Polycystic Ovarian Syndrome
PCOS
Anovulation and Androgen excess
Prevalence: 5% of adolescent girls
Hx
Menstral irregularity for 2 years
Poor self esteem
Ex
Overweight
Hirsute
alopecia
acne
Ix
Insulin resistance
Anovulation
Androgen increase (Free testosterone, free androgen index, androstenedione, dehydroepiandrosterone sulphate)
Rx
Diet
Exercise
Insulin resistance
OCP to regulate menstruation
?Antiandrogen
Psycholo
Anovulation and Androgen excess
Prevalence: 5% of adolescent girls
Hx
Menstral irregularity for 2 years
Poor self esteem
Ex
Overweight
Hirsute
alopecia
acne
Ix
Insulin resistance
Anovulation
Androgen increase (Free testosterone, free androgen index, androstenedione, dehydroepiandrosterone sulphate)
Rx
Diet
Exercise
Insulin resistance
OCP to regulate menstruation
?Antiandrogen
Psycholo