Polycystic Ovary Syndrome (PCOS): Bridging Gaps in Understanding, Diagnosis, and Management

R. K. Mahadevaswamy, Manasa, H. S, Renukadevi, D. N
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Abstract

People of reproductive age are frequently affected with Polycystic Ovary Syndrome (PCOS), a common endocrine disorder with a range of clinical, hormonal, and metabolic features. The goal of this review paper is to give a thorough summary of the clinical presentation, diagnostic criteria, aetiology, epidemiology, and treatment options for PCOS. Between 5% and 20% of women in reproductive age worldwide are estimated to have PCOS. This syndrome is widely known for being complicated, involving both environmental factors and genetic predisposition. Common clinical symptoms include irregular menstruation, hyperandrogenism, and an ultrasound that reveals polycystic ovarian morphology. Although there are other sets of diagnostic criteria, including the National Institutes of Health standards and the Rotterdam criteria, a precise diagnosis is still necessary. Those with PCOS are more likely to develop metabolic problems such as obesity, dyslipidemia, and insulin resistance. An elevated risk of type 2 diabetes, cardiovascular disease, and infertility are among the long-term health consequences. The primary objectives of therapeutic interventions, which are tailored to the patient's presentation and goals and involve both lifestyle modifications and pharmacological therapies, are improvements in hormonal imbalances, metabolic abnormalities, and reproductive outcomes. This study compiles the most recent findings and clinical observations to improve healthcare professionals' comprehension of PCOS.
多囊卵巢综合征(PCOS):缩小认识、诊断和管理方面的差距
多囊卵巢综合征(PCOS)是一种常见的内分泌失调症,具有一系列临床、激素和代谢特征,育龄人群经常受到该病的影响。本综述旨在全面总结多囊卵巢综合症的临床表现、诊断标准、病因、流行病学和治疗方案。据估计,全球约有 5%-20%的育龄妇女患有多囊卵巢综合征。众所周知,该综合征病情复杂,涉及环境因素和遗传易感性。常见的临床症状包括月经不调、高雄激素和超声波显示多囊卵巢形态。虽然还有其他诊断标准,包括美国国立卫生研究院标准和鹿特丹标准,但仍有必要进行精确诊断。多囊卵巢综合症患者更容易出现代谢问题,如肥胖、血脂异常和胰岛素抵抗。患 2 型糖尿病、心血管疾病和不孕症的风险升高是长期健康后果之一。治疗干预的主要目的是改善内分泌失调、新陈代谢异常和生殖结果,这些干预是根据患者的表现和目标量身定制的,涉及生活方式调整和药物治疗。本研究汇编了最新的研究结果和临床观察,以提高医护人员对多囊卵巢综合症的理解。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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