Polycystic ovary syndrome history and symptoms: Difference between revisions

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==Common Symptoms==
==Common Symptoms==
The most common symptoms of PCOS include
The most common symptoms of PCOS include<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>
* [[Oligomenorrhea]], [[amenorrhea]]
*[[Amenorrhea]] or [[oligomenorrhea]]
* Elevated serum (blood) levels of [[androgen]]s (male hormones), specifically testosterone, [[androstenedione]], and [[dehydroepiandrosterone sulfate]] (DHEAS), causing [[hirsutism]] and occasionally [[masculinization]]
*Abnormal uterine bleeding
* [[Dyspareunia]] &mdash; pain during sexual intercourse
*[[Androgenization]], including [[hirsutism]] (often slowly progressive), [[acne]], oily skin  
* Androgenic [[alopecia]] &mdash; male-pattern baldness
*[[Polycystic ovaries]], with or without ovarian enlargement
* [[Acne vulgaris|Acne]], oily skin, [[seborrheic dermatitis|seborrhea]]
*[[Insulin resistance]]
* [[Acanthosis nigricans]] &mdash; dark patches of skin, tan to dark brown or black, a sign of [[insulin resistance]], which is associated with PCOS
*[[Endometrial hyperplasia]]
* [[Acrochordons]] (skin tags) &mdash; tiny flaps of skin
* Prolonged periods of [[Premenstrual stress syndrome|PMS]]-like symptoms ([[bloating]], [[mood swing]]s, [[pelvic pain]], [[backaches]])
*Infrequent [[menstrual period]]s, no menstrual periods, and/or irregular [[bleeding]]  
*Infrequent [[menstrual period]]s, no menstrual periods, and/or irregular [[bleeding]]  
*[[Weight gain]] or [[obesity]], usually carrying extra weight around the waist
 
==Less Common Symptoms==
* [[Dyspareunia]]
* Androgenic [[alopecia]]
* [[seborrheic dermatitis|seborrhea]]
* [[Acanthosis nigricans]]
* [[Acrochordons]] (skin tags)
*[[Weight gain]] or [[obesity]]
*[[Pelvic pain]]  
*[[Pelvic pain]]  
*Anxiety or [[depression]] due to appearance and/or [[infertility]]  
*Anxiety or [[depression]]
*[[Sleep apnea]] (excessive snoring and times when breathing stops while asleep)
*[[Sleep apnea]]
 
Mild symptoms of [[hyperandrogenism]], such as [[acne]] or [[hyperseborrhea]], are frequent in adolescent girls and are often associated with irregular [[menstrual cycles]]. In most instances, these symptoms are transient and only reflect the immaturity of the hypothalamic-pituitary-ovary axis during the first years following [[menarche]].<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>


==References==
==References==

Revision as of 19:24, 1 August 2017

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:

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Overview

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:[1][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]

Less Common Symptoms

References

  1. ↑ http://www.cfp.ca/cgi/content/full/53/6/1041/T50531041
  2. ↑ 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. ↑ 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)


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