Polycystic Ovarian Syndrome Flashcards
1
Q
Which criteria is used in PCOS
A
Rotterdam Criteria
2
Q
Describe the Rotterdam criteria
A
2 out of the 3 must be present
- Polycystic ovaries
- Oligo-Ovulation or an ovulation
- Clinical and/or biochemical signs of hyperandrogenism
3
Q
Symptoms of PCOS
A
Hirsutism Amenorrhoea Oligomenorrhoea Increased weight Decreased fertility Miscarriage Acne/oily skin
4
Q
What is Hirsutism
A
Excessive hair growth
5
Q
Main 1st line management for PCOS
A
Weight loss
6
Q
Other Rx for PCOS
A
Metformin Clomifene OCP with antiandrogen effect Mirena Eflornithine
7
Q
Surgical Rx for PCOS
A
Ovarian drilling
8
Q
What is the purpose of Eflornithine Rx
A
to reduce facial hair
9
Q
What is the action of clomifence
A
Induce ovulaiton
10
Q
What may be required for fertility complications in PCOS
A
IVF
11
Q
Long term complications of PCOS
A
Gestational DM Type II DM CVS Infertility Endometrial cancer Endometrial hyperplasia
12
Q
Imaging Ix for PCOS
A
Transvaginal USS
13
Q
Blood Ix for PCOS
A
FBC
U&E’s
TFTs
Androgen levels
FSH
Prolatcin
14
Q
Risk factors for PCOS
A
FH
Premature menarche
Low birth weight
Fetal ansogen exposure
15
Q
What is PCOS a leading cause of
A
Infertility
