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女性乱疾病是不容忽视的，卵巢囊肿疾病种类不少，都要及时治疗。多囊卵巢综合症也是同样需要重视，及时就诊避免带来严重后果。那么多囊卵巢综合症的危害以及原因有哪些呢?我们看看专家为我们介绍。
多囊卵巢综合症是女性多发性疾病，临床反应症状不一，不管轻重给患者带来的危害还是不可小视的。那么，多囊卵巢综合症的危害以及原因。下面妇科专家为我们介绍。
多囊卵巢综合症的危害以及原因专家介绍，多囊卵巢综合征系由性激素反馈调节机制失常而引起的综合征，临床表现主要由持续无排卵和雄激素过多症引起。其临床表现归结如下：
1、月经失调：主要是闭经，绝大多数为继发性闭经，闭经前常有月经稀少或过少，偶见闭经与月经过多交替出现者。
2、不孕：通常是初潮后发病，婚后伴有不孕，由于月经失调和无排卵所致。
3、青春期后多毛征：如眉毛较浓，上唇、两臂、下肢、外阴及肛周的毛增多，或伴有男性化现象，如座疮及阴蒂肥大。这是由于雄激素分泌过多所致。
4、黑棘皮征：这是雄激素过多的另一体征，常在患者颈背部、腋下和腹股沟等处皮肤出现灰褐色色家沉着，呈对称性，轻抚如天鹅绒。
5、双侧卵巢增大：约比正常卵巢大1―3倍，包膜厚，质坚韧。
多囊卵巢综合症的原因：
1、家族遗传因素：依据多囊卵巢综合症发生所显示的家族高度聚集性，因此，遗传因素是其病因学上一个主要因素。少数多囊卵巢综合征有染色体异常，此发病因素很难进行避免，唯有早发现早治疗。
2、长期精神紧张、药物及疾病影响：由于精神紧张、药物及某些疾病影响到下丘脑一垂体一卵巢轴调节功能异常，导致卵巢间质、卵泡膜细胞产生过量雄激素;卵巢内高雄激素抑制卵泡成熟，从而出现一系列诸如闭经、多毛等多囊卵巢综合症的症状。
3、肥胖、高胰岛素血症患者：部分多囊卵巢综合症患者，尤其是肥胖患者可表现为高胰岛素血症和耐胰岛素，提示由胰岛素抵抗引起。
4、肾上腺功能异常：50%的多囊卵巢综合症患者存在肾上腺皮质功能异常现象，常由于肾上腺皮质功能亢进，导致分泌过量的雄激素，出现无排卵等症状。
多囊卵巢综合症的危害以及原因给大家介绍完了，专家提醒女性朋友要及时治疗，平时生活中要积极预防。
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多囊卵巢综合征是最常见的女性内分泌异常，它对女性带来的一系列影响可能从青春期就开始发展，并持续影响女性终生。严重的话，在婚后还会导致不孕，给女性带来极大的危害。
\n多毛、长痘、月经不调为突出症状
\n通常来说，多囊卵巢综合征患者雄激素明显高于正常值，所以脸上会长痘，唇毛、腋毛、阴毛等体毛也会较多，腋下、腹股沟等处皮肤色素沉着、皮肤增厚。女性体内也有一定量的雄激素，其作用在于刺激女性阴毛生长，并激发女性性欲望。但是这种激素不能过多，否则会打破女性体内激素的平衡，导致女生男相，还无法排卵。许多多囊卵巢综合征患者会发胖，也与雄激素水平改变有关。
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很多多囊卵巢综合征病人是在发现不孕后，才追查出病况的。多囊卵巢综合征的病人雄激素、黄体生成素高于正常人，达不到排卵的激素水平，造成月经不调，更导致排卵有障碍或不排卵，发生不孕。因此，若不孕且有多毛、长痘、月经不调的情况，警惕是多囊卵巢综合征，应尽早就医
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多囊卵巢是女性最惧怕的疾病，卵巢是女性孕母亲生命的当地，当出现多囊卵巢的日子，女性不但无法怀孕，还会出现多毛、肥胖、例假失调等表象，下面我们来看看多囊卵巢这种疾病。
1、一般治疗多囊卵巢综合症。患者应当活跃进行练习，减少高脂肪、高糖食物的汲取，下降体重。这样可以推进雄激素水平下降，对康复排卵有利。
2、药物治疗多囊卵巢综合症。药物治疗可以敌对雄激素的作用，推进卵巢排卵。运用的药物主要是口服避孕药，药物一同可以调整例假周期。一般服用3-6个月支配，通过激素所平查看正常后就可以中止服药。
3、腹腔镜手术治疗多囊卵巢综合症。假设上述两种方法作用都不好，就需要考虑腹腔镜手术治疗。在腹腔镜下，手术穿刺卵泡，使雄激素水平下降，然后抵达治疗目的。
根据临床经验，多囊卵巢综合症通过药物治疗应当有30%—40%怀孕的可能性。腹腔镜下打孔率比较高，排卵后的受孕率据报道能抵达70%，所以它还应当是有做母亲的可能性。但有有些患者也会复发，这需要守时到医院进行查看。需要指出的是，多囊性卵巢综合症持续的时间越长就越难治疗，因此，一旦有有关的表现，应当及时到医院就诊，避免延误病况。
![\"u=3637424985,628321116&fm=23&gp=0.jpg\"](\"http://01luntan.com/ly_img/uimgs/1485243796634.jpg\" "\\"1485243796634.jpg\\"")
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说到女性体内的激素，很多人第一反应的都是雌激素，没错，雌激素是一种可以让女性拥有“女人味”的激素，它对促进女性附性器官成熟及第二性征的出现，并在维持正常性欲及生殖功能上具有重要的作用。而女性体内另一种含量较小的激素---雄激素，却往往容易被人所忽视。
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女性体内的雄激素含量极少，主要来源于卵巢和肾上腺，相对于男性而言，其含量仅为男性体内雄激素含量的10%左右，就是这极少量的雄激素，却也在女性身上扮演着举足轻重的作用：它能促进女性外阴发育，促进腋毛、阴毛的生长及促进红细胞的生长，除此之外，它还是女性体内雌孕激素的合成原料，也就是说，雄激素的异常分泌，也是会影响到女性体内雌孕激素的正常分泌，进而引发一系列的危害，而这里要讲的是雄激素水平过高所带来的危害。
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女性血中雄激素水平过高、活性增强时，我们称为“高雄激素血症”，由于雄激素主要来源于卵巢和肾上腺，因此，造成这种高雄激素血症的原因，也要追溯到这两个因素：在卵巢因素中，最主要的是多囊卵巢综合征所致，据有报道，70-80%的多囊卵巢综合征患者伴有高雄激素血症，此外还有分泌雄激素的卵巢肿瘤等；而在肾上腺因素中，常见于肾上腺皮质功能亢进。
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有一些血液检测正常的高雄激素患者可能会疑惑：“明明我的血液检测都没有提示高雄激素啊，怎么医生你就说我是高雄了呢？”其实，除了通过血液检查来判断女性是否为高雄激素外，临床症状也是非常重要的参考，高雄激素女性常表现得像“女汉子”一般，她们有一个典型的特征——多毛，不仅四肢、阴部、腋窝的毛发特别多，而且上唇、乳头、腹部也会出现令人难堪的毛发，而且还常伴有脂溢、油性皮肤、痤疮等皮肤上的一些表现，有些还会出现“男性化”特征，如声调变得低沉、喉结突出、阴帝肥大、男性型阴毛的分布、颞部秃顶，甚至引起乳腺萎缩等。
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卵巢疾病就是引起女性不孕的常见原因之一，占女性不孕的30%。而在这些卵巢疾病中，多囊卵巢综合症是最常见的原因，主要是因无排卵或无优势卵泡而不孕。那么，多囊卵巢综合症的诊断方法有哪些？
\n多囊卵巢综合症的诊断方法
\n很大一部分妇科疾病只有通过妇科检查才能准确诊断，约67%的病人可触及一侧或双侧卵巢。B超见双侧卵巢均大于正常子宫的1/4以上，内有多个囊性卵泡。
\n多囊卵巢综合症的诊断还可通过激素测定：促黄体生成素/促卵泡生成激素≥3，有多囊卵巢综合症诊断意义，雌酮水平往往超过雌二醇水平。雄激素水平高，而孕激素水平偏低。促黄体生成素及雌二醇都没有正常排卵前的高峰。约30%的病人催乳素也增高。此种多囊卵巢综合症诊断方法是很多人常用的一种。
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取卵巢组织活检也是多囊卵巢综合症的诊断项目之一。发现包膜较正常增厚约2～5倍，厚薄不均。皮质下有发育至不同程度的卵泡，直径约2～6mm，少数可达到甚至超过10mm，卵泡内膜细胞增生及黄素化，缺乏或偶见黄体或白体。选择这种多囊卵巢综合症诊断方法可以有一个很好的诊断效果。
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引起多囊卵巢综合征的原因
\n多囊卵巢综合征病因一、遗传因素：多囊性卵巢综合症发生所显示的家族高度聚集性，提示其病因学上一个主要因素可能为遗传因素。虽然已有证据提示，与多囊性卵巢综合症发病相关的候选基因，位于胰岛素受体基因;编码胆固醇侧链裂解酶的细胞色素基因;性激素结合蛋白基因等，但还未找到特异的多囊性卵巢综合症基因，可能多囊性卵巢综合症与多个基因异常有关。少数多囊卵巢综合征有染色体异常
\n多囊卵巢综合症的原因二：下丘脑一垂体一卵巢轴调节功能异常由于精神紧张、药物及某些疾病影响到下丘脑一垂体的内分泌功能，垂体对Gn-RH敏感性增加，分泌过量LH及卵巢中作为雄激素形成酶的细胞色素的功能失调，导致卵巢间质、卵泡膜细胞产生过量雄激素。
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多囊卵巢综合征病因三：胰岛素抵抗和高胰岛素血症部分多囊性卵巢综合症患者，尤其是肥胖患者可表现为高胰岛素血症和耐胰岛素，提示由胰岛素抵抗引起。严重的胰岛素抵抗患者可发生雄激素过多、胰岛素抵抗和黑棘皮症综合征，表现为高条酮和高胰岛素状态，黑棘皮症是胰岛素抵抗的标志。
","barId":"1847","topicTypeId":"1","topicThemeId":"1028","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1070,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1485242730506,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1485242730504,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"6f08827db09911e6927f00163e04584d","isDel":0,"createAt":1479808372065,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"海总剑客","password":"yiren2921","level":0,"nickName":"洞医客服微信2276635444","realName":null,"signName":"洞医网提醒您：请仔细阅读产品说明书或者在医务人员的指导下购买和使用，禁忌内容或者注意事项详见说明书","head":null,"phone":null,"mobile":null,"wechat":null,"qq":null,"email":"756954943@qq.com","address":null,"identityType":6,"userType":2,"isPhoneBind":0,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"110108","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"1348","isDel":0,"createAt":1485242649486,"createBy":"6f08827db09911e6927f00163e04584d","createName":"海总剑客","updateAt":0,"updateBy":null,"updateName":null,"userId":"6f08827db09911e6927f00163e04584d","title":"多囊卵巢综合征的并发症有哪些","content":"多囊卵巢综合征的并发症1、疲劳和睡眠，研究表明疲劳和睡眠障碍是新诊断的抑郁症女性的两个最常见的症状，随后是兴趣降低和食欲改变。疲劳和睡眠是很多并发症中最容易被忽视的，但它往往是导致女性身体各方面机能下降的罪魁祸首
\n多囊卵巢综合征的并发症2、糖尿病，多囊卵巢综合征患者有高胰岛素血症，高胰岛素血症患者容易出现糖尿病及心脑血管疾病，因此多囊卵巢综合征也是糖尿病及心脑血管疾病的高危因素。
\n多囊卵巢综合征的并发症3、抑郁症，多囊卵巢综合症女性抑郁症发生风险明显增加，研究显示，多囊卵巢综合症(PCOS)女性比无PCOS女性发生抑郁症的风险增大4倍。研究者指出，与无抑郁症的PCOS女性相比，有抑郁症的PCOS女性有较高的体重指数和胰岛素抵抗的证据(p < 0.02)。
\n\n
多囊卵巢综合征的并发症4、子宫内膜癌，据统计≤40岁之子宫内膜癌患者中19～25%合并PCOS。约14%PCOS在14岁内进展为子宫内膜癌。癌症是目前很难治愈的疾病，因此卵巢综合症一旦发生癌变，后果不堪设想。
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\n多囊卵巢综合征要做什么检查
\n1、妇科检查：双侧卵巢增大或卵巢虽无明显增大但有胀韧感。许多患者增大的卵巢通过妇科检查能触及．需通过盆腔充气造影或腹腔镜检查才被发现。也有少数患者在辅助检查或手术中发现卵巢为正常大小，因此卵巢增大对诊断来说并非必备条件。
\n2、超声检查：超声是检查多囊卵巢综合征最常用的方法，双侧卵巢多囊性增大，被膜增厚回声强。被膜下可见数日较多，直径2～7mm囊状卵泡。卵巢间质回声不均，子宫内膜肥厚，应注意排除子宫和卵巢肿瘤及肾上腺病变。
\n3、激素测定：包括促性腺激素、甾体激素、催乳素、胰岛素等的测定。
\n4、气腹摄片：双侧卵巢增大2～3倍，若雄激素的主要来源为肾上腺，则卵巢相对较小。
\n5、诊刮：凡35岁以上的患者，应作常规诊刮，以了解内膜组织学变化(腺囊型/腺瘤型/不典型增生过长)，并排除内膜癌。
\n6、腹腔镜：见卵巢形态饱满、表面苍白平滑、包膜厚、有时可见其下有毛细血管网。因外表颜色呈珍珠样，俗称牡蛎卵巢，表面可见多个囊状卵泡。
\n7、腔镜检查：包括陷窝镜和腹腔镜，可直接看见双侧卵巢呈多囊性增大，包膜增厚呈灰白色。
\n8、剖腹探查：以拟诊卵巢肿瘤或欲行卵巢楔切时施行。
\n9、子宫内膜活检：月经前或月经时诊刮出子宫内膜活检提示为无排卵性增殖期内膜或内膜增生过长。
\n10、CT、MRI：可用于卵巢形态的检查，也是囊卵巢综合征的检查方法之一。
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女性多囊卵巢综合症虽然比较繁杂，但患者不应嫌麻烦而放弃多囊卵巢综合征的检查，这是得不偿失的，因为，科学精准的诊断结果是医生制定治疗方案的前提，否则会因为不对症治疗而延误最佳治疗时机，致使病情迁延难愈。
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