Polycystic ovary syndrome history and symptoms
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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]
- 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 (skin tags)
- Weight gain or obesity
- Pelvic pain
- Anxiety or depression
- Sleep apnea
References
- ↑ http://www.cfp.ca/cgi/content/full/53/6/1041/T50531041
- ↑ 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.
- ↑ Christine Cortet-Rudelli, Didier Dewailly (2006). "Diagnosis of Hyperandrogenism in Female Adolescents". Hyperandrogenism in Adolescent Girls. Armenian Health Network, Health.am. Unknown parameter
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