多囊卵巢综合症-课件-课件.ppt

1、Polycystic Ovary Syndrome多囊卵巢综合症多囊卵巢综合症ppt ppt课件课件1Introduction vPCOS is the abbreviation polycystic ovary syndrome vPCOS is a multifactorial pathogenisis and clinical manifestation in women vPCOS is an endocrine dysfunction,specifically abnormal androgen and metabolism.多囊卵巢综合症多囊卵巢综合症ppt ppt课件课件2Eti

2、ology&Pathopysiology1.Abnormal gonadotropin secretion 2.Hypersecretion of androgensDisrupts follicle maturation3.Insulin resistance,Elevated insulin levels多囊卵巢综合症多囊卵巢综合症ppt ppt课件课件3Pathologyv Ovaries:enlarged and/or polycystic ovariesv endometrium:Lack of ovulation for an extended period of time may

3、 cause excessive thickening of the endometrium多囊卵巢综合症多囊卵巢综合症ppt ppt课件课件4Pathology 多囊卵巢综合症多囊卵巢综合症ppt ppt课件课件5SymptomsIrregular or Lack of Menses多囊卵巢综合症多囊卵巢综合症ppt ppt课件课件6SymptomsvHirsutism Excessive body hair.Coarse hair appear on the face,neck,chest,arms,and in between the legs.多囊卵巢综合症多囊卵巢综合症ppt ppt

4、课件课件7Symptomsmorbid obesity.多囊卵巢综合症多囊卵巢综合症ppt ppt课件课件8SymptomsAcne More androgen caused skin oils and blocked pores and more acne around the jawline,arms and chest.多囊卵巢综合症多囊卵巢综合症ppt ppt课件课件9SymptomsAlopecia Thinning or loss of hair is usually contained to top of the scalp,but others loss of hair in

5、front or on the hairline has been documented.多囊卵巢综合症多囊卵巢综合症ppt ppt课件课件10Other SymptomsAcanthosis Nigricans This condition causes light brown to black rough patches around the neck and under arms.多囊卵巢综合症多囊卵巢综合症ppt ppt课件课件11Other SymptomsMigraines Severe headaches that cause light sensitivity,nausea a

6、nd dizziness.多囊卵巢综合症多囊卵巢综合症ppt ppt课件课件12Diagnosisv BBT(basal body temperature)v B ultrasound:multiple small ovarian cysts enlarged ovaryvEndometrium biopsy before menses reveal to proliferative glands vDetermination of LH,FSH,E2,P,T,PRL，Ins，(LH:FSH3:1)vLaparoscopy 多囊卵巢综合症多囊卵巢综合症ppt ppt课件课件13Treatmen

7、tvIf pregnancy is desired -cause ovulation anti-estrogens(CC)Gonadotropins(Gn)insulin-lowering agents(MET)anti-androgens gonadotropin releasing hormone agonists (GnRHa)多囊卵巢综合症多囊卵巢综合症ppt ppt课件课件14v If pregnancy is not desired To reduce the risk of endometrial cancer cyclical progesterone(MPA)insulin-

8、lowering agents(MET)anti-androgens.Treatment多囊卵巢综合症多囊卵巢综合症ppt ppt课件课件15Long Term Effects:InfertilityvMany women experience infertility while having PCOS.vMany will have to go to an fertility doctor to conceive.vTo conceive women with PCOS have to learn to monitor ovulation by taking their Basal Body

9、 Temperature(BBT)and examining cervical mucus.多囊卵巢综合症多囊卵巢综合症ppt ppt课件课件16Long Term Effects:Heart DiseasevThere is new evidence that finds women with PCOS are at a higher risk for metabolic cardiovascular disease.vBoth diseases are characterized by insulin resistance,high blood pressure,and obesity.多

10、囊卵巢综合症多囊卵巢综合症ppt ppt课件课件17TCM for PCOS awarenessv肾虚 Kidney deficiencyv气滞血瘀 Qi stagnation and blood stasisv痰湿 Phlegmv肝经郁火 Liver heat多囊卵巢综合症多囊卵巢综合症ppt ppt课件课件18TCM diagnosisvOligomenorrheavwaist achevObesityvAnd so on多囊卵巢综合症多囊卵巢综合症ppt ppt课件课件19TCM treatmentvKidney deficiency-Yougui decotionvQi stagnation and blood stasis-Gexiazhuyu decoctionv Phlegm-Cangfudaotan decoctionvLiver heat-Danzhixiaoyao decoction多囊卵巢综合症多囊卵巢综合症ppt ppt课件课件20 Thanks for Your Attention多囊卵巢综合症多囊卵巢综合症ppt ppt课件课件21