Evaluation and management of polycystic ovarian syndrome (PCOS)
We evaluate various aspects and presentations of PCOS which may include irregular cycles, anovulation, subfertility, hirsutism, acne and weight gain. A holistic approach is employed which encompasses lifestyle change, weight loss and exercise to reduce insulin resistance, insulin sensitisers, options to prevent endometrial hyperplasia as well as options to induce ovulation. Evaluation and discussion re the metabolic syndrome is carried out as well as assessment for hyperlipidaemia, hypertension, and diabetes.
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