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