Polycystic Ovary Syndrome

Description

Diagnostic criteria

General and supportive measures

Referral

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ICD-10 Code: E28.2

DESCRIPTION

Characterised by excessive androgen activity, with many having abnormal insulin activity.

DIAGNOSTIC CRITERIA

Clinical

• Hirsutism
• Acne
• Oligomenorrhoea or amenorrhoea due to chronic anovulation.
• Female pattern alopecia.
• Overweight or obese. 

Investigations

• Polycystic ovaries on ultrasound.

GENERAL AND SUPPORTIVE MEASURES 

• Assess and monitor for long-term health complications, including:
  • impaired glucose tolerance,
  • insulin resistance,
  • type 2 diabetes,
  • dyslipidaemia,
  • obesity,
  • fatty liver,
  • depression, and
  • infertility.
• Lifestyle changes in nutrition and exercise to reduce weight.

REFERRAL 

All suspected cases for assessment and management. 

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Standard Treatment Guidelines and Essential Medicines List for South Africa, Hospital Level, Paediatrics, 2023 Edition

Chapter 7: Endocrine, 7.17 Polycystic Ovary Syndrome