Understanding Polycystic Ovary Syndrome

    September 2009 in “ Nurse Prescribing ”
    Elspeth Raisbeck
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    TLDR PCOS affects many women, causing various symptoms and health risks, and is managed through lifestyle changes, medication, and support groups.
    In 2009, it was understood that Polycystic Ovary Syndrome (PCOS) affected 15-20% of women in the UK, with a higher prevalence in Asian populations due to increased insulin resistance. PCOS was associated with a range of symptoms including hirsutism, acne, infertility, hair loss, obesity, and irregular menstrual cycles. Diagnosis required two of the following three criteria: irregular ovulation, high androgen levels, and polycystic ovaries on ultrasound. The condition was linked to serious health risks such as diabetes, heart disease, and endometrial cancer. Management of PCOS included lifestyle interventions like weight loss and a reduced glycaemic load diet, as well as medical treatments like insulin-sensitizing drugs, anti-androgens, and fertility medications. Non-medical advice for managing symptoms included using mild shampoo and basic skin cleansing, along with hair removal techniques. Support groups played a key role in providing education and support for those affected. Treatment success was measured clinically, with an emphasis on supporting patients in managing both the physical and cosmetic aspects of the syndrome.
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