Polycystic ovary syndrome history and symptoms: Difference between revisions
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==Overview== | ==Overview== | ||
The significant information that needs to focused in the history of the patient includes menstrual abnormalities, [[infertility]], signs of [[virilization]] on physical examination and family history of [[PCOS]] among first-degree relatives.The most common symptoms of PCOS include [[amenorrhea]] or [[oligomenorrhea]], [[abnormal uterine bleeding]] and [[androgenization]], including [[hirsutism]], [[acne]], oily skin <ref>http://www.cfp.ca/cgi/content/full/53/6/1041/T50531041</ref><ref name="pmid17872783">{{cite journal |author=Pedersen SD, Brar S, Faris P, Corenblum B |title=Polycystic ovary syndrome: validated questionnaire for use in diagnosis |journal=Canadian family physician Médecin de famille canadien |volume=53 |issue=6 |pages=1042–7, 1041 |year=2007 |pmid=17872783 |doi=}}</ref> | The significant information that needs to focused in the history of the patient includes menstrual abnormalities, [[infertility]], signs of [[virilization]] on physical examination and family history of [[PCOS]] among first-degree relatives.The most common symptoms of PCOS include [[amenorrhea]] or [[oligomenorrhea]], [[abnormal uterine bleeding]] and [[androgenization]], including [[hirsutism]], [[acne]], oily skin <ref>http://www.cfp.ca/cgi/content/full/53/6/1041/T50531041</ref><ref name="pmid17872783">{{cite journal |author=Pedersen SD, Brar S, Faris P, Corenblum B |title=Polycystic ovary syndrome: validated questionnaire for use in diagnosis |journal=Canadian family physician Médecin de famille canadien |volume=53 |issue=6 |pages=1042–7, 1041 |year=2007 |pmid=17872783 |doi=}}</ref><ref name="AMN">{{cite web | author = Christine Cortet-Rudelli, Didier Dewailly | title =Diagnosis of Hyperandrogenism in Female Adolescents| work =Hyperandrogenism in Adolescent Girls | url=http://www.health.am/gyneco/more/diagnosis-of-hyperandrogenism-in-female/ | year = 2006 | month= Sep 21 | publisher=Armenian Health Network, Health.am}}</ref> | ||
==History== | ==History== | ||
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aditya Ganti M.B.B.S. [2]
Overview
The significant information that needs to focused in the history of the patient includes menstrual abnormalities, infertility, signs of virilization on physical examination and family history of PCOS among first-degree relatives.The most common symptoms of PCOS include amenorrhea or oligomenorrhea, abnormal uterine bleeding and androgenization, including hirsutism, acne, oily skin [1][2][3]
History
Obtaining the history is the most important aspect of making a diagnosis of PCOS. It provides insight into the cause, precipitating factors and associated comorbid conditions. The significant information that needs to focused in the history of the patient includes:[4][2]
- Menstrual abnormalities
- Infertility
- Signs of virilization on physical examination
- Family history of PCOS among first-degree relatives
Common Symptoms
The most common symptoms of PCOS include[3]
- Amenorrhea or oligomenorrhea
- Abnormal uterine bleeding
- Androgenization, including hirsutism (often slowly progressive), acne, oily skin
- Polycystic ovaries, with or without ovarian enlargement
- Insulin resistance
- Endometrial hyperplasia
- Infrequent menstrual periods, no menstrual periods, and/or irregular bleeding
Less Common Symptoms
- Dyspareunia
- Androgenic alopecia
- seborrhea
- Acanthosis nigricans
- Acrochordons
- Weight gain or obesity
- Pelvic pain
- Anxiety or depression
- Sleep apnea
References
- ↑ http://www.cfp.ca/cgi/content/full/53/6/1041/T50531041
- ↑ 2.0 2.1 Pedersen SD, Brar S, Faris P, Corenblum B (2007). "Polycystic ovary syndrome: validated questionnaire for use in diagnosis". Canadian family physician Médecin de famille canadien. 53 (6): 1042–7, 1041. PMID 17872783.
- ↑ 3.0 3.1 Christine Cortet-Rudelli, Didier Dewailly (2006). "Diagnosis of Hyperandrogenism in Female Adolescents". Hyperandrogenism in Adolescent Girls. Armenian Health Network, Health.am. Unknown parameter
|month=ignored (help) - ↑ http://www.cfp.ca/cgi/content/full/53/6/1041/T50531041