Can Surgery Treat Polycystic Ovary Syndrome? Your Questions Answered - Obstetrics and Gynecology

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Polycystic Ovary Syndrome (PCOS)


I would like to ask the doctor, I was diagnosed with polycystic ovary syndrome (PCOS) last year.
Since I started menstruating, my cycles have been consistently every two months.
I gained 20 kilograms in just half a month.
I also have hepatitis B and am taking Baraclude, and I suffer from insomnia for which I am on medication.
I have multiple health issues and take a lot of medications every month, but I have confirmed with my doctors that these medications should not cause weight gain.
I want to know if polycystic ovary syndrome can be treated with surgery.
I am really overwhelmed by the number of medications I have to take, and now I have to add gynecological medications as well.
I would prefer not to take so many medications...
If surgery is an option, how many days would I need to be hospitalized, and where can I have the surgery?

Yan, 20~29 year old female. Ask Date: 2020/05/04

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, most medications do not cause weight gain.
Polycystic ovary syndrome (PCOS) is generally not treated with surgery.
It is advisable to consult your obstetrician-gynecologist for further guidance.
Wishing you good health.

Reply Date: 2020/05/04

More Info


Polycystic Ovary Syndrome (PCOS) is a common endocrine disorder that affects women of reproductive age. It is characterized by a combination of symptoms, including irregular menstrual cycles, excess androgen levels, and polycystic ovaries. The management of PCOS can be complex and often requires a multifaceted approach, including lifestyle changes, medication, and sometimes surgery.


Surgical Options for PCOS
Surgery can be an option for treating PCOS, particularly when other treatments have not been effective. One of the most common surgical procedures for PCOS is laparoscopic ovarian drilling (LOD). This minimally invasive surgery involves making small incisions in the abdomen and using a laser or electrosurgical needle to destroy a portion of the ovarian tissue. This can help restore normal ovulation and improve hormonal balance.


Indications for Surgery
Surgery is typically considered for women with PCOS who are struggling with infertility and have not responded to medical treatments such as ovulation induction medications (e.g., Clomiphene Citrate). It may also be an option for women who experience severe symptoms that do not improve with lifestyle changes or medication, such as significant weight gain, hirsutism (excess hair growth), or metabolic issues.


Risks and Considerations
While laparoscopic surgery is generally safe, it does carry some risks, including infection, bleeding, and damage to surrounding organs. Additionally, there can be potential complications related to anesthesia. It's essential to discuss these risks with your healthcare provider to determine if the benefits of surgery outweigh the potential downsides in your specific case.


Recovery and Hospital Stay
The recovery time after laparoscopic surgery is usually short. Most women can go home the same day or after a short overnight stay in the hospital. Full recovery typically takes about one to two weeks, during which you may experience some discomfort and should avoid strenuous activities.


Non-Surgical Alternatives
Before considering surgery, it's crucial to explore non-surgical options. Lifestyle modifications, such as weight loss through diet and exercise, can significantly improve symptoms of PCOS. Weight loss can help regulate menstrual cycles and improve insulin sensitivity, which is often a concern in women with PCOS. Medications such as hormonal contraceptives can also help manage symptoms by regulating menstrual cycles and reducing androgen levels.


Conclusion
In summary, surgery can be a viable treatment option for PCOS, particularly for women who have not found relief through other means. However, it is essential to have a thorough discussion with your healthcare provider about your symptoms, treatment options, and the potential risks and benefits of surgery. Given your current health conditions and medications, your doctor can help you determine the best course of action tailored to your needs. Always prioritize open communication with your healthcare team to ensure that you receive the most appropriate care for your situation.

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