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The harm of polycystic ovary syndrome in different age groups
The harm of polycystic ovary syndrome at different ages, it brings more than just infertility! PCOS is a chronic and incurable disease. Long-term control is needed to alleviate the impact of the disease on the body. It must not be taken lightly.
Polycystic ovary syndrome (PCOS) is a common gynecological endocrine disease, and it is a multi-factor and complex endocrine disorder.
The main clinical manifestations are excessive secretion of androgens, polycystic changes of the ovary, ovulation dysfunction, amenorrhea or sparse menstruation, obesity, hirsutism, facial acne and even infertility.
What are its hazards at all ages?
The impact of this disease on women’s health is throughout a lifetime, and this impact may involve multiple systems throughout the body. Most of the diseases “onset” in adolescence, because most patients are diagnosed because of adolescent menstrual disorders, but in fact the nature of the disease may already be available.
Before puberty, girls with childhood obesity or even precocious puberty, if the child was born with a low birth weight or a giant child, it may be polycystic ovary syndrome in the future, parents must take the child to the child growth and development center Or visit the child insurance clinic as soon as possible.
Gynecological drugs will not be used at this time, but bone age may be monitored if necessary to prevent girls from being low in adulthood.
Parents should pay attention to guarding their children not to overnutrition, and all nutrients in the diet should be balanced
, Control the intake of high-energy food, eliminate junk food, and allow children to exercise moderately under the guidance of professionals.
After puberty menarche, menstrual disorders and acne become the most common reasons for adolescent women to visit a doctor. Menstrual disorders are caused by the dysfunction of the hypothalamic-pituitary-ovarian axis that regulates reproduction in women, and the ovaries cannot ovulate periodically and lack periodic changes in female hormones.
It can be manifested as various types of menstrual disorders, such as oligomenorrhea, amenorrhea, frequent menstruation, and irregular vaginal bleeding; there are also a few patients with regular menstruation, but this type of menstruation does not necessarily accompany ovulation.
Acne, like hirsutism, temporal alopecia, and seborrhea, are clinical manifestations of excessive androgen in the body. Hairiness is generally manifested as an increase in sex hair rather than body hair. It can be mandibular whiskers, lip whiskers, or areola and pubic hair.
Acne can be papule, pustular or nodular.
If it is not treated in time, it can cause acne marks and even scars after skin lesions, which will cause psychological impact on young girls.
Similarly, a normal menstrual pattern has not been established, which will also cause psychological shadows for girls in this sensitive period.
Because the function of the female reproductive axis in adolescence has a gradual development and maturity process, and there is physiological insulin resistance and excessive physiological androgen in this special time period; the time limit for the perfect development of the reproductive axis and the physiological and pathological excessive androgen It is difficult to define the time.
Therefore, the diagnosis of puberty polycystic ovary syndrome must be cautious, but the treatment must be timely, otherwise the diagnosis and treatment after puberty may delay the disease.
03 Sexual maturity
Because polycystic ovary syndrome has both the characteristics of metabolic diseases, when it comes to sexual maturity, if the weight and insulin resistance are not well controlled before, then it may be necessary to start internal medicine at this time.
With obesity, waist and abdomen circumferences become larger and larger. This type of obesity is usually called abdominal obesity, which is closely related to insulin resistance.
Therefore, when abnormal insulin secretion and dyslipidemia are detected, active treatment should be taken to avoid the occurrence of common complications of polycystic ovary syndrome such as diabetes, fatty liver, hypertension, and coronary heart disease.
Some patients can improve only through diet and exercise. Of course, these require the help of nutritionists and sports medicine experts, because improper weight loss may cause harm to the body, and wrong exercise may also cause bone and joint damage in obese patients.
The other part of the patients needs to be controlled with medication and regular follow-up under the guidance of clinicians.
04 Childbearing age
Infertility is an important reason for patients with polycystic ovary syndrome at this stage of childbearing age to come to the gynecology department, including infertility and recurrent miscarriage. Because of the ovulation disorder of polycystic ovary syndrome, the chance of pregnancy is lower than that of normal women. Once pregnant, it is easy to be affected by the unique high androgen, high gonadotropin, high insulin level and abnormal endometrial receptivity. Spontaneous abortion.
If there is no spontaneous abortion, pregnancy complications such as gestational hypertension, gestational diabetes, and polyhydramnios are more likely than normal women.
Therefore, you should receive basic treatment before pregnancy to control your weight and adjust your blood biochemical indexes to near normal.
This can not only reduce the mother’s complications during pregnancy, but also reduce the risk of premature birth, low birth weight, and huge babies, and get a healthy baby.
It is worth mentioning that the impact of polycystic ovary syndrome on women’s health is not terminated by the completion of female childbirth or menopause. On the contrary, the risk of related complications increases year by year.
In addition to the aforementioned medical complications, some women may also develop cancer, such as breast cancer and endometrial cancer; these are all related to the hormone imbalance of polycystic ovary syndrome, due to sparse ovulation, polycystic ovary syndrome in the uterus The membrane is stimulated by a single estrogen for a long time without progesterone antagonism. It is a high-risk group of endometrial hyperplasia, and the risk of endometrial cancer is four times that of the general population.
Therefore, it is clinically necessary to regularly screen women with polycystic ovary syndrome for endometrial cancer, Even menopause still needs regular follow-up and monitoring. There are also some patients with polycystic ovary syndrome who have problems with mood disorders, such as depression or anxiety.
PCOS is a chronic and incurable disease. Long-term control is needed to alleviate the impact of the disease on the body. It must not be taken lightly
(source:internet, reference only)