多囊卵巢常用的检查方法有哪些?What are the common examination methods for polycystic ovaries?

陈凤林教授指出：常用的检查多囊卵巢的方法如下：Professor Chen Fenglin pointed out that the commonly used methods of examining polycystic ovaries are as follows:

1、基础内分泌测定：激素六项。基础内分泌是指既无卵泡也无黄体的基础状态，月经规律者应该是月经的3-5天，还要 近1个月没有用过激素药物(雌孕雄激素，促排卵药物等)。月经不规律或不能确定时间者可由资深的医师来判断。

1. Basic endocrine measurement: six hormones. Basic endocrine refers to the basic state without follicles or corpus luteum. Menstrual regularity should be 3-5 days of menstruation, but also to ensure that no hormone drugs (estrogen, progesterone, ovulation-promoting drugs, etc.) have been used in nearly a month. Those with irregular menstruation or uncertain timing can be judged by a senior doctor.

2、四维彩超检查：卵巢增大，包膜回声增强，内有多个无回声区，即呈“项链征”连续监测未见主导卵泡发育及排卵迹象。

2. Four-dimensional color Doppler ultrasonography: ovary enlargement, capsular echo enhancement, there are many anechoic areas, that is, "necklace sign" continuous monitoring did not lead to follicular development and ovulation signs.

3、电子宫腹腔镜检查：排除是否合并子宫纵膈与幼稚子宫，并对卵巢进行治疗。

3. Electronic hysteroscopy and laparoscopy: exclude the merger of uterine mediastinum and immature uterus, and treat ovaries.

4、测胰岛素、血糖或75g糖耐量测定，以排除有无胰岛素抵抗。

4. Insulin, blood sugar or 75 g glucose tolerance were measured to exclude insulin resistance.

5、查泌乳素，以排除是否合并高泌乳素血症。还应查脂肪代谢相关检查、皮质醇、17-羟基酮等。

5. Check prolactin to exclude the complication of hyperprolactinemia. Fat metabolism, cortisol and 17-hydroxyketone should also be examined.