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Repro > PCOS > Flashcards

PCOS Flashcards

1
Q

What does PCOS stand for?

A

Polycystic ovarian syndrome

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2
Q

What 3 features describe polycystic ovarian syndrome?

A

Hyperandrogenism
Oligomenorrhoea
Polycystic ovaries on ultrasound

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3
Q

What is PCOS associated with?

A

Metabolic syndrome - hypertension, dislipidaemia, insulin resistance, visceral obesity

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4
Q

Presentation of PCOS?

A

Usually oligomenorrhoea
Hirsutism
Acne
Sub fertility

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5
Q

In PCOS, With assisted conception are there any risks?

A

Risk of ovarian hyper stimulation

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6
Q

How do you diagnose PCOS?

A

2/3 Rotterdam criteria

  • polycystic ovaries - >12 follicles with ovarian volume >10cm3
  • oligo-ovulation / anovulation
  • hyperandrogenism
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7
Q

Long term consequences of PCOS?

A

GDM
T2DM
Cardiovascular disease
Endometrial cancer

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8
Q

Management of PCOS?

A 
Weight loss
Metformin 
Clomifene citrate 
Ovarian drilling- if not responding to clomifene
COCP
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9
Q

How do you manage hirsutism?

A

Cosmetically

Anti-androgen

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Repro (39 decks)

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