New PCOS Guidance: First Steps in Primary Care

Arefa Cassoobhoy, MD, MPH


August 27, 2018

Hello. I'm Dr Arefa Cassoobhoy, a practicing internist, Medscape advisor, and senior medical director for WebMD. Welcome to Medscape Morning Report, our 1-minute news story for primary care.

Polycystic ovary syndrome—known as PCOS—is a common endocrine disorder, affecting 7%-10% of reproductive-aged women. And it can be challenging to treat.

A recent survey showed that women with PCOS expressed distrust of their primary care provider's opinions of their condition.

Now, the first-ever international guidance on PCOS has been published. This guidance supports the Rotterdam diagnostic criteria in adults, requiring hyperandrogenism and irregular menstrual cycles. They recommend ruling out thyroid disease, hyperprolactinemia, and nonclassic congenital adrenal hyperplasia, plus further workup for severe symptoms like amenorrhea.

The treatment guidelines encompass reproductive, metabolic, and psychological concerns. Recommendations for low-dose oral contraceptives and metformin treatment are given, as well as improved infertility management. And there's an increase in focus on education, lifestyle modification, and emotional well-being.

The full-text guidance is available. Learn more to support your patients with PCOS, whether it's diagnosis, treatment, or referral to a specialist.

Follow Dr Cassoobhoy on Twitter at @ArefaMD


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