The Endocrine Society today issued a Clinical Practice Guideline (CPG) for the diagnosis and treatment of polycystic ovary syndrome, the most common hormone disorder in women of reproductive age and a leading cause of infertility.
The CPG, entitled "Diagnosis and Treatment of Polycystic Ovary Syndrome: An Endocrine Society Clinical Practice Guideline" will appear in the December 2013 issue of the Journal of Clinical Endocrinology and Metabolism (JCEM), a publication of The Endocrine Society.
Researchers: Polycystic Ovary Syndrome Puts Glucose Control in Double Jeopardy
Researchers report that polycystic ovary syndrome, appears to cause a sort of double jeopardy for those struggling the hardest to control blood sugar levels.
Advertisement
Polycystic ovary syndrome, or PCOS, affects about 5 million women in the United States, according to the National Institutes of Health. The condition causes diverse symptoms, and its causes are poorly understood. The definition and even the name of PCOS have been subject to debate. An NIH panel concluded in January 2013 that the name's focus on a specific symptom - ovarian cysts - that is not present in all PCOS cases caused confusion about the condition. Three separate diagnostic classification systems have been developed to help identify PCOS.
"The Endocrine Society's CPG is designed to help physicians and patients navigate our evolving understanding of this complex condition," said Richard S. Legro, MD, of the Penn State University College of Medicine, and chair of the task force that authored the guideline. "The Society's recommendations allow physicians to make the diagnosis if clear symptoms are present without resorting to universal hormone tests or ultrasound screening."
![Sleep Apnea With Polycystic Ovary Syndrome Raises Risk of Prediabetes, Say Researchers]( "Sleep Apnea With Polycystic Ovary Syndrome Raises Risk of Prediabetes, Say Researchers")
Women with polycystic ovary syndrome (PCOS) are at an increased risk of having prediabetes compared with women who do not have PCOS, reveals new study.
In the CPG, The Endocrine Society recommends that a diagnosis be made if adult women have two of the three cardinal features of PCOS (diagnostic criteria supported by the NIH panel):• Excess production of male hormones called androgens.• Anovulation, a condition where the ovary does not release a mature egg each month. This causes irregular menstrual cycles.• The formation of clusters of pearl-size cysts containing immature eggs in the ovaries, which is called polycystic ovaries.
Other recommendations from the CPG include:
• Because women with PCOS face an increased risk of pregnancy complications such as gestational diabetes, preterm delivery and preeclampsia that can be exacerbated by obesity, women should have their body mass index, blood pressure and oral glucose tolerance assessed prior to conceiving;
• Following diagnosis, women with PCOS should be examined for skin and hair complications including excess hair growth and acne;
• Although women with PCOS have some of the same risk factors associated with the development of endometrial cancer, they should not routinely undergo ultrasound screening for endometrial thickness;
• To gauge metabolic risk, adolescents and adult women with PCOS should be screened for increased obesity using body mass index and waist circumference measurements;
• Clinicians should give adolescents and adult women with PCOS an oral glucose tolerance test to check for type 2 diabetes or impaired glucose tolerance because they are at increased risk of these conditions; and
• Initial treatment of type 2 diabetes or impaired glucose tolerance in women with PCOS should be diet and exercise, with metformin as a second-line therapy.
Source: Eurekalert
Sleep Apnea With Polycystic Ovary Syndrome Raises Risk of Prediabetes, Say Researchers
Women with polycystic ovary syndrome (PCOS) are at an increased risk of having prediabetes compared with women who do not have PCOS, reveals new study.
Advertisement
In the CPG, The Endocrine Society recommends that a diagnosis be made if adult women have two of the three cardinal features of PCOS (diagnostic criteria supported by the NIH panel):• Excess production of male hormones called androgens.• Anovulation, a condition where the ovary does not release a mature egg each month. This causes irregular menstrual cycles.• The formation of clusters of pearl-size cysts containing immature eggs in the ovaries, which is called polycystic ovaries.
Other recommendations from the CPG include:
• Because women with PCOS face an increased risk of pregnancy complications such as gestational diabetes, preterm delivery and preeclampsia that can be exacerbated by obesity, women should have their body mass index, blood pressure and oral glucose tolerance assessed prior to conceiving;
• Following diagnosis, women with PCOS should be examined for skin and hair complications including excess hair growth and acne;
• Although women with PCOS have some of the same risk factors associated with the development of endometrial cancer, they should not routinely undergo ultrasound screening for endometrial thickness;
• To gauge metabolic risk, adolescents and adult women with PCOS should be screened for increased obesity using body mass index and waist circumference measurements;
• Clinicians should give adolescents and adult women with PCOS an oral glucose tolerance test to check for type 2 diabetes or impaired glucose tolerance because they are at increased risk of these conditions; and
• Initial treatment of type 2 diabetes or impaired glucose tolerance in women with PCOS should be diet and exercise, with metformin as a second-line therapy.
Source: Eurekalert
Blood Clot Risk Higher for Women With Polycystic Ovary Syndrome on Combined Pill
Women with polycystic ovary syndrome (PCOS) who are taking combined oral contraceptives are at an increased risk of blood clots compared with women without PCOS, finds study published in CMAJ.
Advertisement
 Polycystic Ovary Syndrome Increases Cardiovascular Disease RiskA recent study by researchers have linked polycystic ovary syndrome (PCOS) with an increased risk for cardiovascular disease (CVD). | Advertisement
|
Advertisement
Recommended Readings
Latest Women Health News
The Army Hospital (R and R) Delhi Cantt hosted 'Mahawari Mein Swachchta,' a menstrual health awareness program.
Cannabis is marketed to women for managing menopause symptoms, and this shows midlife women are using it for menopause and related issues.
A higher risk of preterm birth was found to be associated with inadequate sleep and lower physical activity during pregnancy.
During the 7 pill-free days in contraception, women experience anxiety and mental issues similar to menstrual mood swings.
In the new study, it remains uncertain if the increased expression of the IGF1 gene in PCOS plays a role in elevating the risk of endometrial cancer.
