Polycystic ovary syndrome: How best to manage

Samantha Butts, Deborah A. Driscoll

Research output: Contribution to journalReview articlepeer-review

Abstract

The symptoms of polycystic ovary syndrome (PCOS) can be managed with combination oral contraceptives (OCs), progestins, antiandrogens, insulin sensitizers, agents for ovulation induction, and weight reduction in overweight patients. Combination OCs are first-line therapy for acne and hirsatism; they are also a highly effective means of achieving menstrual cycle regularity. If possible, select an OC with a minimally androgenic progestin. All women with PCOS need to be screened with blood pressure measurement, a lipid panel, and both fasting glucose and 2-hour oral glucose tolerance tests. Maintain a high index of suspicion for endometrial hyperplasia and carcinoma in women with PCOS who have amenorrhea or abnormal bleeding in the third or fourth decade of life.

Original languageEnglish (US)
Pages (from-to)765-769
Number of pages5
JournalConsultant
Volume46
Issue number7
StatePublished - Jun 2006

All Science Journal Classification (ASJC) codes

  • Medicine(all)

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