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Polycystic Ovarian Syndrome Sonia Ralli, M.D. January 18, 2007
Case ,[object Object],[object Object],[object Object],[object Object]
Case (cont’d) ,[object Object],[object Object],[object Object],[object Object]
History ,[object Object],[object Object]
What is PCOS? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Why is PCOS important? ,[object Object],[object Object],[object Object]
Pathogenesis ,[object Object],[object Object]
Ehrmann  NEJM  2005
Pathogenesis: Hyperandrogenism ,[object Object],[object Object],[object Object],[object Object],[object Object]
Pathogenesis: Insulin resistance ,[object Object],[object Object],[object Object]
Insulin resistance in PCOS:  it’s not just a theory ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Diagnosis ,[object Object],[object Object],[object Object],[object Object],[object Object]
Diagnosis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Not hirsutism!
Hirsutism
Diagnosis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Diagnosis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Diagnosis ,[object Object],[object Object],[object Object],[object Object],[object Object]
Polycystic ovaries, by ultrasound
Diagnosis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Diagnosis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Management ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Management: Immediate/Acute Issues ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Management: Immediate/Acute Issues ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Management: Immediate/Acute Issues ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Management: Immediate/Acute Issues ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Management: Immediate/Acute Issues ,[object Object],[object Object],[object Object],[object Object],[object Object]
Management: Immediate/Acute Issues ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Management: Long-Term Issues ,[object Object],[object Object]
Management: Long-Term Issues ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Management: Long-Term Issues ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Management: Long-Term Issues ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Management: Long-Term Issues ,[object Object],[object Object],[object Object],[object Object]
Management: Long-Term Issues ,[object Object],[object Object],[object Object],[object Object]
 
Other issues Role of epilepsy? ,[object Object],[object Object]
New things on the horizon… ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
References ,[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],[object Object]

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