Polycystic ovary syndrome Flashcards
1
Q
Diagnosis requires at least two of….
A
Oligo/amenorrhea
Androgenic symptoms such as excess hair growth or acne
Polycystic morphology on scan
Normal/high oestrogen levels
Increased androgens
Potentially an underlying cause of insulin resistance
2
Q
Risks associated
A
Endometrial hyperplasia
Reduced fertility if not ovulating regularly
Higher risk of diabetes and CV disease
Weight gain can worsen symptoms but PCOS doesn’t cause weight gain
3
Q
Scans
A
US showing small peripheral cysts however 20% of non-PCO sufferers also have this and it is common in adolescents even if they don’t have PCOS
4
Q
Management
A
Weight loss
Support and information
Endometrial protection with mirena coil, copper coil or oral provera
Fertility support
