Gynaecology_PCOS

Question 1

What is the most common cause of fertility in women?

Answer 1

PCOS

Question 2

Percentage of women of reproductive age with PCOS

Answer 2

6%

Question 3

Diagnostic Criteria for PCOS

Answer 3

1. Menstrual irregularity secondary to oligo- or anovulation
2. Hyperandrogenism (hirsutism, acne, male pattern baldness, elevated early morning testosterone)
3. Exclusion of other causes of hyperandrogenism, such as hyperprolactinemia or androgen secreting tumors

Question 4

What are treatments for PCOS?

Answer 4

• Estrogen-progestin oral contraceptive pills can provide endometrial protection, contraception, and androgen suppression;
• weight loss can induce ovulation;
• metformin can address insulin resistance.

Question 5

What conditions are frequently associated with PCOS?

Answer 5

• Obesity
• glucose intolerance
• endometrial carcinoma due to unopposed estrogen