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多囊卵巢综合征。

Polycystic Ovarian Syndrome.

机构信息

Donald and Barbara Zucker School of Medicine/Northwell, 256-11 Union Turnpike, Glen Oaks, NY 11004, USA.

Donald and Barbara Zucker School of Medicine/ Northwell, 225 Community Drive, Lake Sucess, NY 11020, USA.

出版信息

Med Clin North Am. 2023 Mar;107(2):227-234. doi: 10.1016/j.mcna.2022.10.004. Epub 2022 Dec 26.

DOI:10.1016/j.mcna.2022.10.004
PMID:36759093
Abstract

Polycystic ovarian syndrome (PCOS) is a complex, familial, polygenetic metabolic condition. The Rotterdam criteria are commonly used to diagnose PCOS. Lifestyle changes are the first-line treatment of PCOS. Treatment options for menstrual irregularities and hirsutism are based on the clinical goals and preferences of the patient. Along with treating the symptoms of PCOS, it is essential to screen and treat the comorbid conditions commonly associated with PCOS, including type 2 diabetes mellitus, obesity, nonalcoholic fatty liver disease, hyperlipidemia, obstructive sleep apnea, anxiety, depression, infertility, and vitamin D deficiency.

摘要

多囊卵巢综合征(PCOS)是一种复杂的、家族性的、多基因代谢疾病。多囊卵巢综合征的诊断通常采用鹿特丹标准。生活方式的改变是多囊卵巢综合征的一线治疗方法。月经不规律和多毛症的治疗选择基于患者的临床目标和偏好。除了治疗多囊卵巢综合征的症状外,筛查和治疗与多囊卵巢综合征相关的常见合并症也很重要,包括 2 型糖尿病、肥胖、非酒精性脂肪性肝病、血脂异常、阻塞性睡眠呼吸暂停、焦虑、抑郁、不孕和维生素 D 缺乏症。

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