Polycystic ovarian syndrome (PCOS) is a syndrome of hyperandrogenism, altered ovarian morphology, and chronic anovulation with infertility.
Consensus guidelines recommend that althoug...
Amenorrhea or irregular menses
Abnormal uterine bleeding
Hyperandrogenism (clinical or biochemical)
Hirsutism in context of ethnicity
Polycystic ovaries on ultrasound or MRI
Treatment should be individualized to reduce hyperandrogenism effects, regulate menses and ovulation, and decrease risk for infertility and comorbidities.
Impaired glucose tolerance, metabolic syndrome, and T2D
Increased pregnancy loss
Gestational diabetes, pregnancy-associated hypertension, and preeclampsia
Abbott DH, Bacha F. Ontogeny of polycystic ovary syndrome and insulin resistance in utero and early childhood. Fertil Steril. 2013;100(1):2–11. [View Abstract on OvidInsights]
256.4 Polycystic ovaries
E28.2 Polycystic ovarian syndrome
69878008 Polycystic ovaries (disorder)
399939002 Hirsutism (disorder)
Q: Can PCOS patients get pregnant?
A: Yes. Women with PCOS should not assume they will always be infertile. Some patients may become pregnant spontaneously, and others can become pregnant with repr...
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<bold>Figure 6.67 Polycystic ovarian disease.</bold> Both ovaries are enlarged and contain multiple subcortical follicle cysts.
<bold>FIG. 34.4.</bold>The ovaries in polycystic ovary syndrome shown in a woman with polycystic ovary syndrome at laparotomy. Note the large size of the ovaries, relative to the uterus, with a smooth ovarian capsule without evidence of ovulatory events.
<bold>FIG. 34.4.</bold>The ovaries in polycystic ovary syndrome shown in a woman with polycystic ovary syndrome at laparotomy. ...
<bold>Figure 37.3.</bold> A mechanism for polycystic ovarian syndrome proposed by Yen. LH = luteinizing hormone; LRF = luteinizing-releasing factor.
<bold>Figure 37.3.</bold> A mechanism for polycystic ovarian syndrome proposed by Yen. LH = luteinizing hormone; LRF = luteiniz...
Polycystic Ovarian Syndrome Labeled
Polycystic disease of the ovary. Cut sections of an ovary show numerous cysts embedded in a sclerotic stroma.