PCOS

Question 1

What does PCOS stand for?

Answer 1

Polycystic ovary syndrome

Question 2

What are the key factors in PCOS?

Answer 2

Female of reproductive age
Irregular menstruation
Infertility
Hirsutism

Question 3

What are some other uncommon features of PCOS?

Answer 3

Scalp hair loss
Oily skin
Overweight/Obese
Hypertension
Acanthosis nigricans

Question 4

What is the primary investigation you would order if you suspect PCOS?

Answer 4

Transvaginal Ultrasound

Question 5

Which blood tests would you order if you suspect PCOS?

Answer 5

Total and free testosterone
Prolactin
TSH
LH and FSH
Free androgen index

Question 6

What is the key diagnostic factor in a blood test of a patient with PCOS?

Answer 6

Raised free testosterone (free androgen index)

Question 7

What is the primary management for PCOS?

Answer 7

Weight loss can spontaneously solve PCOS if more than 10% of total body mass is lost.

Question 8

What is the best exercise recommendation for PCOS?

Answer 8

150 minutes of sweat producing vigorous exercise a week.

Question 9

What are the NHS tayside guidelines for ovulation inducing drugs?

Answer 9

Clomifene citrate can only prescribed with a BMI >35

Question 10

What are the NHS tayside guidelines for assisted conception?

Answer 10

Patient must have a BMI > 30

Question 11

At which point would you prescribe Metformin to a PCOS patient?

Answer 11

When a patient has tried weight loss with diet and exercise improvement for a certain period of time and it has not worked.

Question 12

What is the most common cause of irregular periods and infertility?

Answer 12

PCOS