Poly cystic ovarian syndrome(pcos)

Polycystic ovarian syndrome is a condition of chronic anovulation with resultant infertility.

Sign/symptoms

1-obesity.

2-    Skin disorders due to peripheral androgen excess, including hirsutism and acne, are common.(pcos is one of the most common causes of hirsutism in women).

3-infertulity.

4-menstrual disorder (from amen orrhea to menorrhagia).

Investigations-

A-medical history, including  menstrual periods and weight changes.

B-physical exam will show excess hair growth, and acne.

C-USG of pelvis.

Management-

1- For irregular bleeding and hirsutism-OCPs will lowers the level of testosterone and normalize her bleeding, progestin component will prevent endometrial hyperplasia.

2- For infertility. If she desires pregnancy, ovulation induction can be achieved through clomiphene citrate (Clomid) or human menopausal gonadotropin (HMG; Pergonal).

3-Metformin, a hypoglycemic agent that increases  can enhance the likelihood of ovulation both with and without clomiphene.

(By;Dr-Abdullah Noor wazir)