Page 201 - PCC07

Summary I
• Women with PCOS have high rate of different comorbidities
• Women report lower QoL
• PCOS is also associated with high rate of anxiety, depression and disordered eating
• No single explanatory factor have so far been revealed behind the mental distress
• Endometrial cancer is rare considering other comorbidities, but the risk is 4-fold higher compared to other women
• Obesity aggravates the risk
• Remember to suspect and take a sample
Summary II
Diagnose
• Ask about psychological distress • Identify the symptoms that cause
distress
• Irregular cycles • Hirsutism, acne • Obesity
• Infertility
• US and endometrial biopsies
Treatment
• Depending on the symptom
• Life-style
• Psychological therapy/medication • Hormonal contraceptives
• Antiandrogens
• Skin therapy
• Metformin?
• Bariatric surgery
• ART
Supportive actions
• Support and encourage
the women
• Increase awareness • Less medicalization
• Setting the diagnosis? • Considerate consultations
• Multidisciplinary approach • Cultural aspects
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PRECONGRESS COURSE 07 I BARCELONA, SPAIN – 1 JULY 2018 201