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Perspective > Medscape Internal Medicine > Medscape Morning Report

COMMENTARY

New PCOS Guidance: First Steps in

Primary Care
Arefa Cassoobhoy, MD, MPH
DISCLOSURES | August 27, 2018

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00:00 / 01:16
Hello. I'm Dr Arefa Cassoobhoy, a practicing internist, Medscape advisor,
and senior medical director for WebMD. Welcome to Medscape Morning
Report, our 1-minute news story for primary care.

Polycystic ovary syndrome—known as PCOS—is a common endocrine

disorder, affecting 7%-10% of reproductive-aged women. And it can be
challenging to treat.

A recent survey showed that women with PCOS expressed distrust of

their primary care provider's opinions of their condition.

Now, the first-ever international guidance on PCOS has been published.

This guidance supports the Rotterdam diagnostic criteria in adults,
requiring hyperandrogenism and irregular menstrual cycles. They
recommend ruling out thyroid disease, hyperprolactinemia, and
nonclassic congenital adrenal hyperplasia, plus further workup for severe
symptoms like amenorrhea.

The treatment guidelines encompass reproductive, metabolic, and

psychological concerns. Recommendations for low-dose oral
contraceptives and metformin treatment are given, as well as improved
infertility management. And there's an increase in focus on education,
lifestyle modification, and emotional well-being.

The full-text guidance is available. Learn more to support your patients

with PCOS, whether it's diagnosis, treatment, or referral to a specialist.

Follow Dr Cassoobhoy on Twitter at @ArefaMD

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Medscape Internal Medicine © 2018 WebMD, LLC

Any views expressed above are the author's own and do not necessarily reflect the views of WebMD or Medscape.

Cite this article: New PCOS Guidance: First Steps in Primary Care - Medscape - Aug 27, 2018.

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