Please use this identifier to cite or link to this item:
https://hdl.handle.net/2440/8369
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Type: | Journal article |
Title: | Polycystic ovary syndrome |
Author: | Norman, R. Wu, R. Stankiewicz, M. |
Citation: | Medical Journal of Australia, 2004; 180(3):132-137 |
Publisher: | Australasian Med Publ Co Ltd |
Issue Date: | 2004 |
ISSN: | 0025-729X 2056-676X |
Statement of Responsibility: | Robert J Norman, Ruijin Wu and Marcin T Stankiewicz |
Abstract: | Polycystic ovary syndrome (PCOS) affects 5-20% of women of reproductive age worldwide. The condition is characterized by hyperandrogenism, ovulatory dysfunction and polycystic ovarian morphology (PCOM) - with excessive androgen production by the ovaries being a key feature of PCOS. Metabolic dysfunction characterized by insulin resistance and compensatory hyperinsulinaemia is evident in the vast majority of affected individuals. PCOS increases the risk for type 2 diabetes mellitus, gestational diabetes and other pregnancy-related complications, venous thromboembolism, cerebrovascular and cardiovascular events and endometrial cancer. PCOS is a diagnosis of exclusion, based primarily on the presence of hyperandrogenism, ovulatory dysfunction and PCOM. Treatment should be tailored to the complaints and needs of the patient and involves targeting metabolic abnormalities through lifestyle changes, medication and potentially surgery for the prevention and management of excess weight, androgen suppression and/or blockade, endometrial protection, reproductive therapy and the detection and treatment of psychological features. This Primer summarizes the current state of knowledge regarding the epidemiology, mechanisms and pathophysiology, diagnosis, screening and prevention, management and future investigational directions of the disorder. |
Keywords: | Ovary Humans Polycystic Ovary Syndrome Acne Vulgaris Hirsutism Alopecia Obesity Hyperandrogenism Androgens Risk Factors Ovulation Quality of Life Female |
Description: | The document attached has been archived with permission from the editor of the Medical Journal of Australia. An external link to the publisher’s copy is included. |
DOI: | 10.1038/nrdp.2016.57 |
Published version: | http://www.mja.com.au/public/issues/180_03_020204/nor10314_fm.html |
Appears in Collections: | Aurora harvest 4 Obstetrics and Gynaecology publications |
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hdl_8369.pdf | Published version | 321.33 kB | Adobe PDF | View/Open |
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