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Polycystic ovary syndrome (PCOS)

Aug 24, 2022
Case: Polycystic ovary syndrome (PCOS)

Patient M, 13yrs old, her weight is 235lbs and height is 174cm. She visits our clinic on July 26, 2022 and complains that she has gotten Secondary amenorrhea for 2 years and one more month. 

Her first menstrual period was in June 2020 and lasted for 7 days with normal amount of blood flow. Period stop after first time and no discharge in these 2 years.  The patient visited OBGYN and completed the checkup with ultrasounds and blood work on 06/09/2022. The patient was diagnosed Polycystic Ovary Syndrome(PCOS), with high Insulin level, high Cholesterol, high Hemoglobin A1c, high Creatine and her endometrial stripe measures 0.4cm.  

She started to accept Dr. Lu's Chinese herbal medicine on July 26, 2022. On Aug 19th, she found that she has spotting, the sign of regular menstrual period and now she keeps taking Chinese medication.

 

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Polycystic ovary syndrome (PCOS) occurs in 5 to 10% of women. In the US, it is the most common cause of infertility.

Polycystic ovary syndrome is a clinical syndrome characterized by mild obesity, irregular menses or amenorrhea, and signs of androgen excess (eg, hirsutism, acne). Most patients have multiple cysts in the ovaries. Diagnosis is by pregnancy testing, hormone measurement, and imaging to exclude a virilizing tumor. Treatment is symptomatic.

Based on Chinese Medical theroy, there are two factors: Excess and empty. Excess is including Qi and blood stagnation, cold obstructing blood causing channels blocked and dampness & phlegm obstructing channels; Empty is including kidney Qi deficiency, Liver and kidney yin deficiency and Qi & blood deficiency. We should evaluate and make diagnosis to give patients treatments.