polycystic ovarian syndrome and management of infertility

Question 1

Define oligomenorrhoea

Answer 1

<9 cycles yearly, suggesting PCOS

Question 2

What are some things that suggests infertility in regards to a person’s period? (5)

Answer 2

• irregular cycle (<24 or >38 days)
• oligomenorrhoea
• amenorrhoea
• possible endometriosis
• pelvcic inflammatory disease

Question 3

What are some male factors that contribute to their infertility? (2) (4)

Answer 3

• testicular problems
• androgen deficiency
• anabolic steroid use
• problems with erections/ejaculation

Question 4

What criteria do you use to diagnosis PCOS?

Answer 4

Rotterdam PCOS diagnostic criteria

Question 5

What does the Rotterdam PCOS diagnostic criteria look at? (3)

Answer 5

psycholgical - self-esteem, anxiety, depression
- reproductive - menstrual irregularity, infertility
- metabolic - insulin resistance, CVD, pre-diabetes

Question 6

What is the 3 diagnostic criteria of the Rotterdam PCOS diagnostic tool, where you need 2/3 of these to confirm you have pCOS?

Answer 6

• oligomenorrhoea or anovulation
• clinical signs of hyperandrogenism
• polycystic ovaries

Question 7

What symptoms to look for when considering a px has PCOS? (8)

Answer 7

• menstrual irregularity
• overweight
• hirsutism (abnormal growth of hair on body)
• acne
• fertility issues
• pre-diabetes
• gestational diabetes
• early onset of type 2 diabetes

Question 8

What are the 2 hormones in relation to PCOS?

Answer 8

androgens and insulin

Question 9

Difference between the effects of increased androgens and insulin in the body

Answer 9

• increase in androgens leads to acne and hirsutism
• increase in insulin leads to diabetes, cardiovascular risk, metabolic syndrome
• increase in BOTH androgens and insulin leads to ovarian follicles, anovulation and increase in E, all of which lead to menstrual disturbances

Question 10

What happens in clinical hyperandrogenism? (3)

Answer 10

Hirsutism, central alopecia and acne