Polycystic Ovarian Syndrome - PCOS - PowerPoint PPT Presentation

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Polycystic Ovarian Syndrome - PCOS

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Definition of polycystic ovaries PCO their clinical presentation modes of diagnosis and management – PowerPoint PPT presentation

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Title: Polycystic Ovarian Syndrome - PCOS


1
www.layyous.com
Polycystic Ovaries
2
www.layyous.com
The Most Common Endocrine Disorders
Disruption Of The Normal Regular Ovulation
Presented To The Clinicians With A Very Wide
Range Of Symptoms Signs
3
Unknown
Weight Gain During Puberty
Environmental Influences
Familial Inheritance
Circulating Hormone Concentrations
Autosomal Dominant
Etiology - cause
4
Clinical Presentation
5
Lab Findings
  • Increased androgens
  • Increased LH
  • Increased Fasting insulin
  • Increased Prolactin
  • Increased estradiol, estrone
  • Decreased sex hormone binding globulin

6
Differential Diagnosis
7
USG Examination Findings
  • Vaginal USG 100 Success
  • Abdominal USG 30 Failure

The Characteristic Finding Is 10 Smaller Cysts
Measuring 2-8 mm In Diameter Surrounding An
Echo-Dense Sstroma
8
Treatment Of PCO Focused On Symptoms
  • Obesity To Weight reduction
  • Metformin tablets To inhibit hepatic glucose and
    decrease insulin
  • low-calorie diet for females with BMI gt30kg/m2
    truncal obesity.

9
Treatment Of Menstrual Irregularity
  • Low-dose combined oral contraceptive preparations
  • Result in artificial non-ovulatory cycles and
    regular shedding of the endometrium
  • Progesterone Medroxyprogesterone acetate or
    dydrogesterone for five days every one to three
    months

10
  • Infertility
  • Ovulation can be induced by antiestrogenes,
    clomiphene citrate (5-100 mg) or tamoxifen 20-40
    mg on days two through six of natural or induced
    bleeding.
  • In resistant cases, we can use parenteral
    gonadotrophin therapy with very careful
    continuous monitoring of the ovaries, or we can
    use laparoscopic diathermy.
  •  
  • Hyperandrogenism and hirsutism
  • Treatment options include medical and cosmetic
    therapies.
  • To stop further progression of hirsutism and
    decrease the hair growth rate, Will take at least
    six to nine months before any benefit is
    perceived.
  • Physical treatment waxing, bleaching,
    electrolysis, and laser therapy,

11
Surgical Treatment
Laparoscopic Diathermy
Wedge Resection
12
The Late Squeals Of PCO
13
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