Polycystic Ovarian Syndrome

Med Clin North Am. 2023 Mar;107(2):227-234. doi: 10.1016/j.mcna.2022.10.004. Epub 2022 Dec 26.

Abstract

Polycystic ovarian syndrome (PCOS) is a complex, familial, polygenetic metabolic condition. The Rotterdam criteria are commonly used to diagnose PCOS. Lifestyle changes are the first-line treatment of PCOS. Treatment options for menstrual irregularities and hirsutism are based on the clinical goals and preferences of the patient. Along with treating the symptoms of PCOS, it is essential to screen and treat the comorbid conditions commonly associated with PCOS, including type 2 diabetes mellitus, obesity, nonalcoholic fatty liver disease, hyperlipidemia, obstructive sleep apnea, anxiety, depression, infertility, and vitamin D deficiency.

Keywords: Abnormal uterine bleeding; Hyperandrogenism; Infertility; Metabolic syndrome; Oligo/amenorrhea; Polycystic.

Publication types

  • Review

MeSH terms

  • Diabetes Mellitus, Type 2*
  • Female
  • Hirsutism / complications
  • Hirsutism / diagnosis
  • Hirsutism / therapy
  • Humans
  • Hyperandrogenism* / diagnosis
  • Obesity / therapy
  • Polycystic Ovary Syndrome* / complications
  • Polycystic Ovary Syndrome* / diagnosis
  • Polycystic Ovary Syndrome* / epidemiology