Clinical Picture of pcosWPS Office

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Name :Esraa zaghloul saeid

Id:157
Under supervision of dr: Hossam Azab
Clinical picture of pcos:
Polycystic ovary syndrome is a clinical syndrome
characterized by mild obesity, irregular menses or
amenorrhea, and signs of androgen excess (eg,
hirsutism, acne).
Symptoms of polycystic ovary syndrome typically
begin during puberty and worsen with time.
Premature adrenarche, characterized by excess
dehydroepiandrosterone sulfate (DHEAS) and often
early growth of axillary hair, body odor, and
microcomedonal acne, is common.
- Mild obesity
Obese women are more likely to have menstrual
irregularity and anvolatory infertility than normal-
weight women. In reproductive-age women, the
relative risk of anovulatory infertility increases at a
BMI of 24 kg/m and continues to rise with
increasing BMI Consistent with a pathophysiologic
role for obesity, weight reduction can restore
regular menstrual cycles in these women. however,
in up to half of women with PCOS, weight is normal,
and some women are underweight.
- Hirsutism
is the excessive growth of facial or body hair on women.
Hirsutism can be seen as coarse, dark hair that may
appear on the face, chest, abdomen, back, upper arms,
or upper legs. Hirsutism is a symptom of medical
disorders associated with the hormones called
androgens. Polycystic ovary syndrome (PCOS), in which
the ovaries produce excessive amounts of androgens, is
the most common cause of hirsutism and may affect up
to 10% of women. Hirsutism is very common and often
improves with medical management. Prompt medical
attention is important because delaying treatment makes
the treatment more difficult and may have long-term
health consequences.
Irregular menses or
Amenorrhea:
The polycystic ovarian syndrome can cause irregular
periods. A patient with PCOS can experience irregularities
in or complete cessation of the menstrual cycle. The
average menstrual cycle lasts for 28 days, with cycles
extending or shortened by seven days considered normal.
However, polycystic ovarian syndrome irregular periods
are said to occur, if any of these criteria are met:
Eight or less menstrual cycles per year
Menstrual cycles exceeding 35 days
The occurrence of either heaver or scantier bleeding than
normal.
Other symptoms may include weight gain
(sometimes seemingly hard to control), fatigue,
low energy, sleep-related problems (including
sleep apnea), mood swings, depression, anxiety,
and headaches. In some women, fertility is
impaired. Symptoms vary from woman to
woman.
Areas of thickened, darkened skin (acanthosis
nigricans) may appear in the axillae, on the nape
of the neck, in skinfolds, and on knuckles and/or
elbows; the cause is high insulin levels due to
insulin resistance.
(acanthosis nigricans)
References:
1-DEWHURST’S TEXTBOOK OF OBSTETRICS & GYNAECOLOGY.
2-Asian Pacific Journal of Cancer Prevention.

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