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Polycystic ovary syndrome: update on diagnosis and treatment.

Publication ,  Journal Article
Setji, TL; Brown, AJ
Published in: Am J Med
October 2014

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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Published In

Am J Med

DOI

EISSN

1555-7162

Publication Date

October 2014

Volume

127

Issue

10

Start / End Page

912 / 919

Location

United States

Related Subject Headings

  • Weight Loss
  • Sleep Apnea Syndromes
  • Polycystic Ovary Syndrome
  • Metabolic Diseases
  • Menstruation Disturbances
  • Insulin Resistance
  • Hypertension
  • Hyperandrogenism
  • Humans
  • Hirsutism
 

Citation

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Setji, T. L., & Brown, A. J. (2014). Polycystic ovary syndrome: update on diagnosis and treatment. Am J Med, 127(10), 912–919. https://doi.org/10.1016/j.amjmed.2014.04.017
Setji, Tracy L., and Ann J. Brown. “Polycystic ovary syndrome: update on diagnosis and treatment.Am J Med 127, no. 10 (October 2014): 912–19. https://doi.org/10.1016/j.amjmed.2014.04.017.
Setji TL, Brown AJ. Polycystic ovary syndrome: update on diagnosis and treatment. Am J Med. 2014 Oct;127(10):912–9.
Setji, Tracy L., and Ann J. Brown. “Polycystic ovary syndrome: update on diagnosis and treatment.Am J Med, vol. 127, no. 10, Oct. 2014, pp. 912–19. Pubmed, doi:10.1016/j.amjmed.2014.04.017.
Setji TL, Brown AJ. Polycystic ovary syndrome: update on diagnosis and treatment. Am J Med. 2014 Oct;127(10):912–919.
Journal cover image

Published In

Am J Med

DOI

EISSN

1555-7162

Publication Date

October 2014

Volume

127

Issue

10

Start / End Page

912 / 919

Location

United States

Related Subject Headings

  • Weight Loss
  • Sleep Apnea Syndromes
  • Polycystic Ovary Syndrome
  • Metabolic Diseases
  • Menstruation Disturbances
  • Insulin Resistance
  • Hypertension
  • Hyperandrogenism
  • Humans
  • Hirsutism