Polycystic ovarian syndrome Flashcards
1
Q
What is the incidence of PCOS?
A
8-13% of reproductive age women
2
Q
What is the Rotterdam criteria for PCOS?
A
2 of 3:
- irregular or anovulatory cycles
- clinical or biochemical signs of hyperandrogenism
- polycystic ovaries on USS
3
Q
what percentage of women with PCOS go onto develop NIDDM?
A
20-40%
4
Q
What are the ovarian effects of PCOS?
A
Drives ovary into excess androgen production
Granulosa cells degenerate
theca cells are stimulated and produce more androgens
5
Q
What investigations would help you diagnose PCOS
A
- free testosterone - usually increased
- bHCG to rule out pregnancy as cause of amenorrhoea
