scholarly journals Polycystic ovary syndrome

2005 ◽  
Vol 4 (12) ◽  
pp. 332-337
Author(s):  
Swarup S Patel ◽  
Vincent Bamigboye

The term polycystic ovary syndrome (PCOS) is a misnomer as it gives an impression of an ovarian disease with cysts. It is, however, a multisystem disorder with very distressing signs and symptoms and long term consequences on the well being of the patient. Ms Patel and Mr Bamigboye, respectively specialist registrar and consultant in obstetrics and gynaecology, describe this common and complicated condition and its modern management.

2000 ◽  
Vol 3 (2) ◽  
pp. 101-105 ◽  
Author(s):  
Sarah Wild ◽  
Tracey Pierpoint ◽  
Howard Jacobs ◽  
Paul McKeigue

2019 ◽  
Vol 7 (10) ◽  
pp. 101 ◽  
Author(s):  
Deans

Polycystic ovary syndrome (PCOS) is one of the most common endocrine disorders in females, and is characterized by ovulatory dysfunction, hyperandrogenism, and polycystic ovarian morphology based on ultrasound. Controversy surrounds the optimum diagnosis and management in the adolescent population. Many patients with adult PCOS present with pathognomonic symptoms as adolescents, and there is value in early diagnosis due to the associated long-term metabolic and reproductive health sequalae. A definitive diagnosis does not need to be made prior to implementing treatment in this group of young women. The practitioner who has an adolescent presenting with signs and symptoms of PCOS, has a unique opportunity to risk stratify, screen for co-morbidities, and implement early management strategies, many of which are lifestyle modifications, to help prevent long term morbidity associated with this disease.


2017 ◽  
Vol 89 (10) ◽  
pp. 75-79 ◽  
Author(s):  
O R Grigoryan ◽  
N S Zhemaite ◽  
N N Volevodz ◽  
E N Andreeva ◽  
G A Melnichenko ◽  
...  

Polycystic ovary syndrome (PCOS) is the most common chronic endocrine disease in women. The prevailing complaints at a young age are menstrual irregularities, infertility, and hyperandrogenism-related problems. However, metabolic disorder-induced complications have been in the foreground over years. The review gives the current ideas on a change of clinical manifestations in the natural course of PCOS, as well as the pathogenetically grounded prevention of complications in patients.


2009 ◽  
Vol 91 (4) ◽  
pp. 1563-1567 ◽  
Author(s):  
Manfredi Rizzo ◽  
Kaspar Berneis ◽  
Giatgen Spinas ◽  
Giovam Battista Rini ◽  
Enrico Carmina

2019 ◽  
Vol 24 (39) ◽  
pp. 4685-4692 ◽  
Author(s):  
Xiangyan Ruan ◽  
Meng Li ◽  
Alfred O. Mueck

Background: Polycystic ovary syndrome (PCOS) is a frequent female reproductive endocrine disease. It has been associated with a number of severe reproductive and metabolic abnormalities. However, there are still open questions especially regarding the best long-term management. Methods: We summarized the literature focused on the symptoms and negative long-term consequences of untreated PCOS and the existing options for the treatment. We reviewed the Pubmed and China National Knowledge Infrastructure databases and the relevant literature for the last 20 years. Included in this review also are new results of own (published) research and own experience from treating daily more than 100 PCOS patients. Results: Obesity is one of the most common findings. It can cause abnormal ovulations which can lead to infertility. Important long-term consequences can be adverse pregnancy outcomes. There is an agreement that the risk of endometrial cancer can be increased. Insulin resistance, important within the pathophysiology of PCOS, predisposes patients to metabolic dysfunction and increased risk of type 2 diabetes mellitus. Lifestyle modifications including dietary changes, exercise and weight loss are first-line interventions for many patients. Well known drug treatments such as metformin, oral contraceptives, etc. should be selected according to the individual situation and patients' needs. Regarding newer methods in the long-term management of PCOS, we found that orlistat may help to achieve weight loss and to improve lipid and glucose metabolism. Conclusion: In addition to pharmacological interventions, long-term standardized individualized management of PCOS patients is needed to achieve fertility and to reduce the risk of metabolic related diseases.


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