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Polycystic Ovary Syndrome
(PCOS; Stein Leventhal Syndrome; Polyfollicular Ovarian Appearance; Hyperandrogenic Anovulation; Polycystic Ovarian Disease; PCO; PCOD)
|Ovary and Fallopian Tube|
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- Family members with PCOS
- Irregular menstrual cycles
- Sedentary lifestyle
- Amenorrhea —irregular menstrual periods or no menstrual period
- Dark patches of skin on neck, groin, and arm pit
- Hair loss
- Type 2 diabetes
- Hyperlipidemia —increased fat and cholesterol in the blood
- High blood pressure
- Metabolic syndrome —a combination of obesity, and elevated blood pressure, blood glucose, and cholesterol, and increased tendency to blood clotting and inflammatory states
- Heart disease
- Endometrial hyperplasia—a precancerous condition marked by overgrowth and thickening of uterine lining
- Endometrial cancer
- Managing symptoms
- Weight loss if overweight
- Healthy eating
- Medications to improve insulin resistance, glucose intolerance, and prediabetes management
- Oral contraceptive
Inducing ovulation (if you want to get pregnant)
- Metformin or clomiphene citrate
- Advanced reproductive technologies
- Preventing complications
- Anti-androgenic medications for blocking future hirsutism (unwanted hair growth)
The American Congress of Obstetricians and Gynecologists http://www.acog.org
Polycystic Ovarian Syndrome Association http://www.pcosupport.org
The Society of Obstetricians and Gynaecologists of Canada http://www.sogc.org
Women's Health Matters http://www.womenshealthmatters.ca
ACOG Committee on Practice Bulletins--Gynecology. ACOG Practice Bulletin No. 108: Polycystic ovary syndrome. Obstet Gynecol . 2009;114(4):936-949.
Baillargeon JP. Use of insulin sensitizers in polycystic ovarian syndrome. Curr Opin Invetig Drugs . 2005:6:1012-1022.
Polycystic ovary syndrome. American Academy of Family Physicians website. Available at: http://familydoctor.org/familydoctor/en/diseases-conditions/polycystic-ovary-syndrome.html. Updated August 2010. Accessed July 26, 2013.
Polycystic ovary syndrome. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed/what. Updated June 17, 2013. Accessed July 26, 2013.
Polycystic ovary syndrome (PCOS). The Endocrine Society Hormone Health Network website. Available at: http://www.hormone.org/diseases-and-conditions/womens-health/polycystic-ovary-syndrome. Reviewed May 2013. Accessed July 26, 2013.
Stadmauer L, Oehninger S. Management of infertility in women with polycystic ovary syndrome: a practical guide. Treat Endocrinology . 2005;4:279-292.
Stout DL, Fugate SE. Thiazolidinediones for treatment of polycystic ovary syndrome. Pharmacotherapy . 2005;25:244-252.
Vibikova J, Cibula D. Combined oral contraceptives in the treatment of polycystic ovary syndrome. Hum Reprod Update . 2005;11: 277-291.
- Reviewer: Andrea Chisholm; Brian Randall, MD
- Review Date: 07/2013
- Update Date: 05/11/2013