How
to elicit history?? And proceed to enquire about F/H/O DM, image Liver(may or
may not ovary) Exclude TSH, PRL(by gel
pot technique to find out the
quantum of bio active PRL molecules)
Post Glucose level, estimate BMI, lipid CRP , Homocysteine,. Not to estimate androgens or P Penguin PPL Pl don’t hesitate to investigate the
adolescent girl thoroughly & I presume in Indian currency initial investigations
(listed below) it will be about 5,000/-.
Why
a topic like PCO??
Because PCO is a clinical and public
health problem affecting up to one in five women of reproductive age and magnitude of
Indian Rs 100 cores are sent per day for
Tr of subfertility, hormonal investigations, IVF, AUB, HTN, Dyslipidaemia,
Endometrial ca, MI and above all DM with all its teeth &claws out by the 5th
decade of life. Sorry for emotional
expression.
Basics
of PCO --narrated
by me in a truly Socratic manner Polycystic ovary syndrome
is a frustrating experience for
women often complex for managing
clinicians and is a scientific
challenge for researchers , PCOS is a complex condition with psychological reproductive and metabolic manifestations that impacts on health across the lifespan PCOS is
one of the most common hormonal
disorders affecting women . it has
multiple components - reproductive metabolic and cardiovascular – with health
implications for the patient’s
entire life span. PCOS has a significant effect on adult women resulting in diminished quality of life
altered feminine identity and dysfunction in the family and work
environment .
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