多囊卵巢综合症课件课件.ppt

Polycystic Ovary Syndrome,多囊卵巢综合症ppt ppt课件,1,Polycystic Ovary Syndrome多囊卵巢综,Introduction,PCOS is the abbreviation polycystic ovary syndrome PCOS is a multifactorial pathogenisis and clinical manifestation in women PCOS is an endocrine dysfunction, specifically abnormal androgen and metabolism.,多囊卵巢综合症ppt ppt课件,2,Introduction PCOS is the abbre,Etiology & Pathopysiology,1.Abnormal gonadotropin secretion 2.Hypersecretion of androgensDisrupts follicle maturation3.Insulin resistance, Elevated insulin levels,多囊卵巢综合症ppt ppt课件,3,Etiology & Pathopysiology1.Ab,Pathology,Ovaries: enlarged and/or polycystic ovaries endometrium: Lack of ovulation for an extended period of time may cause excessive thickening of the endometrium,多囊卵巢综合症ppt ppt课件,4,Pathology Ovaries: enlarged an,Pathology,多囊卵巢综合症ppt ppt课件,5,Pathology 多囊卵巢综合症ppt ppt课件5,Symptoms,Irregular or Lack of Menses,多囊卵巢综合症ppt ppt课件,6,Symptoms多囊卵巢综合症ppt ppt课件6,Symptoms,Hirsutism Excessive body hair. Coarse hair appear on the face, neck, chest, arms, and in between the legs.,多囊卵巢综合症ppt ppt课件,7,SymptomsHirsutism 多囊卵巢综合症ppt,Symptoms,morbid obesity.,多囊卵巢综合症ppt ppt课件,8,Symptomsmorbid obesity. 多囊卵巢综合,Symptoms,Acne More androgen caused skin oils and blocked pores and more acne around the jawline, arms and chest.,多囊卵巢综合症ppt ppt课件,9,SymptomsAcne 多囊卵巢综合症ppt ppt课件,Symptoms,Alopecia Thinning or loss of hair is usually contained to top of the scalp, but others loss of hair in front or on the hairline has been documented.,多囊卵巢综合症ppt ppt课件,10,SymptomsAlopecia 多囊卵巢综合症ppt p,Other Symptoms,Acanthosis Nigricans This condition causes light brown to black rough patches around the neck and under arms.,多囊卵巢综合症ppt ppt课件,11,Other SymptomsAcanthosis Nigri,Other Symptoms,Migraines Severe headaches that cause light sensitivity, nausea and dizziness.,多囊卵巢综合症ppt ppt课件,12,Other SymptomsMigraines 多囊卵巢综合,Diagnosis,BBT (basal body temperature) B ultrasound: multiple small ovarian cysts enlarged ovaryEndometrium biopsy before menses reveal to proliferative glands Determination of LH,FSH,E2,P,T,PRL，Ins，(LH:FSH3:1)Laparoscopy,多囊卵巢综合症ppt ppt课件,13,Diagnosis BBT (basal body temp,Treatment,If pregnancy is desired - cause ovulation anti-estrogens(CC) Gonadotropins(Gn) insulin-lowering agents(MET) anti-androgens gonadotropin releasing hormone agonists (GnRHa),多囊卵巢综合症ppt ppt课件,14,TreatmentIf pregnancy is desir,If pregnancy is not desired To reduce the risk of endometrial cancer cyclical progesterone (MPA) insulin-lowering agents (MET) anti-androgens.,Treatment,多囊卵巢综合症ppt ppt课件,15,If pregnancy is not desiredTr,Long Term Effects: Infertility,Many women experience infertility while having PCOS. Many will have to go to an fertility doctor to conceive. To conceive women with PCOS have to learn to monitor ovulation by taking their Basal Body Temperature (BBT) and examining cervical mucus.,多囊卵巢综合症ppt ppt课件,16,Long Term Effects: Infertility,Long Term Effects: Heart Disease,There is new evidence that finds women with PCOS are at a higher risk for metabolic cardiovascular disease.Both diseases are characterized by insulin resistance, high blood pressure, and obesity.,多囊卵巢综合症ppt ppt课件,17,Long Term Effects: Heart Disea,TCM for PCOS awareness,肾虚 Kidney deficiency气滞血瘀 Qi stagnation and blood stasis痰湿 Phlegm肝经郁火 Liver heat,多囊卵巢综合症ppt ppt课件,18,TCM for PCOS awareness肾虚 Kidne,TCM diagnosis,Oligomenorrheawaist acheObesityAnd so on,多囊卵巢综合症ppt ppt课件,19,TCM diagnosisOligomenorrhea多囊卵,TCM treatment,Kidney deficiency-Yougui decotionQi stagnation and blood stasis- Gexiazhuyu decoction Phlegm-Cangfudaotan decoctionLiver heat-Danzhixiaoyao decoction,多囊卵巢综合症ppt ppt课件,20,TCM treatmentKidney deficiency,Thanks for Your Attention,多囊卵巢综合症ppt ppt课件,21,Thanks for Your Attention多囊卵,