小结
定义
病史和体格检查
关键诊断因素
- 存在的危险因素
- 育龄期女性
- 月经周期不规则
- 不育症
- 多毛症
其他诊断因素
- 痤疮
- 超重或者肥胖
- 高血压
- 脱发
- 油性皮肤或者多汗
- 黑棘皮症
危险因素
- 多囊卵巢综合征的家族史
- 肾上腺功能早现
- 肥胖
- 低出生体重
- 胎儿雄激素暴露
- 环境内分泌干扰物
诊断性检查
首要检查
- 血清 17-羟孕酮
- 血清催乳素
- 血清促甲状腺激素
- 口服葡萄糖耐量检查
- 空腹血脂检查
需考虑的检查
- 血清总睾酮和游离睾酮
- 血清硫酸脱氢表雄酮 (DHEAS)
- 血清雄烯二酮
- 盆腔超声检查
- 基础体温监测
- 黄体期孕酮的测量
- 血清 LH 和卵泡刺激素 (FSH)
治疗流程
有妊娠意愿的不孕女性
目前无妊娠意愿的患者
撰稿人
作者
Mark O. Goodarzi, MD, PhD
Director
Division of Endocrinology, Diabetes & Metabolism
Eris M. Field Chair in Diabetes Research
Professor of Medicine
Cedars-Sinai Medical Center
Los Angeles
CA
利益声明
MOG is an author of a number of references cited in this topic.
同行评议者
Antoni Duleba, MD
Professor
Department of Obstetrics and Gynecology
University of California Davis
Sacramento
CA
利益声明
AD declares that he has no competing interests.
Richard S. Legro, MD
Professor
Department of Obstetrics and Gynecology
Penn State Hershey College of Medicine
Hershey
PA
利益声明
RSL has been reimbursed by Serono for attending a medical conference and received a lecture fee, and has consulted for Ferring. He has received research funding from the NIH, the Commonwealth of Pennsylvania, and Parke Davis. He is an author of a number of references cited in this topic.
Cornelis B. (Nils) Lambalk, MD, PhD
Gynaecologist/Fertility Specialist
Division of Reproductive Medicine
Department of Obstetrics and Gynaecology
VU University Medical Centre
Amsterdam
The Netherlands
利益声明
CBL declares that he has no competing interests.
鉴别诊断
- 21-羟化酶缺乏症
- 甲状腺功能障碍
- 高催乳素血症
更多 鉴别诊断指南
- 实践简报：多囊卵巢综合征
- 多囊卵巢综合征中的诱导排卵
更多 指南患者教育信息
多囊卵巢综合征：是什么？
多囊卵巢综合征：何种治疗有效？
更多 患者教育信息
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