Uncontrollable weight loss turns out to be caused by polycystic ovaries! Using these 3 medical tricks, she successfully lost 55 kilograms of body weight
The plump girl suffered from “polycystic ovaries” and her weight was out of control and she gained 114 kilograms
“Polycystic ovary syndrome” (PCOS) not only puts women in an infertility crisis, but may also lead to “easy to gain weight but difficult to lose weight”, and the weight number only increases instead of decreasing? Dr. Lin Yifeng, the attending physician at the Metabolic Bariatric Center and General and Gastrointestinal Surgery Department of Chi Mei Hospital, said that a 23-year-old young woman was previously admitted to the hospital. She had been plump compared to other peers since she was a child. The patient didn’t take it seriously at first, but until he was 20 years old, his weight began to “increase uncontrollably”, reaching as high as 114 kilograms at the highest point, and his BMI climbed to as high as 42. Deeply disturbed, she sought help from a special bariatric clinic. After a series of examinations and evaluations, she agreed to undergo “laparoscopic sleeve gastrectomy (gastric reduction surgery).”
Within six months after the operation, through her own efforts and the assistance of the operation, the patient successfully reduced her weight to 59 kilograms. What is even more exciting is that the patient’s symptoms of polycystic ovary syndrome, such as having no menstrual period for a year, , even after adjusting the medication, irregular menstrual periods were still there, and were significantly improved within half a year of the surgery. Not only did her menstrual cycle become regular, she even became pregnant naturally a year and a half later, successfully gave birth to two lovely daughters, and she did not regain weight significantly after delivery.
“Polycystic ovaries” and a body that makes it easy to gain weight but is difficult to lose weight are actually one of the culprits of “infertility”?
Dr. Lin Yifeng pointed out that as the problem of infertility becomes increasingly serious, polycystic ovary syndrome is one of the main causes of “anovulatory infertility”. Patients usually have irregular menstruation (cycles of less than 21 days or more than 35 days), ovaries with more than 12 small follicles on ultrasound, and excessive androgen. At present, the disease mechanism of polycystic ovary syndrome is not clear, but it is generally believed to be related to endocrine system, which may be caused by poor insulin function.
In addition, most patients are also susceptible to metabolic syndrome, and about 60% of them are also obese. In these patients, polycystic ovary syndrome usually improves after weight loss. At present, the first-line clinical treatment method mainly uses hypoglycemic drugs combined with changes in diet and lifestyle to improve the patient’s insulin resistance, allow the patient to lose weight, and achieve relief of polycystic ovary syndrome.
Reduce nearly 90% of the risk of death due to obesity Doctor: Bariatric surgery is expected to bring 8 major benefits
Dr. Lin Yifeng explained that clinically “bariatric surgery” is one of the most effective and long-lasting treatments for obese patients. It can reduce weight by up to 27% within 15 years and reduce the relative risk of death due to obesity by 89%. Up to 76.8% of patients with type 2 diabetes are resolved after bariatric surgery. Compared with conventional treatment, the diabetes remission rate two years after bariatric surgery is 75-95%.
Bariatric surgery resolves or improves 62.5% of cases of hypertension and reduces the risk of myocardial infarction. Recent studies have confirmed that 15% of patients with polycystic ovary syndrome and obesity improved compared with conventional drug treatment. Patients who underwent bariatric surgery had nearly 80% chance of achieving regular menstruation and nearly twice the chance of pregnancy. , showing that bariatric surgery is very helpful in patients with polycystic ovary syndrome and obesity. However, more in-depth research and clinical data are needed to confirm the feasibility of bariatric surgery to treat polycystic ovary syndrome.
Who is suitable for bariatric surgery? May there be side effects such as wound infection and bleeding?
In order to help more patients lose weight, many medical institutions have integrated multi-disciplinary teams, including endocrinology and metabolism, general and digestive surgery, nutrition, psychiatry and other teams for evaluation and tracking. Bariatric surgery is not the first choice recommended by all doctors to patients. During the first medical visit, a “shared doctor-patient decision-making (SDM)” method will still be used to thoroughly discuss weight loss strategies (such as diet, exercise, drugs, and bariatric surgery) with the patient. ), thereby enhancing their motivation to lose weight, and a nutritionist will provide them with personalized diet course planning.
In addition, in addition to nutritional intervention, weight loss treatment must be supplemented with exercise assistance to enhance the weight loss effect. If the weight loss results are still not good despite lifestyle adjustments, diet, exercise, and medication, the patient can be evaluated by a psychiatrist and then referred to general and gastrointestinal surgery for bariatric surgery.
Dr. Lin Yifeng reminded that the current Taiwan Ministry of Health and Welfare Central Health Insurance Agency’s standards for bariatric surgery are those with a BMI greater than 37.5, or a BMI greater than 32.5 combined with obesity-related diseases (such as diabetes). In addition, bariatric surgery still carries risks. There may be complications such as bleeding, wound infection, ulcers, and nutritional deficiencies. Patients must be carefully evaluated by a physician before undergoing surgery.
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