Polycystic Ovary Syndrome (PCOS)

Question 1

What does PCOS cause. (5)

Answer 1

Secondary oligo or amenorrhoea. 
Infertility. 
Obesity. 
Acne. 
Hirsutism.

Question 2

What is seen on ultrasound in PCOS.

Answer 2

Bilateral polycystic ovaries.

Question 3

What are the normal blood results in a patient with PCOS. (4)

Answer 3

High LH.
High prolactin.
High testosterone.
Normal oestradiol.

Question 4

How many women are affected by PCOS.

Answer 4

Up to 10% of women of reproductive age.

Question 5

What is required to make a diagnosis of PCOS. (3)

Answer 5

Two of the following:
Menstrual irregularity.
Clinical or biochemical androgen excess.
Multiple cysts in the ovaries (most readily detected by transvaginal ultrasound).

Question 6

What are the features of PCOS. (12)

Answer 6

High serum LH. 
High serum prolactin. 
Oligomenorrhoea. 
Secondary amenorrhoea. 
Cystic ovaries. 
Infertility. 
Hirsutism. 
Acne. 
Hyperglycaemia. 
Elevated oestrogens. 
Dyslipidaemia. 
Hypertension.