PCOS (case 5) Dunn Flashcards
1
Q
criteria for PCOS
A
2/3
- oligoovulation/anovulation
- excess androgen activity
- polycystic ovaries on US
** can be made clinically, aka do not need US
2
Q
make only E because no P (not ovulating) have increased LH from increased E levels
A
PCOS
3
Q
what causes cysts
A
immature follicles because never enough FSH to mature follicles.
4
Q
causes PCOS
A
not known
- excess insulin
- genetics
- inflammation
- excess androgens in fetal development
5
Q
complications PCOS
A
abnormal uterine bleeding infertility increased risk endometrial CA increased CRP metabolic syndrome with increased risk CV disease higher incidence DM II, HTN
6
Q
Tx of PCOS
A
depends on chief complaint
have to give them progesterone
7
Q
used to Tx hirsutism with PCOS
A
steroids to decrease androgen production
8
Q
Tx for PCOS patient who wants to get pregnant
A
clomiphene (risk of ovarian hyperstimulation)
second line use purified human FSH
