Gynecology: PCOS, endometriosis, adenomyosis
Obstetrics and Gynecology · MBBS
Study notes
A woman — irregular periods, acne, hirsutism; PCOS; lifestyle and metformin. PCOS (Rotterdam — 2/3: oligo-anovulation, hyperandrogenism — hirsutism/acne, polycystic ovaries — string of pearls: treat — lifestyle — weight loss — first; metformin — insulin resistance; COCP — cycles/androgens; clomiphene/letrozole — ovulation — fertility). Endometriosis (ectopic endometrium — dysmenorrhea, dyspareunia, infertility — chocolate cysts: laparoscopy — gold; treat — NSAIDs, COCP/progestins, GnRH; surgery — cystectomy). Adenomyosis (endometrium in myometrium — bulky tender uterus — heavy painful periods: LNG-IUS; hysterectomy — definitive). The string of pearls is PCOS — lifestyle is first-line.
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