The Curbsiders Internal Medicine Podcast

#198 PCOS: Polycystic Ovary Syndrome with Katherine Sherif MD

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Mar 9, 2020
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INSIGHT

PCOS Diagnostic Criteria

  • PCOS diagnosis requires at least two of three criteria: irregular periods, hyperandrogenism signs or labs, and polycystic ovaries morphology.
  • Patients without classic signs like obesity or visible cysts can still have PCOS.
INSIGHT

Common PCOS Symptoms Vary

  • PCOS patients often present with irregular periods, excess facial hair, acne, and inability to lose weight.
  • Some ethnic groups may be misdiagnosed due to varying androgen receptor expression and hair growth patterns.
INSIGHT

Terminal Hair Signals Hyperandrogenism

  • Terminal hairs in androgen-sensitive areas like upper arms and midline are signs of hyperandrogenism in PCOS.
  • Women often remove hair, so careful examination and history are needed to detect it.
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