POLYCYSTIC OVARY SYNDROMESPOTLIGHTS课件.pptVIP

POLYCYSTIC OVARY SYNDROMESPOTLIGHTS Dr. Mohammed AbdallaEgypt, Domiat general Hospital Pathogenesis (etiology?) Hypersecretion of adrenal androgens? Hypersecretion of ovarian androgens? A genetic disorder with an autosomal dominant mode of inheritance? A multifactorial genetic disorder? Prevalence PCO on ultrasound 20% Oligomenorrhea 4 – 21 % Ultrasound in  vs. Megalocystic ovaries PCO Polycystic ovaries Bilateral Multiple cysts Cyst diam 4-6 mm Stroma increased Long term risks in PCOS Definite risk Type 2 diabetes Dyslipidemia (H