Polycystic ovary syndrome: the competence of a family doctor

Polycystic ovary syndrome (PCOS) is one of the most common diseases in population women reproductive age. Due to wide range symptoms, PCOS can affect different body systems and be comorbid during a woman’s life. A family doctor may suspect diagnosis woman age if there are symptoms menstrual irregularities and/or concomitant androgen excess, namely acne, hirsutism, etc. According Rotterdam criteria, established two following three criteria: hyperandrogenism (established clinically or biochemically), irregular cycle (< 9 cycles per year interval between > 35 days) polycystic ovaries at ultrasound study (> 12 antral follicles ovarian volume 10 cm2). Differential requires exclusion other diseases, often these are: pregnancy, thyroid gland dysfunction, hyperprolactinemia, Cushing’s syndrome; less – congenital hyperplasia adrenal glands androgen-secreting tumors. Anthropometric research also examination patients with PCOS. First-line therapy for obese lifestyle modification through behavioral therapy, moderate physical activity, healthy eating habits. In addition modification, treatment should multitargeted match each patient’s phenotype, personal goals, expectations, such as desire become pregnant. Screening diabetes, dyslipidemia, hypertension, anemia, vitamin D deficiency important management patients. All severe rapidly progressive course, those testosterone levels greater than twice upper limit normal, referred an endocrinologist gynecologist rule out causes condition.