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Polycystic Ovary Syndrome


  • multiple (>4) immature and atretic follicles on ovary
  • oligomenorrhoea / amenorrhoea
  • hirsutism
  • acne
  • infertility obesity (sometimes)

Aetiology

  • insulin resistance →
    • hyperinsulinaemia →
    • ↑ serum testosterone
  • increase in LH levels

Investigations

  • transvaginal ultrasound
  • raised LH:FSH ratio

Treatment

  • presenting symptoms
  •