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Patients with polycystic ovary syndrome can become pregnant with standard treatment and lifestyle adjustments.

1. Drug treatment

Follow the doctor's advice to use clomiphene citrate capsules to promote ovulation, and use metformin tablets to improve insulin resistance. Letrozole tablets can be used as an alternative to ovulation induction drugs, and follicular development needs to be monitored. Abdominal distension and other discomfort may occur during medication, and hormone levels need to be reviewed regularly.

2. Lifestyle intervention

Keep your body mass index in the range of 18.5-23.9 and do 150 minutes of moderate-intensity exercise such as brisk walking and swimming every week. Adopt a low-glycemic index diet, consume no less than 25 grams of dietary fiber per day, and reduce the intake of refined carbohydrates.

3. Assisted reproductive technology

For those who are ineffective in drug treatment, intrauterine artificial insemination may be considered. If pregnancy still fails, in vitro fertilization-embryo transfer is an effective option, and ovarian reserve function needs to be evaluated. It is necessary to complete the fallopian tube patency check before treatment.

4. Traditional Chinese Medicine Conditioning

Traditional Chinese medicines that nourish the kidneys and activate blood circulation, such as Danggui Shaoyao Powder, are used together with acupuncture to stimulate acupuncture points such as Guanyuan and the uterus. The treatment cycle usually takes 3-6 months, and conditioning needs to be avoided during the menstrual period. Liver and kidney function need to be reviewed regularly during the period of taking traditional Chinese medicine.

5. Metabolic management

Control fasting blood sugar below 6.1mmol/L, and blood sugar no more than 7.8mmol/L 2 hours after a meal. People with dyslipidemia need to control low-density lipoprotein cholesterol below 3.4mmol/L. Screen regularly with an oral glucose tolerance test.

It is recommended to maintain a regular schedule, avoid staying up late, and reduce mental stress. Record basal body temperature every day to monitor ovulation, and reasonably arrange intercourse time under the guidance of a doctor. During pregnancy preparation, supplement 0.4-0.8 mg of folic acid daily until 3 months after pregnancy. Regularly review ultrasound and sex hormone levels, and adjust treatment plans in a timely manner.