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: Aditya Ganti M.B.B.S. [2]
Overview
The significant information that needs to focus on 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.
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 focus on 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][4][5][6][7][8]
- 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
- ↑ 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
|month=ignored (help) - ↑ Rothenberg SS, Beverley R, Barnard E, Baradaran-Shoraka M, Sanfilippo JS (2017). "Polycystic ovary syndrome in adolescents". Best Pract Res Clin Obstet Gynaecol. doi:10.1016/j.bpobgyn.2017.08.008. PMID 28919160.
- ↑ Rosenfield RL (2015). "The Polycystic Ovary Morphology-Polycystic Ovary Syndrome Spectrum". J Pediatr Adolesc Gynecol. 28 (6): 412–9. doi:10.1016/j.jpag.2014.07.016. PMC 4387116. PMID 25840648.
- ↑ Legro RS, Chiu P, Kunselman AR, Bentley CM, Dodson WC, Dunaif A (2005). "Polycystic ovaries are common in women with hyperandrogenic chronic anovulation but do not predict metabolic or reproductive phenotype". J. Clin. Endocrinol. Metab. 90 (5): 2571–9. doi:10.1210/jc.2004-0219. PMID 15713728.
- ↑ Rosenfield RL (1997). "Current concepts of polycystic ovary syndrome". Baillieres Clin Obstet Gynaecol. 11 (2): 307–33. PMID 9536213.
- ↑ Hassa H, Tanir HM, Yildiz Z (2006). "Comparison of clinical and laboratory characteristics of cases with polycystic ovarian syndrome based on Rotterdam's criteria and women whose only clinical signs are oligo/anovulation or hirsutism". Arch. Gynecol. Obstet. 274 (4): 227–32. doi:10.1007/s00404-006-0173-8. PMID 16691383.