PCOS Flashcards
what disorders do you need to rule out before deciding its PCOS?
hyperprolactinoma
non classic CAH
androgen secreting tumor
what lab results would you see with hyperprolactinoma?
high PRL
normal androgens
what lab results would you see with nonclassic CAH?
elevated 17-OH
what lab results would you see with an androgen secreting tumor
very very high testosterone and DHEAs
low LH
what lab results would you see with PCOS?
elevated testosterone, DHEAs
elevated glucose toleracnce test
elevated LH
low FSH
what labs do you want for PCOS?
free and total testosterone DHEA glucose tolerance test PRL 17-OH TSH fasting lipids
if your patient had deepening of the voice and/or clitoromegaly what would you need to consider?
androgen secreting tumor
what lipid panel results would you expect to see?
low HDL
high LDL
high triglycerides
what are the criteria for metabolic syndrome?
BP > 130/85
waist circ >35
fasting glucose >100
HDL 150
what eating disorder is associated with PCOS
binge eating disorder
what is the first line treatment for androgen excess with PCOS
combination contraception
but may want to consider progestin only to provide endometrial protection
who do you use clomiphene on
ovulation induction for non obese womene
when do you use letrozole
ovulation induction for obese women
what are the findings with PCOS
inc. AMH
oligo/amenorrhea
polycystic ovaries
hyperandrogenism
what are the US findings for PCOS
> 12 follicular cysts
10 mL ovary weight
or each cyst 2-9 mm
