MENA 2024 Recordings-PCOS, Transition of Care Across the Lifespan

Video Transcription

Video Summary

The lecture covers the diagnosis and management of Polycystic Ovary Syndrome (PCOS) across different age groups, particularly focusing on its transition from adolescence to adulthood. The discussion includes a historical overview of diagnostic criteria, from its initial description in 1935 to the Rotterdam Criteria in 2003, and the most recent 2023 guidelines. Key diagnostic factors include irregular cycles, hyperandrogenism, and polycystic ovarian morphology, with emphasis on the exclusion of other causes. Management strategies are patient-specific, addressing symptoms like irregular cycles and hyperandrogenism, and focusing on associated risk factors such as insulin resistance, hypertension, and mood disorders. The necessity for a multidisciplinary approach involving endocrinologists, gynecologists, and dermatologists is highlighted. Lifestyle changes and specific pharmacological treatments like metformin, OCPs, and anti-androgens are recommended, along with potential interventions for obesity and infertility. The importance of setting realistic expectations for treatments like laser therapy for hirsutism is also noted.

Keywords

PCOS

diagnostic criteria

management strategies

multidisciplinary approach

pharmacological treatments