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Chapter-25 Polycystic Ovarian Disease

BOOK TITLE: Essentials of Gynecology

Author
1. Kumar Pratap
ISBN
9788180615108
DOI
10.5005/jp/books/10276_25
Edition
1/e
Publishing Year
2005
Pages
5
Author Affiliations
1. Kasturba Medical College and Hospital, Manipal, India, Manipal Assisted Reproductive Centre (MARC); Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, India, Kasturba Medical College, Manipal Assisted Reproductive Center (MARC), Manipal Academy of Higher Education (MAHE), Manipal, Karnataka, India, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, India, Kasturba Medical College, Manipal Assisted Reproductive Centre (MARC), Manipal Academy of Higher Education (MAHE), Manipal, Karnataka, India, Manipal Assisted Reproductive Centre (MARC); Kasturba Medical College, Manipal Academy of Higher Education (MAHE), Mangalore, Karnataka, India, Karnataka, Manipal, Kasturba Medical College, Manipal, Karnataka, India, Manipal, Karnataka, India, Kasturba Medical College and Hospital, Manipal University, Manipal, Karnataka, India, Kasturba Medical College, Manipal University, Manipal, India, Kasturba Medical College, Manipal University, Manipal, Karnataka, In
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Abstract

Polycystic Ovarian Syndrome is a disorder of unknown cause characterized by anovulation, hyperandrogenism, hyperinsulinemia and/or obesity. There is a great individual variation. Restoring fertility can be challenging since not all patients with this problem respond satisfactorily to ovulation induction. Weight loss and the use of insulin sensitizers may benefit the individuals. Polycystic ovarian syndrome (PCOS) is the most common endocrine disorder in women of reproductive age group, affecting 5 to 10% of women exhibiting, the full blown syndrome of hyperandrogenism, chronic anovulation and polycystic ovaries. We now know that approximately 75% of anovulatory women of any cause have polycystic ovaries and 20 to 25% of women with normal ovulation demonstrate ultrasound findings typical of polycystic ovaries. Chronic anovulation accompanied by hyperandrogenism and clinical manifestations including, hirsutism, acne, elevated testosterone and androstenedione, and frequently but not always obesity is seen in PCOS.

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