Dr. Chapa’s Clinical Pearls. “New” Info on PCOS: Name Change? OB Implications?
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Aug 29, 2024 Irving Freiler Stein and Michael Leo Leventhal, who co-described polycystic ovary syndrome (PCOS) in 1935, delve into the evolving understanding of this condition. They discuss the historical context of PCOS's naming and the push for a term that reflects its metabolic implications. Key insights include the links between PCOS and pregnancy complications, challenging the notion of PCOS as solely a gynecological issue. The conversation highlights the importance of early diabetes screening and suggests that comprehensive management is vital for better outcomes.
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PCOS Is a Metabolic Syndrome
- PCOS is more than a gynecological issue; it is primarily a metabolic disorder.
- It involves metabolic dysregulation affecting endocrine function, including insulin resistance and cortisol elevation.
New Names for PCOS Proposed
- Proposed new names for PCOS emphasize its metabolic and reproductive aspects.
- "Metabolic reproductive syndrome" is favored as it captures its broad impact beyond just ovarian morphology.
Early Diabetes Screening in PCOS
- Screen women with PCOS early for pre-existing diabetes before 24 weeks gestation.
- Use an oral glucose tolerance test or other tests like HbA1c despite professional differences on exact screening methods.