What to do if you have bilateral polycystic ovaries

Bilateral polycystic ovaries can be treated by adjusting lifestyle, drug treatment, traditional Chinese medicine conditioning, laparoscopic surgery, assisted reproductive technology, etc. Bilateral polycystic ovaries are usually caused by genetic factors, endocrine disorders, insulin resistance, obesity, excessive mental stress and other reasons.

1. Adjust your lifestyle

Maintaining a regular schedule can help improve endocrine disorders. It is recommended to control the daily sleep time to 7-8 hours. In the diet, reduce the intake of high-sugar and high-fat foods, increase the proportion of whole grains and green leafy vegetables, and perform 150 minutes of moderate-intensity exercise such as brisk walking or swimming every week. People with a body mass index over 24 need to lose 5-10% of their weight through a combination of diet and exercise.

2. Drug treatment

Use ethinyl estradiol and cyproterone tablets as directed by your doctor to regulate the menstrual cycle and improve symptoms of hyperandrogen. People with insulin resistance can take metformin enteric-coated tablets to enhance insulin sensitivity. Those with fertility needs should use Clomiphene Citrate Tablets to promote ovulation under the guidance of a doctor. During the medication period, follicle development needs to be monitored regularly.

3. Traditional Chinese Medicine conditioning

The type of kidney deficiency and phlegm stasis can be treated with Cangfu Daotan Pills, and the type of liver stagnation and qi stagnation can be treated with Xiaoyao Powder combined with acupuncture. Select acupuncture points such as Guanyuan and Sanyinjiao for moxibustion, 3 times a week for 3 consecutive menstrual cycles. Traditional Chinese medicine cycle therapy usually takes 3 months as a course of treatment, and needs to be coordinated with basal body temperature monitoring to evaluate the efficacy.

4. Laparoscopic surgery

Laparoscopic ovarian drilling may be considered for refractory cases that fail to respond to medical treatment. This procedure uses electrocoagulation or laser to create 4-10 tiny holes on the surface of the ovary to reduce androgen levels and restore ovulatory function. The probability of natural pregnancy within 6 months after surgery is high, so the timing of conception needs to be grasped.

5. Assisted reproductive technology

When combined with fallopian tube factors or abnormal semen of the male partner, in vitro fertilization and embryo transfer can be selected. Controlled ovulation superstimulation programs require the use of antagonists or long-term programs to prevent ovarian hyperstimulation, and the number of eggs retrieved per cycle is recommended to be controlled at 10-15. Endometrial preparation should be carried out before embryo transfer, and the success rate of frozen embryo transfer cycles is relatively stable.

Establish a standardized menstrual cycle record sheet and monitor changes in basal body temperature and cervical mucus. Take in 30 grams of dietary fiber every day, and supplement with appropriate amounts of vitamin D and inositol. Keep the perineum clean and dry and avoid using alkaline lotions to rinse the vagina. When the psychological pressure is too high, you can practice mindfulness meditation or yoga, and seek professional psychological consultation if necessary. Review ultrasound and sex hormone levels every 3-6 months. If you have abnormal bleeding or severe abdominal pain, you need to seek medical attention promptly.