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Polycystic Ovary Syndrome Camille Andy, MD Cone Family Practice June 9, 2006
Case Study ,[object Object],[object Object],[object Object]
You Notice… ,[object Object],[object Object],[object Object]
She Says… ,[object Object],[object Object],[object Object],[object Object],[object Object]
Does She Have PCOS? Is It Important to Know?
Case 2 ,[object Object],[object Object],[object Object],[object Object]
Case 3 ,[object Object],[object Object],[object Object],[object Object]
Objectives ,[object Object],[object Object],[object Object],[object Object]
PCOS ,[object Object],[object Object],[object Object]
Stein-Leventhal Syndrome ,[object Object],[object Object],[object Object]
New Information ,[object Object],[object Object],[object Object]
Clinical Course ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Long-term Consequences ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Diagnostic Criteria ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Menstrual Cycle
Chronic Anovulation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Oligo- or amenorrhea ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Hyperandrogenism ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Hirsutism - the Best Clinical Marker of Hyperandrogenism
Acne – a More Variable Marker
Other Symptoms ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Polycystic Ovaries ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Let’s Talk Hormones ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Androgen Metabolism ,[object Object],[object Object],[object Object],[object Object],[object Object]
Androstenedione ,[object Object],[object Object],[object Object]
DHEA-S ,[object Object],[object Object],[object Object],[object Object]
Estrogen Metabolism ,[object Object],[object Object],[object Object]
Control of Hormone Production  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Insulin Resistance ,[object Object],[object Object],[object Object],[object Object]
Role of Insulin ,[object Object],[object Object],[object Object],[object Object]
Endless Cycle ,[object Object],[object Object]
How To Make The Diagnosis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Which Labs? ,[object Object],[object Object]
Diagnostic Labs ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Testosterone Levels and DHEA-S ,[object Object],[object Object],[object Object],[object Object]
17-hydroxyprogesterone ,[object Object],[object Object],[object Object]
LH/FSH ,[object Object],[object Object]
Glucose Testing ,[object Object],[object Object],[object Object],[object Object],[object Object]
Summary of Diagnostic Approach to Hirsutism ,[object Object],[object Object],[object Object]
Management Goals ,[object Object],[object Object]
First! ,[object Object],[object Object]
Insulin Sensitizers ,[object Object],[object Object]
Exercise ,[object Object],[object Object]
Infertility ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Amenorrhea ,[object Object],[object Object],[object Object],[object Object],[object Object]
Hirsutism/acne ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Case 1 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Case 2 ,[object Object],[object Object],[object Object],[object Object]
Case 2 ,[object Object],[object Object],[object Object]
Case 3 ,[object Object],[object Object],[object Object],[object Object]
Case 3 ,[object Object],[object Object],[object Object],[object Object],[object Object]
Take Home ,[object Object],[object Object],[object Object],[object Object]

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