Polycystic ovary syndrome history and symptoms: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Polycystic ovary syndrome}} | {{Polycystic ovary syndrome}} | ||
{{CMG}}; {{AE}} | {{CMG}}; {{AE}} {{ADG}} | ||
{{ | |||
==Overview== | ==Overview== | ||
The significant information that needs to focus on the history of 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== | ==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. | 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 be focused on history of patient includes:<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 | |||
*Menstrual abnormalities | *Menstrual abnormalities | ||
*Infertility | *[[Infertility]] | ||
*Signs of virilization | *Signs of [[virilization]] in physical examination | ||
*Family history of PCOS among first-degree relatives | *Family history of [[PCOS]] among first-degree relatives | ||
==Common Symptoms== | ==Common Symptoms== | ||
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> | 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><ref name="pmid28919160">{{cite journal |vauthors=Rothenberg SS, Beverley R, Barnard E, Baradaran-Shoraka M, Sanfilippo JS |title=Polycystic ovary syndrome in adolescents |journal=Best Pract Res Clin Obstet Gynaecol |volume= |issue= |pages= |year=2017 |pmid=28919160 |doi=10.1016/j.bpobgyn.2017.08.008 |url=}}</ref><ref name="pmid25840648">{{cite journal |vauthors=Rosenfield RL |title=The Polycystic Ovary Morphology-Polycystic Ovary Syndrome Spectrum |journal=J Pediatr Adolesc Gynecol |volume=28 |issue=6 |pages=412–9 |year=2015 |pmid=25840648 |pmc=4387116 |doi=10.1016/j.jpag.2014.07.016 |url=}}</ref><ref name="pmid15713728">{{cite journal |vauthors=Legro RS, Chiu P, Kunselman AR, Bentley CM, Dodson WC, Dunaif A |title=Polycystic ovaries are common in women with hyperandrogenic chronic anovulation but do not predict metabolic or reproductive phenotype |journal=J. Clin. Endocrinol. Metab. |volume=90 |issue=5 |pages=2571–9 |year=2005 |pmid=15713728 |doi=10.1210/jc.2004-0219 |url=}}</ref><ref name="pmid9536213">{{cite journal |vauthors=Rosenfield RL |title=Current concepts of polycystic ovary syndrome |journal=Baillieres Clin Obstet Gynaecol |volume=11 |issue=2 |pages=307–33 |year=1997 |pmid=9536213 |doi= |url=}}</ref><ref name="pmid16691383">{{cite journal |vauthors=Hassa H, Tanir HM, Yildiz Z |title=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 |journal=Arch. Gynecol. Obstet. |volume=274 |issue=4 |pages=227–32 |year=2006 |pmid=16691383 |doi=10.1007/s00404-006-0173-8 |url=}}</ref> | ||
*[[Amenorrhea]] or [[oligomenorrhea]] | *[[Amenorrhea]] or [[oligomenorrhea]] | ||
*[[Abnormal uterine bleeding]] | *[[Abnormal uterine bleeding]] | ||
| Line 23: | Line 20: | ||
*[[Insulin resistance]] | *[[Insulin resistance]] | ||
*[[Endometrial hyperplasia]] | *[[Endometrial hyperplasia]] | ||
==Less Common Symptoms== | ==Less Common Symptoms== | ||
* [[Dyspareunia]] | * [[Dyspareunia]] | ||
* Androgenic [[alopecia]] | * Androgenic [[alopecia]] | ||
* [[ | * [[Seborrheic dermatitis|Seborrhea]] | ||
* [[Acanthosis nigricans]] | * [[Acanthosis nigricans]] | ||
* [[Acrochordons]] | * [[Acrochordons]] | ||
*[[Weight gain]] or [[obesity]] | *[[Weight gain]] or [[obesity]] | ||
*[[Pelvic pain]] | *[[Pelvic pain]] | ||
*Anxiety or [[depression]] | *[[Anxiety]] or [[depression]] | ||
*[[Sleep apnea]] | *[[Sleep apnea]] | ||
Latest revision as of 17:46, 1 November 2017
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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 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 be focused on history of patient includes:[1][2]
- Menstrual abnormalities
- Infertility
- Signs of virilization in 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
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.