PCOS(Polycystic Ovarian Syndrome)

Symptoms

Normal Woman &Obesity woman
Acne
Hirsuitism
Acanthosis nigricans

Obesity

Acne

Hirsuitism

Acanthosis nigricans

   Irregular periods

   Subfertility

Causes

   Abnormal hormones levels resulting in high LH: FSH ratio causes PCOS

Findings

   Scan

   Unruptured follicles (which contain eggs) appear like a pearl

   Chain on USS.

Lab

   High LH:FSH ratio

   High androgens.

Reasons

   1. Genetie predelition,with diabetic history in family.

   2. Metabolic disorder due to excessive food intake in childhood

 Treatment For infertility Medicines

  1. 1. clomephene citrate
  2. 2. Letrozole
  3. 3. Gonadotrophic injections .eg recombinant FSH,urinary FSH
  4. 4. Metformin

Surgery

Laparoscopy and ovarian drilling.

Life style modification

  1. Diet with less carbohydrates
  2. Regular exercise
  3. Weight reduction
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