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Kingdom of Saudi Arabia ‫المملكة العربية السعودية‬

ministry of education college ‫وزارة التعليم جامعة األمير‬


of applied medical sciences ‫كلية‬ ‫سطام بن عبدالعزيز‬
wadi aldwaser department ‫العلوم الطبية التطبيقية‬
‫قسم التمريض بوادي الدواسر‬

POLYCYSTIC OVARY SYNDROME


PCOS
Obstetrics and Gynecology - Theory
3rd year-second semester

Submitted to : DR .MIRFAT EL-KASHIF

by Madlolah Saad Alwazrah


443720048
Content
Definition
Causes
Epidemiology
clinical manifestation
Complications
Health teaching
Incidence rate
Risk in pregnancy
diagnosis
treatment
References
Polycystic ovary syndrome (PCOS) is a problem with
hormones that happens during the reproductive years. If
you have PCOS, you may not have periods very often. Or
you may have periods that last many days. You may also
have too much of a hormone called androgen in your body
With PCOS, many small sacs of fluid develop along the
outer edge of the ovary. These are called cysts. The small
fluid-filled cysts contain immature eggs. These are called
follicles. The follicles fail to regularly release eggs.

1
Cause
The exact cause of PCOS is
Unknown . In fact , genetic factors
play a major role in PCOS .

6
Epidemiology
PCOS is the most common
endocrineopathy among
reproductive aged women

2
clinical
manifestation - Too much Androgen

- excessive hair growth (hirsutism)

- Acne

-Irrigular periods

- Weight gain

- very light period

3
clinical
- Pelvic pain
manifestation
- Fatigue

- Acne

-Mood changes

- Insulin resistance

-Ovarian cysts
4
Complications - Gestational diabetes or
pregnancy induced hypertension

- Miscarriage or premature birth

- Nonalcoholic steatohepatitis

- Metabolic syndrome

- Sleep apnea

- Type 2 diabetes
5
Complications - Infertility

- Depression and anxiety

- Eating disorder

- Cancer of uterine lining


(Endometrial cancer)

- Obesity

- High blood sugar


6
Health teaching
Educate about what PCOS
Provide information about fertility options
Lifestyle Changes
Fertility Awareness
Medication
Stress the importance of regular check-ups
Discuss stress management techniques such as
mindfulness, meditation, or counseling, as stress can
exacerbate PCOS symptoms.
7
incedence of PCOS

The global prevalence of PCOS is


estimated between 4% and 20%

8
Risk In Miscarriage
pregnancy Early loss of pregnancy
High blood sugar
Birth defect
GDM
Pree
Cesarean section delivery
Premature delivery

9
Diagnose ADS
1. Menstrual history: Irregular periods or absence of menstruation.
2. Clinical signs:Such as hirsutism (excessive hair growth), acne, and signs of
androgen excess.
3. Blood tests:Checking hormone levels, including testosterone, LH (luteinizing
hormone), FSH (follicle-stimulating hormone), and fasting insulin levels.
4. Ultrasound:Imaging studies to examine the ovaries for the presence of
multiple cysts.

Your healthcare provider will evaluate these factors to determine if you meet
the criteria for a PCOS diagnosis. It's important to consult a healthcare
professional for accurate diagnosis and personalized treatment.
10
Treatment
There is no special treatment for PCOS ;

Treatment for PCOS focuses on managing


symptoms and reducing the risk of long-term
complications. It often involves a combination
of lifestyle changes, medications, and
sometimes surgical interventions.
11
Thank You
FOR WATCHING
Refrences
Ding DC, Chen W, Wang JH, Lin SZ. Association between polycystic ovarian syndrome and
endometrial, ovarian, and breast cancer: A population-based cohort study in Taiwan. Medicine
(Baltimore). 2018 Sep;97(39):e12608.
Bentley-Lewis, R. Korunda, K., & Seely, E. W. (2007). The metabolic syndrome in women
National Clinical Practice Endocrinology Metabolism. 3(10). 696 – 704
Burton, M. E., & Daley, A. M. (2011). Health risk counseling for adolescents with polycystic ovary
syndrome. American Journal for Nurse Practitioners. 15(3/4). 51 – 60

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