Question | Answer |
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 |