Polycystic Ovary Syndrome: Management of a Long-Term Condition in Primary Care

    January 2017 in “ Cambridge University Press eBooks ”
    Anne M. Connolly, Virginia Beckett
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    TLDR Manage PCOS in primary care with weight loss, psychological support, medication, and monitoring for health risks.
    The 2017 document outlines the management of Polycystic Ovary Syndrome (PCOS) in primary care, detailing diagnosis, treatment, and monitoring. PCOS is diagnosed using the Rotterdam criteria, which require two out of three features: oligo- or anovulation, hyperandrogenism, and polycystic ovaries on ultrasound. Management strategies include weight reduction to improve insulin resistance and symptoms, psychological support, and regular monitoring for cardiovascular and metabolic risks. Treatment options for symptom control include hormonal contraceptives, anti-androgen therapies, and physical hair removal, while fertility issues may be addressed with clomifene citrate and possibly metformin. The document emphasizes the importance of considering the psychological impact of PCOS and recommends long-term monitoring for associated health risks.
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