Orvosi hetilap · 2015
[Prevention and treatment of the complications of polycystic ovarian syndrome--the significance of evidence-based, interdisciplinary management].
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Gődény Sándor, Csenteri Orsolya Karola
Аннотация
Polycystic ovary syndrome is the most common hormonal and metabolic disorder likely to affect women. The syndrome is often associated with obesity, hyperinsulinemia and adversely affects endocrine, metabolic, and cardiovascular health. The complex feature of the syndrome requires an interdisciplinary approach to treatment, where cooperation of paediatrician, internist, gynaecologist, endocrinologist, dermatologist, psychologist and oncologist is essential. The prevention and the treatment should be based on the best available evidence. This should include physical examination, laboratory tests for hormones, serum insulin, glucose, lipids, in addition patient's preferences should be considered, too. To maximise health gain of polycystic ovarian syndrome, adequate, effective, efficient and safe treatment is necessary. This article summarises the highest available evidence provided by meta-analyses and systematic reviews of the prevention of metabolic and cardiovascular complications of the syndrome, and discusses the relevant evidence published in the literature.
Предметные рубрики MeSH
BiomarkersCounselingDermatologyDiabetes Mellitus, Type 2Disease ManagementEndocrinologyEvidence-Based MedicineFemaleHirsutismHumansHyperinsulinismHypoglycemic AgentsInfertility, FemaleInterdisciplinary CommunicationInternal MedicineMedical OncologyMetforminObesityPatient Care TeamPediatricsPolycystic Ovary SyndromePsychologyRisk FactorsRisk Reduction Behavior