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what is included in the pcos syndrome? irregular periods, weight gain, infertility, excess hair.
what criteria is used? Rotterdam criteria
What is entailed in rotterdam s criteria? oligo/anovulation, xcess androgen activity and polycystic ovaries on u/s (only need 2/3)
how would you manage a patient where you saw polycystic ovaries on pelvic u/s? Hx: irreg periods/amen, infertility, weight gain, depression exam: acne, hirsut, raised bmi, acanthosis nigricans Investigate,
how would u Ix a pt with PCOS? Blood: FSH, LH, oestradiol, prolactin, testosterone, SHBG, thyroid, renal liver fxn, CBC, OGTT, lipid profile Imaging: U/s
What would be ur differentials for a pt with PCOS? Cushing's, thyroid disease, hyperprolactinaemia
a pt with pcos is conerned about excess hair. how would u advice her? Try techniques such as shaving, bleaching, laser, electrolysis. medications
what medications would you put this pt on? COCP, cyproterone acetate, drospirenone, metformin
if this pt was concerned about infertility, what would you advise? mx: clomiphene citrate, aromatase inhibitors, synthetic gonadotrophins sx: ovarian drilling
what are 3 long term complications of PCOS? diabetes, stroke, sleep apnoea, endometrial ca
what are risks of women with pcos who become pregnant? GDM, miscarriage, pre-eclampsia
is there any screening you would do for these patients? what & at what age? 1. hyperlipidaemia, NIDDM. Started at 35 years generally
what general advicewould you give a pt with pcos? diet and exercise is important to prevent niddm
Created by: IonaDel