POLYCYSTIC OVARY SYNDROME: A MODERN VIEW ON THE PROBLEM

The author of this article presents a modern understanding of the problem of polycystic ovary syndrome (PCOS). PCOS is a multifactorial, genetically determined pathological condition, in the pathogenesis of which an important role belongs to disorders of gonadotropic regulation, hyperandrogenism, insulin resistance, adipose tissue dysfunction and other factors. Obviously, PCOS is a socially significant gynecological pathology of early reproductive age, which requires optimization of the diagnosis and management of such patients from adolescence. In adolescents, PCOS is diagnosed in the presence of clinical hyperandrogenism and an irregular menstrual cycle, while ultrasound criteria are not always reliable. For an individual approach and choice of treatment tactics, it is extremely important to verify the diagnosis of PCOS in a timely manner, determine the clinical phenotype and take into account the reproductive plans of the patient.