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Diagnosis and Treatment of Polycystic Ovary Syndrome

106 American Family Physician Volume 94, Number 2 July 15, 2016 Polycystic Ovary Syndrome is the most common endocrinopathy among reproductive-aged women in the United States, affecting approximately 7% of female patients. Although the pathophysiology of the Syndrome is complex and there is no single defect from which it is known to result, it is hypothesized that insulin resistance is a key fac-tor. Metabolic Syndrome is twice as common in patients with Polycystic Ovary Syndrome compared with the general population, and patients with Polycystic Ovary Syndrome are four times more likely than the general population to develop type 2 diabetes mellitus. Patient presentation is variable, ranging from asymptomatic to having multiple gynecologic, dermatologic, or metabolic manifestations. Guidelines from the Endocrine Society recommend using the Rotterdam criteria for Diagnosis , which mandate the presence of two of the following three findings hyperan-drogenism, ovulatory dysfunction, and Polycystic ovaries plus the exclusion of other diagnoses that could result in hyperandrogenism or ovulatory dysfunction.

Jul 15, 2016 · July 15, 2016 Polycystic ovary syndrome is the most common endocrinopathy among reproductive-aged women in the United States, affecting approximately 7% …

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