Peer Reviewed
Feature Article Endocrinology and metabolism

The many faces of polycystic ovary syndrome

Bronwyn Stuckey, Andrea Cussons
Abstract
This opinion piece describes the diagnosis and management of polycystic ovary syndrome, a common, heterogeneous disorder that can have wide-ranging effects on a woman’s appearance, fertility and cardiometabolic risk. Clinicians should treat the patient’s immediate concern as well as addressing the longer-term implications of the diagnosis.
Key Points
  • Women with polycystic ovary syndrome present with various issues, including menstrual cycle irregularity, symptoms of androgen excess, reduced fertility or metabolic problems such as obesity or glucose intolerance.
  • A careful menstrual history and clinical examination are the most important components of assessment and diagnosis.
  • Phenotype subclassification and a focus on the patient’s primary concerns will help clinicians direct appropriate management.

    Picture credit: © Kevin Somerville.

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