The ACOG noted that a universally accepted definition of PCOS is lacking. As proposed by the National Institutes of Health (NIH), the diagnostic. Among the ACOG recommendations and conclusions, including the update on the use of letrozole, for the management of PCOS. The major features of polycystic ovarian syndrome (PCOS) include menstrual dysfunction, anovulation, and signs of hyperandrogenism.

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These factors include insulin resistance, increased levels of hormones called androgensand an irregular menstrual cycle.

ACOG Releases Guidelines on Diagnosis and Management of Polycystic Ovary Syndrome

When the body does not respond to insulin, the level of glucose in the blood increases. This may cause more insulin to be produced as the body tries to move glucose into cells.

Insulin resistance can lead to diabetes mellitus.

It also is associated with acanthosis nigricans. When higher than normal levels of androgens are produced, the ovaries pcps be prevented from releasing an egg each month a process called adog.

High androgen levels also cause the unwanted hair growth and acne seen in many women with PCOS. Irregular menstrual periods can lead to infertility and, in some women, the development of numerous small fluid-filled sacs in the ovaries. PCOS affects all areas of the body, not just the reproductive system. Insulin resistance increases the risk of type 2 diabetes and cardiovascular disease.

Another condition that is associated with PCOS is metabolic syndrome. This syndrome contributes to both diabetes and heart disease. Women with PCOS also tend to have a condition called endometrial hyperplasiain which the pcoz of the uterus becomes too thick. This condition increases the risk of endometrial cancer. A variety of treatments are available to address the problems of PCOS.


Treatment is tailored to each woman according acof symptoms, other health problems, and whether she wants to become pregnant. Combined hormonal birth control pills can be used for long-term treatment in women with PCOS who do not wish to become pregnant. Combined hormonal pills acot both estrogen and progestin.

These birth control pills regulate the menstrual cycle and reduce hirsutism and acne by decreasing androgen levels. They also decrease the risk of endometrial cancer. For overweight women, weight loss alone often regulates the menstrual cycle.

Polycystic Ovary Syndrome (PCOS) – ACOG

Even a loss of 10—15 pounds can be helpful in making menstrual periods more regular. Weight loss also has been found to improve cholesterol and insulin levels and relieve symptoms such as excess hair growth and acne. Insulin-sensitizing drugs used to treat diabetes frequently are used in the treatment of PCOS. These drugs help the body respond to insulin. In women with PCOS, they can help decrease androgen levels and improve ovulation. Restoring ovulation helps make menstrual periods regular and more predictable.

Successful ovulation is the first step toward pregnancy. For overweight women, weight loss often accomplishes this goal.

Medications also may acogg used to cause ovulation. Surgery on the ovaries has been used when other treatments do not work. However, the long-term effects of these procedures are not clear. Patches of thickened, velvety, darkened skin associated with insulin resistance. Steroid hormones, produced by the adrenal glands or by the ovaries, that promote male characteristics, such as a beard and deepening voice.

The smallest units of a structure in the body; the building blocks for all parts of the body. A aocg substance that serves as a building block for cells and hormones and helps to carry fat through the blood vessels for use or storage in other parts of the body. A condition in which the levels of sugar in the blood are too high.


A condition in which the lining of the uterus grows too thick.

ACOG Practice Bulletin No. 194: Polycystic Ovary Syndrome.

A specific type of endometrial hyperplasia may lead to cancer. Substances made in the body pdos cells or organs that control the function of cells or organs.

An example is estrogen, which controls the function of female reproductive organs. A condition in which a couple has been unable to get pregnant after 12 months without the use of any form of birth control.

A hormone that lowers the levels of glucose sugar in the blood.

The paired organs in the female reproductive system that contain the eggs released at ovulation and produce hormones. A synthetic form of progesterone that is similar to the hormone produced naturally by the body. The information does not dictate an exclusive course of treatment or procedure to be followed and should not be construed as excluding other acceptable methods of practice.

Variations, taking into account the needs of the individual patient, resources, and limitations unique to the institution or type of practice, may be appropriate. Women’s Health Care Physicians. If you have further questions, contact your obstetrician—gynecologist. Use of this Web site constitutes acceptance of our Terms of Use.

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