Women's Corner - Syndromes
Polycystic Ovary Syndrome
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By: Abdel-Maguid Ismail Ramzy, M.D.
Ass. Prof. Of Obstetrics and Gynaecology, Cairo University. Consultant R |
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Diagnosis of PCOS
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| The diagnosis is based essentially on the history and the clinical presentation of the cases. Having evident phenotypic features, cases of PCOS are easy to diagnose. Ultrasonographic imaging of the ovaries will reveal multicystic ovaries that may be larger than average (polycystic ovaries). These cystic structures have characteristic features and arrangement. They are graphically represented as a pearl necklace (cysts) around the neck (ovary). This is where the syndrome got its name when first discovered by Stein and Leventhal back in 1935. Blood hormone levels confirm the diagnosis. Serum FSH and LH analysis reflects the disorder. High LH and low FSH will serve as diagnostic confirmation of the disease. The physician may ask for other hormone analysis to aid in the diagnosis. Elevated DHEA-S levels in blood (and 17-hydroxy steroids in blood or 24 hour urine) points to adrenal contribution to the circulating androgens. Hirsutism usually denotes elevated free Testosterone and may not need laboratory confirmation. Similarly breast milk discharge denotes elevated Prolactin levels that may be associated with anovulation. |
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Copyrights Dr. Abel Maguid Ramzy 2000 All Rights
Reserved
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2000 جميع حقوق الطبع والنشر محفوظة للدكتور عبد
المجيد رمزي لعام
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THIS IS THE RIGHT PLACE TO START!!!
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This page is moderated by:
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| dr. Abdel Maguid Ramzy |
| Prof. of OB. GYN., Cairo University, EGYPT |
| valerie Ozsu |
| Certified Nurse-Midwife, USA |