We use our own and third party cookies to offer you our services, customize and analyze your browsing and show you advertising related to your preferences. By continuing to browse, we consider that you accept its use. You can change the settings and get more information in the
Examination of skin folds to rule out acanthosis nigricans (a skin condition that leads to dark patches around joints such as the knuckles, armpits, elbows and knees, and is a sign of insulin resistance).
Transvaginal ultrasound to determine whether the ovaries have increased volume and follicles according to specific criteria.
Blood analysis. Assessment of androgens and hormones related ovulation: FSH, LH, oestradiol, prolactin, free testosterone, androstenedione, 17-OH progesterone. Also fasting glucose and insulin, to determine whether there is insulin resistance, as well as an oral glucose tolerance test to rule out diabetes mellitus.
Treatment of Polycystic Ovary Syndrome (PCOS) aims to improve the symptoms that each patient experiences at each stage of her life. Although the signs and symptoms treated are mainly gynaecological, this must often be accompanied by assessment and treatment from other specialists such as endocrinologists, dermatologists, internists, cardiologists, etc.
Drug treatments are primarily aimed at correcting:
Signs and symptoms of excess androgen by using oral contraceptives, drugs related to insulin metabolism, drugs that block the androgen receptor or topical treatments.
Ovulatory disorder. This depends on whether the patient wishes to become pregnant or not.
If the patient does not currently wish to become pregnant and does not menstruate, or has very infrequent menstrual periods, it is essential to establish hormonal treatment to prevent complications in the uterus (hyperplasia and endometrial cancer).
If the patient wishes to become pregnant, a study is performed to rule out other causes of infertility. If only an ovulatory problem is detected and the patient is overweight or obese, the first measure to improve the ovulatory cycle is weight loss through re-education of dietary habits and an increase in physical activity. If the patient is of normal weight, or her menstrual cycle cannot be corrected by weight loss, pharmacological treatments to induce ovulation will be indicated. Treatment usually begins with oral drugs and, if these fail, treatment with subcutaneous injectable drugs is initiated. These treatments require regular clinical and ultrasound monitoring. If the patient requires IVF treatment, appropriate PCOS guidelines should be used and adapted to the patient’s specific clinical characteristics.
Sorry this content wasn't helpful to you. Send us your comment and we will take it into account to continue improving.
Thanks for your help!
An error has occurred and we were unable to send your opinion, please try again later.
Substantiated information by:
Gemma Casals i SolerGynaecologistGynaecology Department
Published: 28 May 2021
Updated: 28 May 2021
The donations that can be done through this webpage are exclusively for the benefit of Hospital Clínic of Barcelona through Fundació Clínic per a la Recerca Biomèdica and not for BBVA Foundation, entity that collaborates with the project of PortalClínic.
Receive the latest updates related to this content.
Thank you for subscribing!
If this is the first time you subscribe you will receive a confirmation email, check your inbox
An error occurred and we were unable to send your data, please try again later.
Subscribe to the Newsletter of Clínic
Receive the latest news from our institution directly to your email.
Thanks for your subscription!
We have received your information. Check your inbox, in a few moments you will receive a confirmation email.
An error has occurred and we have not been able to send your data, please try again later.
More about assistance and health
Join our job pool
Hospital Clínic de Barcelona looks for talented professionals to cover job openings on a regular basis.