PCOSm History | Cheat Sheet

University:
Western Sydney University
Course:
MEDI 2003 | Clinical Sciences 2
Academic year:

2024
Views:

439

Pages:

4
Author:

Mariam A. A.

PCOS History How long has this been happening for? When you get them, how long do they last for? How much blood is there? How many pads do you use? Does blood leak? Are there any clots? Is there any associated pain? Is there a pelvic pain? Is there a fever? Do you have hair growth in any areas of the body? Is that normal for your family or ethnicity? Do you have acne? How does it look like? Is your skin oilier? Do you have hair loss? Is there flushing? Is there a vaginal dryness? Do you feel more tired? Is there a shortness of breath? Do you have mood swings? Are there any voice changes? Is it affecting your sleep? Changes to heart rate? Weight changes? Tremors? Is there breast tenderness and milk coming out of your breasts? Is it impacting your mental health? Is it impacting your life in other ways? Does anything make it better or worse? Examination Findings General exam Body habitus, appearance (e.g. hirsutism, acne etc). Vitals -> important for hyperthyroidism, hypothyroidism, Cushing disease BMI measuring -> same as vitals Thyroid exam Breast exam -> gynecomastia and galactorrhoea Skin exam including pink abdominal striae Abdominal exam Pelvic exam Speculum exam Investigations Bloods Beta hCG, FBC, Hb and iron, coagulation studies, prolactin, progesterone, estrogen, LH and FSH, TFT, cortisol, ACTH, blood glucose levels and GH and IGF-1 (for acromegaly), DHEAS, lipid profile TVUS and Abdo U/S Treatment Options Depending on whether or not she desires fertility Lifestyle management Diet Exercise If does not desire fertility Combined oral contraceptives (Yasmin or Diane 35) Spironolactone for hirsutism -> only use if do not desire fertility because of risk of teratogenesis If desires fertility Ovulation induction medications e.g. letrozole If have diabetes -> metformin If have acne -> benzoyl peroxide and topical antibiotics If causing mental health issues -> psychological support