Polycystic ovary syndrome

Question 1

What is it?

Answer 1

Ovarian dysfuntion
Hyperandrogenism
Polycystic ovary morphology

Question 2

Clinical features

Answer 2

Menstrual irregularities
Infertility/subfertility/recurrent miscarriage
Acne
Hirsuitism
Alopecia
Obesity
Psychological symptoms
Acanthosis nigricans

Question 3

Management

Answer 3

COC/cyclical progesterone to regulate menstruation
Metformin - with hyperinsulinaemia and cardiovascular risk factors or for hirsuitism
Clomiohene - to induce ovulation in subfertility
Lifestyle advice - dietary modification and exercise (risk of diabetes and cardio disease)
Weight reduction
Creams/lasers for hirsuitism