How to get menstruation with polycystic amenorrhea

Amenorrhea caused by polycystic ovary syndrome can be improved by adjusting lifestyle, drug treatment, traditional Chinese medicine conditioning, ovulation induction treatment, surgical treatment, etc. Polycystic ovary syndrome may be related to genetics, insulin resistance, endocrine disorders and other factors, and usually manifests as oligomenorrhea, acne, hirsutism and other symptoms.

1. Adjust your lifestyle

Maintain a regular schedule, avoid staying up late, and ensure adequate sleep. Control your weight and keep your weight within a reasonable range through diet adjustments and moderate exercise. In the diet, reduce the intake of high-sugar and high-fat foods and increase the proportion of fruits, vegetables and whole grains. Weekly aerobic exercise, such as brisk walking, swimming, etc., can help improve insulin resistance.

2. Drug treatment

Progesterone drugs such as dydrogesterone tablets and progesterone capsules can be used under the guidance of a doctor to establish an artificial cycle. For patients with insulin resistance, doctors may prescribe metformin tablets to improve metabolic abnormalities. Some patients may need to use short-acting contraceptives such as ethinyl estradiol and cyproterone tablets to regulate endocrine.

3. Traditional Chinese Medicine Conditioning

Traditional Chinese medicine believes that polycystic ovary syndrome is mostly related to kidney deficiency, phlegm-dampness, and blood stasis, and it can be treated with traditional Chinese medicine based on syndrome differentiation. Commonly used prescriptions include Cangfu Daotan Decoction, Yougui Pills, etc. For acupuncture treatment, you can choose acupuncture points such as Guanyuan and Sanyinjiao, and the effect will be better when combined with moxibustion. Traditional Chinese medicine conditioning requires 3-6 months to be effective.

4. Ovulation induction treatment

For patients with fertility needs, doctors may use drugs such as letrozole tablets or clomiphene citrate capsules to induce ovulation. During treatment, follicular development needs to be monitored through ultrasound to avoid multiple pregnancy and ovarian hyperstimulation syndrome. Improper use of ovulation induction drugs may cause damage to ovarian function and must be carried out under the guidance of a professional doctor.

5. Surgical treatment

Laparoscopic ovarian drilling may be considered for patients who do not respond well to conservative treatment with medications. The surgery cuts holes in the ovarian surface to reduce androgen secretion and restore ovulatory function. Postoperative medication and lifestyle adjustments are required to prevent recurrence. Surgical treatment is invasive and is usually not the first choice.

Patients with polycystic ovary syndrome should establish a long-term health management plan and regularly monitor metabolic indicators such as blood sugar and blood lipids. Maintaining a balanced diet and supplementing with appropriate amounts of vitamin D and myo-inositol may help improve symptoms. Avoid excessive dieting and strenuous exercise to keep your mood comfortable. It is recommended to review sex hormones and ultrasound every 3-6 months, and adjust the treatment plan based on the examination results. When menstrual irregularities occur, you should seek medical treatment promptly and do not take menstruation-regulating drugs on your own.