Diagnosis and management of polycystic ovary syndrome



  • Polycystic ovary syndrome (PCOS), defined as occurring when two of the following are present:
    • oligo- or anovulation
    • clinical and/or biochemical signs of hyperandrogenism
    • polycystic ovaries, with the exclusion of other aetiologies

Clinical manifestations of PCOS

  • Symptoms:
    • menstrual disturbance (irregular menses, oligo- or amenorrhoea)
    • anovulatory infertility
    • hyperandrogenism (hirsutism, persistent acne, androgenetic alopecia)
    • (all symptoms are exacerbated by obesity; see below)

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