Polycystic Ovary Syndrome – Symptoms, Causes and Treatments

了解多囊症相关的常见症状、发病原因以及可用的治疗方法。

原文发布于:2017年6月29日。Last modified on April 27th, 2022

多囊卵巢综合征(PCOS)是一种内分泌失调症,会导致女性体内的荷尔蒙失衡。最著名的症状之一是卵泡囊肿,就在卵巢表面下。这些囊肿被认为是导致多囊卵巢综合征的原因,但最近的研究表明,它们实际上是与多囊卵巢综合征相关的许多症状之一,不需要有这些囊肿就会患上多囊卵巢综合征。

A common condition that affects around 1 in 5 women and is one of the leading causes of infertility in women. It has a tendency to run in families. At the moment there is no cure for the condition but symptoms can be managed.

Polycystic Ovary Syndrome Symptoms

There are a range of symptoms that are associated with PCOS. Not every woman will experience all the symptoms. Some people may only experience mild symptoms that are manageable, some people can be affected quite severely.

The symptoms most commonly known are:

  • Irregular or absent periods
  • Irregular or absent ovulation
  • Infertility
  • Excessive facial or body hair
  • Acne
  • Weight gain or difficulty maintaining or losing weight
  • Mood swings

Some women with PCOS may experience bladder issues including urgency, stress incontinence and nocturia (needing to urinate frequently at night).

PCOS and Bladder Problems

There are a variety of reasons why women with PCOS may experience bladder issues and urinary incontinence. Many women also have unusually high testosterone levels and it is thought that these high testosterone levels could be contributing towards bladder issues. Being overweight can also put pressure on your pelvic floor muscles which support the bladder and bowel and this can also lead to incontinence. If you have had abdominal surgery for your condition such as a hysterectomy, this can also cause your pelvic floor muscles to become weak and not support your bladder effectively.

Polycystic Ovary Syndrome Treatments

多囊症尚无治愈方法,治疗的目的是控制症状。你可以采取一些保守的措施来帮助自己控制症状。还有一系列的激素治疗和药物治疗可以帮助你控制生育或减少其他症状,如膀胱状况/尿失禁。

If your symptoms are severe, there are surgical procedures available that can help improve your fertility and urinary incontinence. This page will look at the treatments available to treat your bladder conditions.

CONSERVATIVE TREATMENTS

Diet And Lifestyle

Many women with PCOS struggle with weight gain and may be classed as overweight or obese. It has been found that if you reduce your body weight by just 5% you can significantly reduce your symptoms.

If you’re looking for a way to manage your PCOS through healthy diet, this may be worth considering. Being a healthy weight will also reduce pressure on your pelvic floor muscles, which can improve stress incontinence and symptoms of urgency.

In terms of lifestyle, reducing your intake of sugary or fizzy drinks and caffeine will not only help you to lose weight but will also reduce any irritation in your bladder. Core exercises and weight training can help strengthen your abdominal muscles and your pelvic floor.

Pelvic Floor Muscle Exercises

骨盆底是一层一层的肌肉,从耻骨延伸到尾骨,然后从一边延伸到另一边。这些肌肉有助于支持膀胱和肠道以及女性的子宫。这些肌肉会因分娩或手术、激素失衡、持续咳嗽、慢性便秘或超重等创伤而变得虚弱。当这些肌肉变得松弛时,它会削弱膀胱的开口,导致尿液在压力下泄漏。Theseexercises可以帮助加强骨盆底,减少渗漏的发生。

Bladder Diary/Retraining

Bladder retrainingis a simple and effective method used for treating urgency and bladder problems. You will be asked to record your bladder habits on a chart and based on the pattern of that chart increase the length of time you empty your bladder by resisting feeling of urgency/frequency.

Tibial Nerve Stimulation

Percutaneous Nerve Stimulationor PTNS as it is commonly known is a treatment that directly stimulates the nerves responsible for bladder control and is a method that can be used to treat frequency and urgency.

Acupuncture

Acupunctureis an ancient practice that believes that illness and pain occurs when a person’s ‘qi’ or energy flow becomes blocked. Inserting fine, sterile needles into certain points helps to unblock this energy flow. A research study has shown that having acupuncture along the sacral vertebra can suppress overactive bladders, symptoms of frequency and urgency and improve stress urinary incontinence.


MEDICINAL

The Contraceptive Pill

For PCOS, the combined contraceptive pill may be used to induce regular periods to stop the womb lining from getting too thick and reduce your chances of developing womb cancer. The Pill can also be used to reduce testosterone levels, which can also reduce symptoms of ‘hirsutism’ (excessive hair growth) associated with PCOS. There is also thought to be a link between high testosterone levels and bladder issues.

Duloxetine

Duloxetineis a medication used to treat stress urinary incontinence. It works by increasing the activity of the nerve that stimulates the urethral sphincter, improving control. Like any medication, it does have some side effects and is not suitable for everyone. Your GP will be able to assess whether this drug will benefit you.

Injectable Treatments

Injectable therapiesor urethral bulking treatments are a less invasive alternative to surgery in treating stress urinary incontinence. A bulking gel is injected into the urethra close to the neck of the bladder to prevent urine leakage. This type of treatment has been very successful in many SUI patients.

Antispasmodic Medications

There are several medications available which can help prevent spasms of the bladder muscle, which can help reduce urgency and frequency; they belong to a group of medicines known as antimuscarinic or anticholinergic drugs. Below is a list of some medications that may be prescribed and links to more information.


SURGICAL

If conservative methods and medication are not proving effective at managing your bladder problems, then you may be referred to a surgeon to discuss surgical procedures that may help. Surgery will only recommended if your urinary incontinence is having a significant impact on your life. You may be advised to avoid any surgical routes if you are planning on becoming pregnant in the future. Click the links below to find out about surgical procedures for your bladder condition

Further information and downloads can be found in thehelp & informationsection. Living with a bladder or bowel condition or caring for someone with a bladder and bowel condition can affect you emotionally and socially; sometimes it can help to speak to others who understand your situation.The Bladder & Bowel Community Forumis available 24 hours today and will allow you to connect with those who share your condition. Start your own topic today or just follow one that interests you.

THE INFORMATION ON THIS PAGE IS A GUIDE ONLY. IT IS IMPORTANT THAT YOU SPEAK TO YOUR GP OR A QUALIFIED HEALTH PROFESSIONAL BEFORE UNDERTAKING ANY TREATMENTS.