What to do if there are polycystic changes in the left ovary

Polycystic changes in the left ovary can be intervened by adjusting lifestyle, drug treatment, traditional Chinese medicine conditioning, laparoscopic surgery, and regular review. This performance may be related to endocrine disorders, insulin resistance, genetic factors, chronic inflammation, mental stress and other factors.

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. Reduce the intake of refined sugar in the diet and increase the proportion of whole grains and high-quality protein, such as choosing brown rice, chicken breast and other ingredients. Engaging in 150 minutes of moderate-intensity exercise per week, aerobic exercise such as brisk walking or swimming can help improve insulin sensitivity.

2. Drug treatment

Follow your doctor's advice to use short-acting contraceptives such as ethinyl estradiol and cyproterone tablets to regulate the menstrual cycle, or metformin extended-release tablets to improve insulin resistance. For those with fertility needs, letrozole tablets can be considered to promote ovulation. Liver function needs to be monitored during medication. If side effects such as breast tenderness occur, the patient should be reviewed in time to adjust the plan.

3. Traditional Chinese Medicine conditioning

The use of traditional Chinese medicine that promotes blood circulation and removes blood stasis, such as Guizhi Fuling capsules, combined with moxibustion at Guanyuan point, can improve the local microcirculation of the ovary. Those whose TCM syndrome is of kidney deficiency and phlegm-dampness type can take Cangfu Daotan Pills, and those with liver stagnation and qi stagnation are suitable for Xiaoyao Pills. It is recommended to conduct personalized medicine after physical identification in a regular traditional Chinese medicine hospital.

4. Laparoscopic surgery

For those who are ineffective in drug treatment and have persistent ovulation disorder, laparoscopic ovarian drilling may be considered. This procedure uses electrocoagulation or laser to create tiny holes on the surface of the ovaries to reduce androgen levels. Pelvic adhesions need to be prevented after surgery, and bathing and sexual intercourse are prohibited within 3 months.

5. Regular review

Gynecological ultrasound and six sex hormone tests are performed every 3-6 months, focusing on monitoring changes in testosterone and LH/FSH ratio. People preparing for pregnancy need to conduct follicle monitoring simultaneously and understand the ovulation pattern through the basal body temperature curve chart. If menstruation is delayed for more than 60 days or abnormal uterine bleeding occurs, seek medical attention immediately.

On a daily basis, you need to keep your BMI between 18.5-23.9 and your waist circumference below 80 cm. Appropriately supplement vitamin D3 and inositol to avoid staying up late and high-intensity psychological stress. Use olive oil instead of animal oil for cooking, and consume more than 500 grams of dark vegetables every day. Establish a menstrual cycle record sheet and regularly communicate with the attending doctor about changes in symptoms.