Polycystic Ovarian Syndrome: Difference between revisions
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== Prevalence == | == Prevalence == | ||
PCOS affects 4-12% of childbearing aged women<ref name="sheehan">Sheehan MT. Polycystic ovarian syndrome: diagnosis & management. Clinical Medicine & Research 2004;2:13-27.</ref> | PCOS affects 4-12% of childbearing aged women<ref name="sheehan">Sheehan MT. Polycystic ovarian syndrome: diagnosis &amp; management. Clinical Medicine &amp; Research 2004;2:13-27.</ref> | ||
*50% of these women have amenorrhea<ref name="goodman">Goodman CC, Fuller KS, editors. Pathology: implications for the physical therapist. 3rd ed. St Louis: Saunders Elsevier, 2009.</ref> | *50% of these women have amenorrhea<ref name="goodman">Goodman CC, Fuller KS, editors. Pathology: implications for the physical therapist. 3rd ed. St Louis: Saunders Elsevier, 2009.</ref> | ||
*30% of these women have abnormal menstrual bleeding<ref name="goodman" /> | *30% of these women have abnormal menstrual bleeding<ref name="goodman" /> | ||
*60% of these women are obese | *60% of these women are obese<ref name="daniilidis">Daniilidis A, Dina K. Long term health consequesnces of polycystic ovarian syndrome: a review analysis. Hippokratia 2009; 13:90-92.</ref> | ||
*40% of women with PCOS have type 2 diabetes<ref name="goodman" /> | |||
== Characteristics/Clinical Presentation == | == Characteristics/Clinical Presentation == | ||
Revision as of 20:59, 7 March 2010
Original Editors - Amanda Tieken from Bellarmine University's Pathophysiology of Complex Patient Problems project.
Lead Editors - Your name will be added here if you are a lead editor on this page. Read more.
Definition/Description[edit | edit source]
Polycysitc Ovarian Syndrome (PCOS), fomerly known as Stien-Leventhal Syndrome, is a disorder affecting the hormones of women of child bearing age.
Signs and symptoms include a collection of the following:
- Obesity1
- Hirsutism - hair growth in male pattern on the face, back, chest, lower abdomen, and inner thighs1
- Virilization - development of male features including balding of the frontal portion of the scalp, voice deepening, atophy of breast tissue, increased muscle mass, and clitoromegaly1
- Anovulation - failure of the ovaries to release an oocyte1
- Amenorrhea - abscence of a menstrual period in women of childbearing age1
Prevalence[edit | edit source]
PCOS affects 4-12% of childbearing aged women[1]
- 50% of these women have amenorrhea[2]
- 30% of these women have abnormal menstrual bleeding[2]
- 60% of these women are obese[3]
- 40% of women with PCOS have type 2 diabetes[2]
Characteristics/Clinical Presentation[edit | edit source]
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Associated Co-morbidities[edit | edit source]
- Type 2 diabetes
- Obesity (60%)
- Cardiovascular disease
- HTN
- Ovarian cancer
- Breast cancer
- Endometrial cancer
Medications[edit | edit source]
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Diagnostic Tests/Lab Tests/Lab Values[edit | edit source]
There is no one difinitive test for the diagnosis of PCOS, but rather a ruling out of other possible disorders.
- Ultrasounography - abdominal or transvaginal
- Pelvic Examination
- Laproscopy
- Laboratory testing including CBC and CA-125
- Screenings for glucose intolerance
Goodman
Causes[edit | edit source]
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Systemic Involvement[edit | edit source]
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Medical Management (current best evidence)[edit | edit source]
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Physical Therapy Management (current best evidence)[edit | edit source]
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Alternative/Holistic Management (current best evidence)[edit | edit source]
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Differential Diagnosis[edit | edit source]
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Case Reports[edit | edit source]
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Resources
[edit | edit source]
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Recent Related Research (from Pubmed)[edit | edit source]
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References[edit | edit source]
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- ↑ Sheehan MT. Polycystic ovarian syndrome: diagnosis & management. Clinical Medicine & Research 2004;2:13-27.
- ↑ 2.0 2.1 2.2 Goodman CC, Fuller KS, editors. Pathology: implications for the physical therapist. 3rd ed. St Louis: Saunders Elsevier, 2009.
- ↑ Daniilidis A, Dina K. Long term health consequesnces of polycystic ovarian syndrome: a review analysis. Hippokratia 2009; 13:90-92.
