University of Oklahoma Health Sciences Center

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Author/s:

Ebernella Shirin Dason, Olexandra Koshkina, Crystal Chan, Mara Sobel

Date Added:

February 12, 2024

Journal/Publication:

Canadian Medical Association Journal

Publisher:

Canadian Medical Association

Publication Date:

January 28, 2024

Issue:

Volume:

196

Pages:

E85-E94

URL:

Diagnosis and management of polycystic ovarian syndrome

Type:

Meta-analyses, Reviews, and Guidelines

Format:

Article

DOI (1):

10.1503/cmaj.231251

PMID (1):

38286488

Keywords

diagnosis

diagnostic

polycystic ovarian syndrome

PCOS

menstruation

MeSH

Polycystic Ovary Syndrome

RPR Commentary

A concise review of polycystic ovarian syndrome. James W. Mold, MD, MPH

Abstract

KEY POINTS

Polycystic ovarian syndrome (PCOS) is a chronic disorder associated with infertility; miscarriage; adverse pregnancy outcomes; and cardiovascular, metabolic, psychological and neoplastic risks.

DIagnosis of PCOS can be made based on the presence of any 2 of menstrual irregularities, clinical or biochemical hyperandrogenism or polycystic ovarian morphology on transvaginal ultrasonography.

Treatment of PCOS may target anovulation, androgen excess, hyperinsulinemia and weight management.

Patients with PCOS should have regular monitoring of their body mass index, blood pressure and metabolic parameters, and should be regularly screened for depression, anxiety and obstructive sleep apnea.

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