Polycystic ovary syndrome evidence based practice essay

This syndrome is primarily characterized by irregular menses, hyperandrogenism, and polycystic ovaries Azziz et al. Although there are several definitions of what is required to be diagnosed with metabolic syndrome, most health care professionals use criteria from the National Heart, Lung, and Blood Institute NHLBI and the American Heart Association.

The rise in estrogen from the dominant follicle triggers a surge in the amount of luteinizing hormone that is produced, which causes the dominant follicle to release its egg from the ovary into the fallopian tube.

Hyperandrogenism is central to the presentation in adolescents, whereas there is no consistent phenotype in postmenopausal women. It was then decided that only two of the three criteria had to be met for a diagnosis of PCOS. The diagnosis of PCOS in adolescence may be delayed for the above reasons, as well as that physiological adolescent anovulation may mimic or mask PCOS.

Myo-inositol is a vitamin B-like substance that can function as the basis of a number of signalling and secondary messenger molecules in insulin signalling pathways.

Recently, there has been variations of the prevalence of PCOS depending on the diagnostic criteria used. Raised LH levels will lead to an increase of androgen production and secretion by ovarian theca cells. The majority of these occur in the PCOS woman. Consistent with the increased prevalence of insulin resistance, metabolic syndrome is also more common in women with PCOS.

Successively, lifestyle modifications resulted more efficacious than clomiphene cictrate CC and metformin in terms of pregnancy rate, resulting in It is estimated that the prevalence of each risk factor is approximately double for women with PCOS when compared with controls, while it is 1.

However, most importantly, a healthy diet combined with exercise should be proposed as the number one priority, especially in overweight adolescent women. Epidemiology Polycystic ovary syndrome is the most common endocrine disease in women of child-bearing age.

This syndrome was given the name Stein—Leventhal syndrome after these two physicians for sometime. Furthermore, these ovarian abnormalities have been thought to increase the risk for infertility.

Pathophysiology, diagnosis, and management of polycystic ovary syndrome Introduction Polycystic ovary syndrome PCOS was first reported in by Stein and Leventhal who described seven women dealing with amenorrhea, hirsutism, and enlarged ovaries with multiple cysts Stein and Leventhal, In particular, the risk of endometrial cancer may be even higher in the premenopausal subgroup of women with PCOS, while overall the risk of ovarian and breast cancer was not significantly increased.

Specifically, CC was effective in increasing pregnancy rate compared to placebo OR 5. In a number of studies, rosiglitazone and pioglitazone are reported to be effective in restoring normal menstrual cycles and reducing insulin levels in women with PCOS [40,41].

It has been shown to reduce hyperandrogenemia by increasing the levels of SHBG. Today, the Rotterdamcriteria are the most widely utilized guideline requiring any two of the following three features: It is now recognized as a common complex heterogeneous endocrine disorder in reproductive-age women associated with reproductive, metabolic and psychological features.

Letrozole was usually administered at a dose of 2.

Evidence Based Guideline

This was often unrecognised in adolescence. It is now recognized as a common complex heterogeneous endocrine disorder in reproductive-age women associated with reproductive, metabolic and psychological features.

Metformin Metformin belongs to insulin-sensitizing drugs commonly used in treating T2DM. This enzyme has two isoforms: There is also insufficient evidence to evaluate any association of PCOS with vaginal, vulvar, and cervical cancer. This reduces the symptoms of hirsutism caused by high testosterone and regulates return to normal menstrual periods.

In many cases, metformin also supports ovarian function and return to normal ovulation. Myo-inositol seems to correct the mal-functioning insulin pathways and reduce the signs and symptoms of insulin resistance [42].

Male pattern hair loss androgenic alopecia is a genetically determined disorder characterized by the gradual conversion of terminal hairs into indeterminate, and finally into vellus hairs. There is also insufficient evidence to evaluate any association of PCOS with vaginal, vulvar, and cervical cancer.

It is estimated that the prevalence of each risk factor is approximately double for women with PCOS when compared with controls, while it is 1.

Other factors include changed levels of gonadotropinshyperandrogenemia and hyperinsulinemia. In particular, ovarian dysfunction manifesting as either oligomenorrhoea amenorrhoea and hyperandrogenism can be considered the hallmarks of the syndrome 6having been consistently recognized throughout the literature.

Obesity is a recognized risk factor for endometrial cancer and the authors of the most recent meta-analysis acknowledge that the increased risk of this cancer could be attributed, at least in part, to increased prevalence of obesity in PCOS women.

International evidence-based guideline for the assessment and management of polycystic ovary syndrome 1 Acknowledgments We gratefully acknowledge the contribution of our engaged, funding, partner and collaborating organisations. Polycystic Ovarian Syndrome HCS Rebecca Johnson November 12, Polycystic Ovarian Syndrome Polycystic Ovary Syndrome (PCOS) is a condition that affects women and causes them to have an imbalance of hormones (Polycystic Ovary Syndrome, ).

Diagnosis and treatment of polycystic ovary syndrome: an Endocrine Society clinical practice guideline. Legro RS(1), Arslanian SA, Ehrmann DA, Hoeger KM, Murad MH, Pasquali R. Polycystic ovary syndrome is the most common cause of amenorrhea in girls with normal pubertal development, oligo- or amenorrhea, and mild to moderate hyperandrogenism.

From: Principles of Gender-Specific Medicine (Second Edition), Polycystic ovary syndrome (PCOS) is the most common endocrine disorder of adolescent girls, and it has profound implications throughout women's reproductive years.5/5(1).

Polycystic ovary syndrome

prioritized questions to promote consistent, evidence-based care and improve the experience and health outcomes of women with PCOS. What Is Known Already: Previous guidelines either lacked rigorous evidence-based processes, did not engage consumer and international multidisciplinary perspectives, or .

Polycystic ovary syndrome evidence based practice essay
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Polycystic ovary syndrome - Wikipedia