PCOS: Evidence-Based Guidelines for Assessment & Management

PCOS Evidence-Based Guidelines: What You Need to Know

Polycystic Ovary Syndrome (PCOS) is a complex condition that affects metabolic, reproductive, and hormonal health. Proper assessment and evidence-based management are essential for improving patient outcomes.

Diagnostic Criteria for PCOS

Rotterdam Criteria: A widely accepted guideline that requires two of the following three features:
- Irregular or absent ovulation
- Elevated androgen levels
- Polycystic ovaries detected via ultrasound
Exclusion of Other Conditions: Thyroid disorders, adrenal hyperplasia, and other causes of hyperandrogenism must be ruled out.

Key Management Strategies

1. Lifestyle Modifications

Dietary adjustments, such as anti-inflammatory and low-GI diets
Regular physical activity, including resistance training and aerobic exercise
Stress management techniques, such as mindfulness and yoga

2. Pharmacological Treatment

Metformin: Improves insulin sensitivity and may aid in weight loss.
Hormonal Therapy: Birth control pills to regulate cycles and manage androgen levels.
Anti-Androgens: Spironolactone and other medications to reduce excess hair growth and acne.

3. Fertility Treatment

Ovulation Induction: Medications like Letrozole or Clomiphene Citrate.
Assisted Reproductive Techniques: IVF for patients who do not conceive with first-line treatments.

Long-Term Health Considerations

Increased risk of Type 2 diabetes and cardiovascular disease
Potential for mental health challenges such as anxiety and depression
Importance of ongoing monitoring and preventative care

Conclusion

Evidence-based PCOS management involves a combination of lifestyle, pharmacological, and fertility treatments. Working closely with healthcare providers ensures the best outcomes.

How This Article Was Made

This article was created using research from reputable sources such as NCBI, WHO, and leading endocrinology and gynecology associations.

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