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Women's Health > PCOS > Flashcards

PCOS Flashcards

1
Q

PCOS is the most common identified cause of _____ in women

A

infertility

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2
Q

patients with PCOS have an increased risk of developing what? (8)

A

impaired glucose tolerance
type 2 diabetes
dyslipidemia
cardiovascular disease
fatty liver disease
obstructive sleep apnea
depression/anxiety
endometrial hyperplasia and malignancy

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3
Q

what are 3 pathophysiology’s associated with PCOS?

A

altered gonadotropin behavior
increased estrogen and androgen from ovaries
insulin resistance

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4
Q

how to diagnose PCOS?

A

2/3:

irregular menstrual cycles
hyperandrogenism
polycystic appearance of ovaries on US

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5
Q

what should be excluded when evaluating a patient with possible PCOS? (4)

A

TSH
prolactin
17-OHP
free testosterone

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6
Q

what imaging helps diagnose PCOS?

A

ultrasound

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7
Q

what 3 labs can be done to check for at-risk conditions?

A

diabetes screen
lipid screen
biopsy for endometrial hyperplasia

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8
Q

what is the first line therapy for PCOS in obese patients?

A

weight loss

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9
Q

what is another therapy for PCOS? what are two 2nd line options?

A

oral contraceptives

metformin
spironolactone

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Women's Health (20 decks)

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