS?
- Is endometriosis related to PCOS?
- Can PCOS lead to cancer if left untreated for a long time?
- Is polycystic kidney disease related to PCOS?
- Does sexual activity have any connection with PCOS?
- How does PCOS affect pregnancy?
- Is there a connection between ectopic pregnancy and PCOS?
今日, we will address the first five questions
- What are the three diagnostic criteria for PCOS?
- How are ovarian cystic changes related to PCOS?
- Is PCOS different from polycystic ovaries syndrome?
- Are hirsutism and acne caused by PCOS?
- Diagnosis of PCOS requires having two or more symptoms simultaneously.
What is PCOS? The definition of PCOS is Polycystic Ovary Syndrome. Typically, there are several manifestations, but they do not all occur simultaneously in one individual.
- Irregular or absent menstruation.
- Abnormal ovarian findings on ultrasound (cystic changes, although a diagnostic criterion, may not conclusively indicate PCOS, as this can sometimes be a normal physiological manifestation).
- Elevated levels of androgens (male hormones), along with associated symptoms such as excessive and disordered pubic hair growth, and hair growth around the nipples. しかし, the growth of hair on limbs is primarily determined by genetic factors.
Transvaginal ultrasound scan of polycystic ovary
Polycystic ovary as seen on sonography
A diagnosis of PCOS is made when a person exhibits two or three of the above features. It is important to note that diagnostic criteria may vary during different life stages, such as adolescence and reproductive age. しかし, overall, they revolve around these three criteria.
There is a correlation between androgens and cystic changes. Androgens play a role in aggregating dormant follicles. During follicle growth, androgens are involved. 通常は, after complete follicle development, androgen levels decrease. しかし, due to elevated androgens, follicles continue to be stimulated, preventing complete development and ovulation. This disruption affects the menstrual cycle, leading to irregular or absent periods.
したがって, a confirmed diagnosis of PCOS is made when a patient exhibits two or three of these manifestations.