Does polycystic ovary change necessarily mean polycystic ovary?

Ovarian polycystic changes do not necessarily mean polycystic ovary syndrome, and a comprehensive judgment based on clinical symptoms and hormone levels is required. Symptoms can be improved by adjusting lifestyle, drug therapy, or surgical intervention.

Ovarian polycystic changes refer to the presence of multiple small cysts in the ovaries during ultrasound examination, but this is not equivalent to polycystic ovary syndrome. Polycystic ovary syndrome is an endocrine metabolic disorder. In addition to polycystic ovarian changes, it also has clinical manifestations such as irregular menstruation, hyperandrogenism or ovulation disorders. Simple ovarian polycystic changes may be caused by a variety of reasons, such as puberty, weight fluctuations, abnormal thyroid function, etc., and are not necessarily accompanied by pathological changes.

1. Lifestyle adjustment: Maintaining a healthy weight is essential to improving ovarian function. It is recommended to do 150 minutes of moderate-intensity aerobic exercise per week, such as brisk walking, swimming or cycling. In terms of diet, adopt a low-GI diet, increase the intake of whole grains, vegetables and high-quality protein, and reduce the intake of refined sugar and saturated fat. Maintain a regular work and rest schedule and ensure 7-8 hours of sleep, which helps regulate endocrine balance.

2. Drug treatment: For patients diagnosed with PCOS, doctors may prescribe the following drugs: oral contraceptives to regulate the menstrual cycle, such as ethinyl estradiol cyproterone acetate tablets; insulin sensitizers to improve insulin resistance, such as metformin; anti-androgen drugs to control hirsutism and acne, such as spironolactone. Medication should be taken under the guidance of a doctor, and the efficacy and side effects should be monitored regularly.

3. Surgical treatment: For patients who are ineffective or intolerant to drug treatment, laparoscopic ovarian drilling can be considered, which uses laser or electrocautery to create multiple small holes on the surface of the ovary to promote ovulation. After the operation, hormone levels and menstruation should continue to be monitored, and drug treatment should be used if necessary.

Polycystic ovarian changes require a detailed examination to confirm the diagnosis, and a personalized treatment plan should be developed according to the specific situation. It is recommended to seek medical attention in time when symptoms such as irregular menstruation, infertility or hirsutism occur, and undergo a comprehensive endocrine examination and ultrasound evaluation. Through early intervention and long-term management, most patients can achieve a good prognosis, improve their quality of life and reduce the risk of long-term complications. Regular follow-up and persistent treatment are the key to controlling the disease.