多囊卵巢綜合癥-課件-課件

1、Polycystic Ovary Syndrome多囊卵巢綜合癥ppt ppt課件1Polycystic Ovary Syndrome多囊卵巢綜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.多囊卵巢綜合癥ppt

2、 ppt課件2Introduction PCOS is the abbreEtiology & Pathopysiology1.Abnormal gonadotropin secretion 2.Hypersecretion of androgensDisrupts follicle maturation3.Insulin resistance, Elevated insulin levels多囊卵巢綜合癥ppt ppt課件3Etiology & Pathopysiology1.AbPathology Ovaries: enlarged and/or polycystic ovaries en

3、dometrium: Lack of ovulation for an extended period of time may cause excessive thickening of the endometrium多囊卵巢綜合癥ppt ppt課件4Pathology Ovaries: enlarged anPathology 多囊卵巢綜合癥ppt ppt課件5Pathology 多囊卵巢綜合癥ppt ppt課件5SymptomsIrregular or Lack of Menses多囊卵巢綜合癥ppt ppt課件6Symptoms多囊卵巢綜合癥ppt ppt課件6SymptomsHirsu

4、tism Excessive body hair. Coarse hair appear on the face, neck, chest, arms, and in between the legs.多囊卵巢綜合癥ppt ppt課件7SymptomsHirsutism 多囊卵巢綜合癥ppt Symptomsmorbid obesity. 多囊卵巢綜合癥ppt ppt課件8Symptomsmorbid obesity. 多囊卵巢綜合SymptomsAcne More androgen caused skin oils and blocked pores and more acne around

5、 the jawline, arms and chest. 多囊卵巢綜合癥ppt ppt課件9SymptomsAcne 多囊卵巢綜合癥ppt ppt課件SymptomsAlopecia 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. 多囊卵巢綜合癥ppt ppt課件10SymptomsAlopecia 多囊卵巢綜合癥ppt pOther SymptomsAcanth

6、osis Nigricans This condition causes light brown to black rough patches around the neck and under arms.多囊卵巢綜合癥ppt ppt課件11Other SymptomsAcanthosis NigriOther SymptomsMigraines Severe headaches that cause light sensitivity, nausea and dizziness. 多囊卵巢綜合癥ppt ppt課件12Other SymptomsMigraines 多囊卵巢綜合Diagnosi

7、s 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 多囊卵巢綜合癥ppt ppt課件13Diagnosis BBT (basal body tempTreatmentIf pregnancy is desired - cau

8、se ovulation anti-estrogens(CC) Gonadotropins(Gn) insulin-lowering agents(MET) anti-androgens gonadotropin releasing hormone agonists (GnRHa) 多囊卵巢綜合癥ppt ppt課件14TreatmentIf pregnancy is desir If pregnancy is not desired To reduce the risk of endometrial cancer cyclical progesterone (MPA) insulin-lowe

9、ring agents (MET) anti-androgens.Treatment多囊卵巢綜合癥ppt ppt課件15 If pregnancy is not desiredTrLong Term Effects: InfertilityMany 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 taki

10、ng their Basal Body Temperature (BBT) and examining cervical mucus.多囊卵巢綜合癥ppt ppt課件16Long Term Effects: InfertilityLong Term Effects: Heart DiseaseThere is new evidence that finds women with PCOS are at a higher risk for metabolic cardiovascular disease.Both diseases are characterized by insulin res

11、istance, high blood pressure, and obesity.多囊卵巢綜合癥ppt ppt課件17Long Term Effects: Heart DiseaTCM for PCOS awareness腎虛 Kidney deficiency氣滯血瘀 Qi stagnation and blood stasis痰濕 Phlegm肝經(jīng)郁火 Liver heat多囊卵巢綜合癥ppt ppt課件18TCM for PCOS awareness腎虛 KidneTCM diagnosisOligomenorrheawaist acheObesityAnd so on多囊卵巢綜合癥ppt ppt課件19TCM diagnosisOligomenorrhea多囊卵TCM treatmentKidney deficiency-Yougui decotionQi stagnation and blood stasis- Gexiazhuyu decoction Phl