DOI: 10.1111/tog.12345 2017;19:119–29 Review The Obstetrician & Gynaecologist http://onlinetog.org Adam H Balen MD DSc FRCOG* Leeds Centre for Reproductive Medicine, Leeds Teaching Hospitals, Leeds, LS14 6UH, UK *Correspondence: Adam H Balen. Email: email@example.com Accepted on 25 July 2016. Published Online 21 January 2017. Key content To appreciate the role of insulin resistance and the long-term The symptoms of polycystic ovary syndrome (PCOS) include health implications for women with PCOS. menstrual cycle disturbance and features of hyperandrogenism To understand how to manage the issues that may affect a woman (hirsutism, acne and alopecia), with associated fertility problems, in different ways at different times in her life, namely menstrual obesity and psychological issues. cycle irregularity, hyperandrogenism and infertility. There are ethnic variations in expression of PCOS related to Ethical issues differences in insulin metabolism and this may impact upon A contentious issue is the appropriateness to deny fertility treatment algorithms. treatment based upon a cut-off for body mass index (BMI), when Obesity has a major impact on the expression of PCOS and the BMI is a crude measure of metabolic risk and the risks of efﬁcacy of the management of all aspects of the syndrome, in conception at a high BMI
The Obstetrician & Gynaecologist – Wiley
Published: Apr 1, 2017
Keywords: ; ; ; ;
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