ACOG Practice Bulletin No. 108: Polycystic Ovary Syndrome

    September 2009 in “ Obstetrics & Gynecology ”
    Image of study
    TLDR The bulletin provides guidelines for diagnosing and managing PCOS, suggesting weight loss, hormonal contraceptives, and diabetes screening, with clomiphene for infertility and various treatments for excess hair.
    The ACOG Practice Bulletin No. 108 from 2009 provided guidelines for diagnosing and managing Polycystic Ovary Syndrome (PCOS), emphasizing the lack of a universally accepted definition and the importance of excluding other causes of hyperandrogenism. It noted that insulin resistance is commonly associated with PCOS and that obesity can exacerbate its effects. The bulletin recommended screening for type 2 diabetes and cardiovascular disease in women with PCOS and suggested weight loss, hormonal contraceptives, and insulin-sensitizing agents like metformin for treatment. Clomiphene citrate was recommended as the first-line treatment for infertility, with other interventions suggested if it fails. For hirsutism, no single treatment was identified as superior, but various medical and laser treatments were discussed. The recommendations were based on varying levels of evidence, with many relying on limited evidence or expert opinion.
    Discuss this study in the Community →

    Related Community Posts Join

    6 / 19 results

      community How does hair loss and recovery work?

      in Chat  12 upvotes 1 year ago
      Hair loss varies due to genetic sensitivity to DHT and other factors. Treatments discussed include finasteride, minoxidil, RU58841, and microneedling.

      community Sugar and Hair loss connections

      in Research/Science  41 upvotes 3 months ago
      High sugar diets may worsen hair loss by increasing 5α-reductase activity and androgen levels, especially in women with PCOS. A low sugar diet might reduce scalp DHT levels, similar to finasteride, but genetics also significantly influence hair loss.

      community C’est terrible - at my wits end

      in Female  450 upvotes 1 year ago
      A 29-year-old woman is experiencing gradual hair thinning since age 15, suspects Androgenic Alopecia, and has tried 5% minoxidil with little success. She has purchased various hair loss treatments including minoxidil, dutasteride, finasteride, and spironolactone, but is cautious about starting them due to potential interactions with her ADHD medication.

      community PCOS Hair Loss: What’s Helped Me (and What Didn’t)

      in Treatment  9 upvotes 2 weeks ago
      OP shares their experience with PCOS-related hair loss, highlighting that addressing vitamin D and ferritin deficiencies, managing hormones with spironolactone, and using gentle hair care products helped improve their condition. They advise against relying on "miracle" hair oils and emphasize the importance of medical evaluation and a combined approach to treatment.

    Similar Research

    6 / 1000+ results