多囊卵巢综合征内分泌异常的诊治

Diagnosis and treatment of endocrine disorders in polycystic ovary syndrome.

多囊卵巢综合征(polycystic ovary syndrome,PCOS)是女性最常见的、复杂的生殖内分泌紊乱疾病。PCOS患者下丘脑-垂体-卵巢轴功能紊乱,常伴随高雄激素血症及高胰岛素血症等内分泌异常。精准评估PCOS内分泌状态是早发现、早诊断及早治疗相关异常的重要手段。针对内分泌紊乱及女性生育需求等,PCOS患者主要以个体化治疗为主,且该病贯穿于女性全生命周期,需制定系统的、长期的全程管理计划。

Polycystic ovary syndrome(PCOS)is the most common and complex disease in women of re⁃productive-age.PCOS suffered from hypothalamicpituitary-ovarian axis dysfunction,accompanied by endocrine disorders with hyperandrogenemism and hyerinsulinism and so on.Accurate assessment endo⁃crine status is a key step for early detection,early di⁃agnosis and early treatment for women affected with PCOS.Individualized treatment is mainly designed to target the endocrine disorders and fertility requirement for PCOS.PCOS is a disease across the life cycle of the affected women,a systemic and long-term management plan needs to be formulated.