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Polycystic Ovarian Syndrome(PCOS)


Symptoms

  • Obesity
  • Acne
  • Hirsuitism
  • Acanthosis nigricans
  • Irregular periods
  • Subfertility
dataNormal Woman &Obesity woman

dataAcne

dataHirsuitism
dataAcanthosis nigricans

 

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. clomephene citrate
  2. Letrozole
  3. Gonadotrophic injections .eg recombinant FSH,urinary FSH
  4. Metformi
    Surgery

Laparoscopy and ovarian drilling.

Life style modification

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

Authored by Dr. Anitha Mani - Infertility Specialist & Laparoscopy Surgeon

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