What Every Woman Should Know About PCOS
Before Paying To See A Specialist

Know all your diagnosis and treatment options.

(Scroll down to see highlighted relevant pages to get your answers in minutes not weeks.)

PCOS Symptom Diagnosis and Treatments

Contents

Chapter One  
Risk assessment and life-stage

1.1 Irregular cycles and ovulatory dysfunction 36

1.2 Biochemical hyperandrogenism 38

1.3 Clinical hyperandrogenism 40

1.4 Ultrasound and polycystic ovarian morphology 42

1.5 Anti-Müllerian Hormone (AMH) 45

1.6 Ethnic variation 46

1.7 Menopause life-stage 47

1.8 Cardiovascular disease 48

1.9 Gestational diabetes, impaired glucose  tolerance and type 2 diabetes 50

1.10 Obstructive sleep apnea 53

1.11 Endometrial cancer 55

Chapter Two 
Assessment and treatment of emotional wellbeing 

2.1 Quality of life 58

2.2 Depressive and anxiety symptoms,screening and treatment 60

2.3 Psychosexual function 63

2.4 Body image 65

2.5 Eating disorders and disordered eating 67

2.6 Information resources, models of care, cultural and linguistic considerations 69

Chapter Three - Lifestyle

3.1 Effectiveness of lifestyle interventions 73

3.2 Behavioural interventions 75

3.3 Dietary interventions 77

3.4 Exercise interventions 79

3.5 Obesity and weight assessment 82

       Chapter Four    
Pharmacological treatment for non-fertility indications

4.1 Pharmacological treatment principles in PCOS 85

4.2 Combined Oral Contraceptive Pills and combined oral contraceptive pills in

4.3 combination with other agents 86

4.4 Metformin 91

4.5 Anti-obesity pharmacological agents 95

4.6 Anti-androgen pharmacological agents 97

4.7 Inositol 99

       Chapter Five    
        Assessment and treatment of infertility

5.Tubal patency testing 103

5.2 Ovulation induction principles 104

5.3 Letrozole 105

5.4 Clomiphene citrate and/or metformin 107

5.5 Gonadotrophins 110

5.6 Anti-obesity agents 112

5.7 Laparoscopic ovarian surgery 113

5.8 Bariatric surgery 115

5.9 In-vitro fertilisation 117

5.9 Gonadotropin releasing hormone protocol 118

5.9 Trigger type 119

5.9 Choice of FSH 120

5.9 Exogenous luteinizing hormone (LH) 121

5.9 Adjunct metformin 122

5.9 In-vitro maturation 123

Appendix (Treatment Algorithms)

Appendix VIII: 

Algorithm 1: Screening, diagnostic assessment, risk assessment and life-stage 191

Algorithm 2: Prevalence, screening, diagnostic assessment and treatment of emotional wellbeing 193

Algorithm 3: Lifestyle 194

Algorithm 4: Pharmacological treatment for non-fertility indications 195

Algorithm 5: Assessment and treatment of infertility 196