Book chapter
Polycystic Ovary Syndrome (PCOS)
Clinical Protocols in Pediatric and Adolescent Gynecology, pp.236-239
CRC Press, Second edition
2022
DOI: 10.1201/9781003039235-39
Abstract
Clinical evidence of hyperandrogenism and/or biochemical hyperandrogenemia via either elevated total or free testosterone. Vaginal ultrasound evidence of polycystic ovarian morphology. Many women have onset of symptoms during adolescence. The most common cause of hyperandrogenism/hirsutism in adolescent girls. The most common cause of infertility in young women. Girls with idiopathic premature adrenarche are at increased risk of polycystic ovary syndrome (PCOS). Pathogenesis is multifactorial including genetic, neuroendocrine and environmental factors leading to altered ovarian steroidogenesis. The typical ultrasound ovarian appearance of “string of pearls” cysts is uncommonly seen in the adolescent, and therefore routine ultrasound for diagnosis is not recommended. PCOS patients are at risk for progression to metabolic syndrome, especially with concurrent insulin-resistant hyperinsulinism, dyslipidemia, nonalcoholic fatty liver disease, and psychiatric comorbidities of depression and anxiety.
Details
- Title: Subtitle
- Polycystic Ovary Syndrome (PCOS)
- Creators
- Lauren A. Kanner
- Resource Type
- Book chapter
- Publication Details
- Clinical Protocols in Pediatric and Adolescent Gynecology, pp.236-239
- Edition
- Second edition
- Publisher
- CRC Press; Boca Raton, FL
- DOI
- 10.1201/9781003039235-39
- Language
- English
- Date published
- 2022
- Academic Unit
- Stead Family Department of Pediatrics; Endocrinology and Diabetes
- Record Identifier
- 9984528095302771
Metrics
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