Polycystic ovary syndrome: update on diagnosis and treatment.
Polycystic ovary syndrome is now a well-recognized condition affecting 6%-25% of reproductive-aged women, depending on the definition. Over the past 3 decades, research has launched it from relative medical obscurity to a condition increasingly recognized as common in internal medicine practices. It affects multiple systems, and requires a comprehensive perspective on health care for effective treatment. Metabolic derangements and associated complications include insulin resistance and diabetes, hyperlipidemia, hypertension, fatty liver, metabolic syndrome, and sleep apnea. Reproductive complications include oligo-/amenorrhea, sub-fertility, endometrial hyperplasia, and cancer. Associated psychosocial concerns include depression and disordered eating. Additionally, cosmetic issues include hirsutism, androgenic alopecia, and acne. This review organizes this multi-system approach around the mnemonic "MY PCOS" and discusses evaluation and treatment options for the reproductive, cosmetic, and metabolic complications of this condition.
Duke Scholars
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Related Subject Headings
- Weight Loss
- Sleep Apnea Syndromes
- Polycystic Ovary Syndrome
- Metabolic Diseases
- Menstruation Disturbances
- Insulin Resistance
- Hypertension
- Hyperandrogenism
- Humans
- Hirsutism
Citation
Published In
DOI
EISSN
Publication Date
Volume
Issue
Start / End Page
Location
Related Subject Headings
- Weight Loss
- Sleep Apnea Syndromes
- Polycystic Ovary Syndrome
- Metabolic Diseases
- Menstruation Disturbances
- Insulin Resistance
- Hypertension
- Hyperandrogenism
- Humans
- Hirsutism