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PCOS

P O L Y C Y S T I C O VA R I A N S Y N D R O M E AND
HYPERANDROGENISM
Williams Gynecology p.386-
Williams Gynecology p.386-
PATHOPHYSIOLOGY

Williams Gynecology p.386-


SIGNS AND SYMPTOMS
• Menstrual dysfunction  amenore-oligomenore-menometrorrhagia
• Hyperandrogenism  hirsutism, acne, alopecia, acanthosis nigricans
• Other endocrine dysfunctions  insulin resistance, dyslipidemia, obesity
• Obstructive Sleep Apnea
• Metabolic Syndrome and Cardiovascular Disease
• Endometrial Neoplasia
• Infertility
• Pregnancy Loss
• Psychologic Health

Williams Gynecology p.386-


DIAGNOSIS

Williams Gynecology p.386-


ooforektomi
ooforektomi

TREATMENT

• Conservative Treatment
• Treatment of Oligo and Anovulation  Hormonal Agents, Insulin Sensitizing Agents
• Hirsutism  Lowered Effective Androgen Levels, Eflornithine Hydrochloride, Androgen-
receptor Antagonists, Hair Removal
• Acne  Topical retinoids, Topical benzoyl peroxide, Topical antibiotics, Oral isotretinoin.
• Acanthosis Nigricans  decreasing insulin resistance and hyperinsulinemia
• Surgical Therapy  ovarian resection, oophorectomy

Williams Gynecology p.386-

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