Polycystic Ovarian Syndrome (PCOS) Flashcards

1
Q

cause

A

predisposition that is exacerbated by obesity

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2
Q

presentation

A
oligomenorrhoea/ amenorrhoea
weight gain
facial hirsutism
acne 
hair thinning/ loss
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3
Q

what is not seen in PCOS presentation?

A

virilisation

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4
Q

what conditions is PCOS associated with?

A
T2DM
hypercholesteraemia
hypertension
sleep apnoea
increased risk of endometrial carcinoma
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5
Q

diagnosis

A

pelvic USS

biochemistry

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6
Q

pelvic USS results

A

cysts at periphery of ovary

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7
Q

biochemistry in PCOS

A

high LH (inhibits ovulation with low FSH)
high testosterone
low SHBG
high prolactin

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8
Q

management of PCOS

A
weight loss 
statins
OCP or mirena IUS
metformin
dianette, yasmin for hirsutism
cyproterone acetate
spironolactone
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