Polycystic Ovarian Syndrome

Question 1

What is a common endocrine disorder affecting 5-10% of reproductive age women?

Answer 1

Polycystic ovarian syndrome (PCOS)

Question 2

What is PCOS associated with?

Answer 2

Hirsutism, obesity and increased risk for DM and cardiovascular disease

Question 3

Patients with PCOS have an increased risk of what cancer?

Answer 3

Endometrial cancer

Question 4

Patient presents with abnormal menses, infertility, skin disorders and insulin resistance, what condition might they have?

Answer 4

Polycystic ovarian syndrome

Question 5

What labs should be done for a patient with PCOS?

Answer 5

FSH, LH, Prolactin, TSH, A1C, Lipid Profile

Question 6

What imaging should be done for PCOS?

Answer 6

Transvaginal US

Question 7

What treatment should be done for patients with PCOS?

Answer 7

Weight loss and exercise
Metformin therapy

Question 8

If a patient PCOS, is attempting fertility, what medications should be given? What if they are not trying to be fertile?

Answer 8

If attempting fertility:
Ovarian stimulation with meds or surgery

If not attempting fertility:
Contraceptive and IUD

Question 9

Who should patients with PCOS be referred to?

Answer 9

Physician Supervisor or GYN