Azziz was the lead author, that agreed with the Rotterdam criteria on the first group of patients, but not the second. As the name implies, the society believes there needs to be some kind of evidence of androgen excess for a patient to qualify as PCOS.
Azziz acknowledged. The first step toward catching patients, then, is to be sure to ask all female patients about their periods during routine visits. Doctors also should inquire about the patient's use of birth control pills, said John C. Marshall said. Physicians should ask about family history, as well—especially whether a sister or mother had irregular periods. Dunaif said. None of the three PCOS guidelines gives a threshold for the number of periods per year that are considered irregular, but Dr.
Azziz puts it at less than per year. The range allows for taking other symptoms into account. Some patients will have irregular ovulation but still get regular periods, Dr. Internists who see adolescent or pre-adolescent girls in their office should know that the common belief that women don't get periods for years after menarche just isn't true, several experts said.
The clinical signs of androgen excess include hirsutism, and to a lesser extent, alopecia, acne and very oily skin. In the case of hirsutism, or hair growth in a male distribution pattern, it can be difficult for physicians to know exactly how much hair is abnormal. It also can be difficult to detect hirsutism at all, because some women remove the hair, have light-colored hair and skin, or feel embarrassed to report this symptom to their doctor.
Physicians also should use the Ferriman-Gallwey score, the gold standard for evaluating hirsutism, or have patients fill it out. Infertility is one of the major symptoms of PCOS. If the patient wants to get pregnant in PCOS, she may need a fertility specialist to help her conceive naturally or prescribe alternate conceiving methods like IVF.
The good news is that weight reduction can minimize the symptoms of PCOS. A dietician can guide the patients reduce weight. Sometimes, mood swings or a feeling of depression can accompany polycystic ovary syndrome. Many PCOS endocrinologists have a self-sufficient team of all these doctors so as to provide a comprehensive care. Visiting the right PCOS endocrinologist is not enough. One should follow the advice regarding medications, diet and exercise, and regularly go for follow-up examinations as well.
It is wiser to seek a second opinion before taking a major step like surgery. Unable to control your diabetes? Apollo Sugar Clinics has also come up with a unique one-day diabetes program to overcome poor blood glucose control. Open Menu. Generic selectors. Exact matches only. Search in title. Search in content. As a result, blood sugar levels may rise. Left untreated, this can lead to type 2 diabetes. Women with the condition may also have high cholesterol or gestational diabetes, in which a woman has high blood sugar during pregnancy.
The severity of PCOS symptoms can vary. Some women have a mild form of the condition and may not know they have it, while others have severe symptoms that affect their quality of life and fertility. The symptoms tend to improve after menopause, when the ovaries stop functioning and androgen levels drop.
Still, compared to other postmenopausal women, those with PCOS have higher androgen levels and insulin resistance. PCOS is a syndrome, not a disease. In many women, insulin resistance may trigger excess androgen production. It is not fully understood what causes PCOS, but doctors believe that genes and environmental factors may play a role. The condition typically begins around puberty, although the symptoms may not appear until early adulthood.
You may be referred to a specialist in female reproductive medicine gynecologist , a specialist in hormone disorders endocrinologist or an infertility specialist reproductive endocrinologist. For PCOS , some basic questions to ask your doctor include:.
Mayo Clinic does not endorse companies or products. Advertising revenue supports our not-for-profit mission. This content does not have an English version. This content does not have an Arabic version. Diagnosis Pelvic exam Open pop-up dialog box Close. Pelvic exam During a pelvic exam, your doctor inserts two gloved fingers inside your vagina. Transvaginal ultrasound Open pop-up dialog box Close. Transvaginal ultrasound During a transvaginal ultrasound, your doctor or a medical technician inserts a wandlike device transducer into your vagina while you lie on your back on an exam table.
Request an Appointment at Mayo Clinic. Share on: Facebook Twitter. Show references Lobo RA, et al. Polycystic ovary syndrome. In: Comprehensive Gynecology. Philadelphia, Pa.
0コメント