Goandal Flashcards
(4 cards)
Causes
Hirsutism + amenorrhea in women, cysts enlarged results in: infertility and preg comps
Unknown butgenetics inc, inc PCOS, abnormal ins due to resistance, weight
WBC produce substances to respond most have long term infl, ovaries produce androgens, BV issues
Signs
Metabolic dys, disrupted periods, pregnancy issues, hair growth, thinning hair, cysts on US carcinoma of endometrium
Tests
Total test elev, PCOS measure sex hormones
Binding glob dec, provides measurement fot hyperinsulinaemia,
Lutinising - pollicle hormone ratio is raised,
Image via morphology, 20 or more cysts + hyperplasia in endometrium
Insulin resistance shows diabetes
Treaatment
Weight loss 4 IR, dec hyperandrogenaemia,
Oral contr, supresses FSH, inc SHBC, dec testosterone
Anti androgen blockers,
Metformin 4 insulin sensitivity