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Polycystic ovarian syndrome

PCOS

Pathophysiology
Abnormalities in pituitar gland Increased LH

Ovaries produce testosteron and androgen

Ovaries contain a number of small cysts

Elevated of insulin level

How to diagnose?
Clinical criteria Serum testosterone, follicle-stimulating hormone, prolactin, and thyroid-stimulating hormone levels Pelvic ultrasonography

Treatment
Excess growth hair : eflornithine Who desire pregnancy : clomiphene(Clomid) treatments for infertility (including injection of gonadotropin hormones and assisted reproductive technologies) Type 2 Diabetes Mellitus : Metformin (Glucophage) Obesity : Diet

Complication of PCOS
Coronary disease / heart attack DM type 2 Infertility Endometrial cancer

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