Pal et al 2019 polycystic ovarian syndrome carmina

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(Pal et al., 2019)
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Polycystic Ovarian Syndrome (Carmina, Fruzzetti, & Lobo, 2017
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Best Practices for Optimal Outcomes (Pal et al., 2019
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Diagnostic Studies Laboratory Testing: Beta hCG CBC Complete metabolic panel Follicle-stimulating hormone Luteinizing hormone Prolactin Thyroid stimulating hormone Progesterone challenge test Testosterone Estradiol Genetic testing Imaging Abdominal ultrasound if genital examination is not feasible Ultrasonography or MRI is key to diagnosis Hysteroscopy MRI: evaluate pituitary tumor (Pal et al., 2019
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Prevention To prevent amenorrhea, aim to: maintain a healthy weight eat a well-balanced diet exercise regularly learn to manage stress
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Treatment Nonpharmacologi c management Surgical correction structural abnormalities Surgical resection of tumors Lifestyle modifications r/t weight, stress and diet Pharmacologic management Oral contraceptives Medications PCOS: clomiphene citrate therapy Estrogen therapy Progesterone therapy
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(David A. Klein|Scott L. Paradise|Rachel M. Reeder, 2019)
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(David A. Klein|Scott L. Paradise|Rachel M. Reeder, 2019)
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Patient and/or family education Follow up: Monthly until medications are established, then every 6 months to 1 year Combined oral contraceptives take up to 21 day to evaluate efficiency Complications Increased risk cancer: anatomical abnormality Loss of bone mass if estrogen is low Osteoporosis Infertility Small stature (Klein and Reeder, 2019)
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References Berner, L. A., Feig, E. H., Witt, A. A., & Lowe, M. R. (2017). Menstrual cycle loss and resumption among patients with anorexia nervosa spectrum eating disorders: Is relative or absolute weight more influential?
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  • Polycystic ovary syndrome

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