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Polycystic Ovarian Syndrome: A Diagnostic and Therapeutic Challenge

机译:多囊卵巢综合征:诊断和治疗挑战

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Polycystic ovarian syndrome (PCOS) is the commonest endocrinopathy in women with a multi-factorial etiology, and presents not just a diagnostic dilemma but also a therapeutic challenge as well. The clinical features of the syndrome in adolescents result from hyperandrogenemia and oligo/anovalation. Most women presenting with non-pregnancy related secondary amenorrhea, oligomenorrhoea, acne, hirsutism, and infertility have PCOS. Consensus diagnostic criteria have been developed by the United States National Institutes of Health (NIH), and the European Society of Human Reproduction and Embryology and American Society of Reproduction (Rotterdam criteria). ??ˉ??PCOS needs to be suspected, recognized, and treated to prevent some long term complications. Treatment modalities need to be individualized to address the specific concerns of each female presenting with this entity.??ˉ?? This article reviews the diagnosis and principles of management of PCOS.
机译:多囊卵巢综合征(PCOS)是病因多方面的女性中最常见的内分泌病,不仅带来诊断上的难题,也带来治疗上的挑战。青少年综合征的临床特征是由高雄激素血症和寡核苷酸/脱落引起的。表现出与非妊娠相关的继发性闭经,少月经,痤疮,多毛症和不育症的大多数妇女患有PCOS。美国国立卫生研究院(NIH)和欧洲人类生殖与胚胎学学会以及美国生殖学会已经制定了共识诊断标准(鹿特丹标准)。需要怀疑,认识和治疗PCOS,以防止某些长期并发症。需要个性化治疗方式,以解决出现在该实体中的每位女性的具体问题。本文回顾了PCOS的诊断和管理原理。

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