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Polycystic Ovary Syndrome, Pediatric

Ellen Lancon Connor, MD Reviewed 10/2018
 


BASICS

DESCRIPTION

  • Polycystic ovarian syndrome (PCOS) is a syndrome of hyperandrogenism, altered ovarian morphology, and chronic anovulation with infertility.

  • Consensus guidelines recommend that althoug...

DIAGNOSIS

Signs and symptoms 
  • Amenorrhea or irregular menses

  • Abnormal uterine bleeding

  • Hyperandrogenism (clinical or biochemical)

  • Hirsutism in context of ethnicity

  • Polycystic ovaries on ultrasound or MRI

  • Ex...

TREATMENT

GENERAL MEASURES

  • Treatment should be individualized to reduce hyperandrogenism effects, regulate menses and ovulation, and decrease risk for infertility and comorbidities.

  • Lifestyle modificati...

ONGOING CARE

COMPLICATIONS

  • Impaired glucose tolerance, metabolic syndrome, and T2D

  • Infertility

  • Increased pregnancy loss

  • Gestational diabetes, pregnancy-associated hypertension, and preeclampsia

  • Greater end...

ADDITIONAL READING

  • 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]

  • ...

CODES

ICD9

  • 256.4 Polycystic ovaries

  • 704.1 Hirsutism

ICD10

  • E28.2 Polycystic ovarian syndrome

  • L68.0 Hirsutism

SNOMED

  • 69878008 Polycystic ovaries (disorder)

  • 399939002 Hirsutism (disorder)

FAQ

  • 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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