A CONTEMPORARY PERSPECTIVE ON POLYCYSTIC OVARIAN SYNDROME
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Key words: hyperandrogenism, anovulation, infertility.Abstrak
Annotation. The author of this article presents a modern understanding of the
problem of polycystic ovary syndrome (PCOS). PCOS is a multifactorial, genetically
determined pathological condition, in the pathogenesis of which an important role
belongs to disorders of gonadotropic regulation, hyperandrogenism, insulin resistance,
adipose tissue dysfunction and other factors. Obviously, PCOS is a socially significant
gynecological pathology of early reproductive age, which requires optimization of the
diagnosis and management of such patients from adolescence.
In adolescents, PCOS is diagnosed in the presence of clinical
hyperandrogenism and an irregular menstrual cycle, while ultrasound criteria are not
always reliable. For an individual approach and choice of treatment tactics, it is
extremely important to verify the diagnosis of PCOS in a timely manner, determine the
clinical phenotype and take into account the reproductive plans of the patient.
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