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Year : 2013  |  Volume : 79  |  Issue : 3  |  Page : 310--321

Polycystic ovarian syndrome


1 Department of Dermatology, P. D. Hinduja National Hospital, Mahim, Mumbai, India
2 Department of Endocrinology, P. D. Hinduja National Hospital, Mahim, Mumbai, India

Correspondence Address:
Nina Madnani
Dr. Nina Madnani, Department of Dermatology, P. D. Hinduja National Hospital, Veer Savarkar Marg, Mahim, Mumbai - 400 016
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0378-6323.110759

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Polycystic ovarian syndrome (PCOS) is a "multispeciality" disorder suspected in patients with irregular menses and clinical signs of hyperandrogenism such as acne, seborrhoea, hirsutism, irregular menses, infertility, and alopecia. Recently, PCOS has been associated with the metabolic syndrome. Patients may develop obesity, insulin resistance, acanthosis nigricans, Type 2 diabetes, dyslipidemias, hypertension, non-alcoholic liver disease, and obstructive sleep apnoea. Good clinical examination with hematological and radiological investigations is required for clinical evaluation. Management is a combined effort involving a dermatologist, endocrinologist, gynecologist, and nutritionist. Morbidity in addition includes a low "self image" and poor quality of life. Long term medications and lifestyle changes are essential for a successful outcome. This article focuses on understanding the normal and abnormal endocrine functions involved in the pathogenesis of PCOS. Proper diagnosis and management of the patient is discussed.






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Online since 15th March '04
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