Polycystic Ovarian Syndrome

Question 1

Polycystic ovarian syndrome (PCOS) - common endocrine disorder affecting ___% of reproductive age women

Answer 1

5- 10%

Question 2

_______ often presents with

• -(a) Menstrual disorder
• ——1) Ranging from amenorrhea to menorrhagia
• -(b) Infertility
• -(c) Skin disorders
• ——1) Secondary to increased androgens
• -(d) Insulin resistance

Answer 2

Polycystic ovarian syndrome (PCOS)

Question 3

Labs to run operationally?

Answer 3

NONE

Question 4

Labs to consider off ship for PCOS

Answer 4

• FSH
• LH
• Prolactin
• TSH
• Hemoglobin A1C (Hgb A1C)
• Lipid profile

Question 5

Imaging for PCOS

Answer 5

Transvaginal Ultrasound

Question 6

TX for PCOS

Answer 6

1) Weight loss and exercise are often effective in inducing ovulation
(2) Metformin therapy
(3) If attempting fertility
- –(a) Ovarian stimulation with medications or surgery
(4) If not attempting fertility
- –(a) Combined contraceptive (pill, ring, patch)
- –(b) LNG IUD
(5) Treatment of hirsutism

Question 7

PCOS is associated with and increased risk of what issues?

Answer 7

(a) Infertility
(b) Cardiovascular disease
(c) Diabetes mellitus
(d) Endometrial cancer
(e) Ovarian torsion

Question 8

Any patient suspected of having PCOS should be referred to _______ or ________ for further evaluation.

Answer 8

physician supervisor or

gynecologist

Question 9

PCOS patients require regular laboratory monitoring of

what?

Answer 9

METABOLIC SYNDROME
lipids,
glucose
Hgb A1C