Polycystic ovaries
Gynecology
Polycystic Ovary Syndrome (PCOS): Diagnosis & Treatment
Overview
Polycystic ovary syndrome (PCOS) is an endocrine disorder characterized by elevated luteinizing hormone (LH) levels with normal follicle-stimulating hormone (FSH) levels. This hormonal imbalance disrupts ovulation, leading to anovulatory menstrual cycles and the formation of multiple ovarian cysts. PCOS is often associated with excessive hair growth (hirsutism), insulin resistance, and fertility issues.
Diagnosis
A comprehensive assessment includes:
Blood Test for Hormones – Evaluates LH, FSH, testosterone, and insulin levels.
Pelvic Ultrasound – Detects ovarian cysts and evaluates ovarian volume.
Endometrial Assessment & Biopsy – Assesses uterine lining health, especially in cases of irregular menstruation.
Treatment
PCOS management focuses on symptom control, ovulation restoration, and metabolic health:
Lifestyle Modifications – Weight loss, dietary changes, and physical activity to improve insulin sensitivity.
Ovulation Stimulation & Infertility Treatment – Medications such as clomiphene citrate or letrozole.
Hormone Therapy – Includes oral contraceptives to regulate menstrual cycles and reduce androgen-related symptoms.
Surgical Options – Partial ovariectomy or ovarian electrocoagulation in refractory cases.
Cost of Diagnosis & Treatment:
12,000,000 – 15,000,000 KRW