Polycystic Ovary Syndrome (PCOS)

    January 2017 in “ Obstetrician & gynaecologist/˜The œobstetrician & gynaecologist ”
    Adam Balen
    TLDR The document concludes that managing PCOS effectively requires considering ethnic differences, obesity's impact, and ethical concerns in treatment approaches.
    Polycystic ovary syndrome (PCOS) presented symptoms such as menstrual cycle disturbances, hyperandrogenism (including hirsutism, acne, and alopecia), fertility issues, obesity, and psychological problems. Ethnic variations in insulin metabolism influenced the expression and treatment of PCOS. Obesity significantly impacted the syndrome's expression and management, especially concerning infertility. Management strategies for anovulatory infertility included lifestyle changes and ovulation-inducing therapies like clomifene citrate, gonadotrophin therapy, and laparoscopic ovarian diathermy. For those not seeking conception, managing menstrual issues involved preventing endometrial hyperplasia and adenocarcinoma and considering long-term metabolic risks. Ethical issues included the appropriateness of denying fertility treatment based on BMI, advising young women with polycystic ovaries about future risks, and screening relatives for PCOS or metabolic syndrome.
    Discuss this study in the Community →

    Research cited in this study

    7 / 7 results

    Related Community Posts Join

    6 / 12 results

      community How does hair loss and recovery work?

      in Chat  12 upvotes 2 months ago
      Hair loss varies due to genetic sensitivity to DHT and other factors. Treatments discussed include finasteride, minoxidil, RU58841, and microneedling.

      community C’est terrible - at my wits end

      in Female  443 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 Female, 30, PCOS diagnosis, MPB Norwood 2. Endo refuses to give anything other than Spironolactone. Feel like I’m at my wit’s end here.

      in Female  56 upvotes 1 year ago
      A 30-year-old female with PCOS and male pattern baldness is frustrated with her endocrinologist's recommendation of only Spironolactone and minoxidil, feeling that dutasteride, finasteride, and progesterone would be more effective. Other users suggest various online sources for treatments, warn against self-medicating due to potential risks, and recommend seeking a specialized endocrinologist or considering additional treatments like Inositol, Berberine, and dermaneedling.

      community Why balding gets worse in every generation?

      in Chat  81 upvotes 5 months ago
      Balding seems to worsen with each generation, possibly due to stress, diet, and environmental factors. The user started treatments like Minoxidil and finasteride.

    Related Research

    4 / 4 results