Rapid Review: Polycystic Ovarian Syndrome

September 4, 2017
Polycystic ovarian syndrome

Polycystic Ovarian Syndrome (PCOS)

  • Patient will be an obese female
  • Complaining of amenorrhea, obesity, hirsutism
  • PE will show bilateral ovarian enlargement, acanthosis nigricans
  • Labs will show high LH:FSH, androgen excess
  • Most commonly caused by insulin resistance
  • Treatment is combination OCPs, lifestyle changes, metformin

Sample question:

A 26-year-old obese woman with a 2-year history of increased acne, abnormal hair growth, and menstrual abnormalities presents to her obstetrician for an infertility workup. A pelvic ultrasound reveals enlarged cystic ovaries. She desires to become pregnant. Which of the following is the first-line treatment?

By Yehuda Wolf, MPA, PA-C

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