PCOS

Question 1

What does PCOS stand for?

Answer 1

Polycystic ovarian syndrome

Question 2

What 3 features describe polycystic ovarian syndrome?

Answer 2

Hyperandrogenism
Oligomenorrhoea
Polycystic ovaries on ultrasound

Question 3

What is PCOS associated with?

Answer 3

Metabolic syndrome - hypertension, dislipidaemia, insulin resistance, visceral obesity

Question 4

Presentation of PCOS?

Answer 4

Usually oligomenorrhoea
Hirsutism
Acne
Sub fertility

Question 5

In PCOS, With assisted conception are there any risks?

Answer 5

Risk of ovarian hyper stimulation

Question 6

How do you diagnose PCOS?

Answer 6

2/3 Rotterdam criteria

• polycystic ovaries - >12 follicles with ovarian volume >10cm3
• oligo-ovulation / anovulation
• hyperandrogenism

Question 7

Long term consequences of PCOS?

Answer 7

GDM
T2DM
Cardiovascular disease
Endometrial cancer

Question 8

Management of PCOS?

Answer 8

Weight loss
Metformin 
Clomifene citrate 
Ovarian drilling- if not responding to clomifene
COCP

Question 9

How do you manage hirsutism?

Answer 9

Cosmetically

Anti-androgen