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Polycystic Ovarian Syndrome (PCOS)

Loreal Dolar, DO and Jennifer A Meeks, D.O. Reviewed 04/2024
 


BASICS

DESCRIPTION

  • Polycystic ovarian syndrome (PCOS) is a common endocrine disorder with heterogeneous manifestations that affects 6–10% of the U.S. population. It is characterized by hyperandrogenism...

DIAGNOSIS

HISTORY

A comprehensive history, including a family history of diabetes and premature onset of cardiovascular disease, is important in the differential diagnosis. Focus on the onset and durat...

TREATMENT

GENERAL MEASURES

Lifestyle changes including appropriate nutrition and exercise to decrease body weight by as little as 5% can restore ovulation and increase insulin sensitivity (1)[A]. Trea...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

6-month intervals to evaluate response to therapy and to monitor weight and medication side effects 

Patient Monitoring

  • Counsel patient about the risk of endometria...

REFERENCES

1
Tang  T, Lord  JM, Norman  RJ, et al. Insulin-sensitising drugs (metformin, rosiglitazone, pioglitazone, D-chiro-inositol) for women with polycystic ovary syndrome,...

SEE ALSO

Algorithm: Amenorrhea, Secondary 

CODES

ICD10

  • E28.2 Polycystic ovarian syndrome

  • L68.0 Hirsutism

SNOMED

  • 69878008 Polycystic ovaries (disorder)

  • 66520009 Female hirsutism (disorder)

CLINICAL PEARLS

  • PCOS is diagnosed based on 2 of 3 of (i) oligo-ovulation, (ii) signs of hyperandrogenism, (iii) polycystic ovaries. Polycystic ovaries are not required for the diagnosis of PCOS.

  • Treat ...

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