What tests can rule out polycystic ovary

We are bound to encounter some bad things in life, such as suffering from diseases. Some women may develop polycystic ovary syndrome. Since polycystic ovary is a particularly common cause of female infertility, if a woman is infertile, she may need to do a polycystic ovary examination. So, what examination can rule out polycystic ovary? Next, the expert will give an introduction.

Testing

(1) Measurement of basal body temperature in polycystic ovary syndrome: It is monophasic, with no increase in body temperature in the second half of the menstrual cycle.

(2) Diagnostic curettage for polycystic ovary syndrome: performed 2 to 3 days before menstruation to within 6 hours of menstruation. In particular, women over 35 years of age should undergo routine diagnostic curettage to detect atypical endometrial hyperplasia or endometrial cancer at an early stage.

(3) Ultrasound examination of polycystic ovary syndrome: The sonogram can show the general condition of the uterus and ovaries. Generally, the uterus is of normal size, while the ovaries are uniformly enlarged, with enhanced capsule echoes, smoother contours, and uneven internal echoes. Multiple echo-free areas of varying sizes can be seen around the edge of the ovaries or scattered within the ovaries.

(4) Laparoscopic examination of polycystic ovary syndrome: The shape, size, color and whether the cortex of the ovaries is thickened can be directly observed. At the same time, living tissue can be taken for pathological examination.

(5) Hormone measurement for polycystic ovary syndrome: The serum FSH base value is low while the LH is elevated, making the LH/FSH ≥ 3; the serum testosterone and androstenedione levels are elevated; the urine 17-ketosteroids are normal or slightly elevated; the estradiol measurement is normal or slightly elevated.

Self-test method

1. Excessive androgen levels may cause problems such as hirsutism and acne, or the hormone level is high.

2. Ovulation or anovulation is manifested in irregular menstruation. Some menstruation occurs every 37 days, some every three months, or some every six months. Such menstruation is definitely abnormal.

3. Menstrual disorders. This mainly refers to the situation of secondary amenorrhea in young and middle-aged women. Before amenorrhea, menstruation is often infrequent or too little, and occasionally there is frequent or excessive menstruation. At this time, women should pay attention to whether this is a symptom of polycystic ovary.

4. Infertility. If female friends who want a baby cannot get pregnant for a long time, they need to go to the hospital for examination. Polycystic ovary can cause menstrual disorders and anovulation, which can lead to female infertility.

5. Hirsutism and obesity. Polycystic ovary patients may suffer from hirsutism and obesity due to excessive secretion of androgen in the body. The hair distribution tends to be masculine. The hirsutism phenomenon is often not noticed by patients and is often discovered during physical examinations.

6. Bilateral ovarian enlargement. Some patients can find through gynecological examination of the abdominal cavity that both ovaries are twice as large as normal and feel firm. Polycystic ovary can cause female infertility, so patients should go to a regular hospital for treatment in time.