最近审阅: 26 十月 2020
最近更新: 07 四月 2020

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
更多 首要检查

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)
更多 需考虑的检查

治疗流程

撰稿人

Mark O. Goodarzi

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.

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Professor

Department of Obstetrics and Gynecology

University of California Davis

Sacramento

CA

利益声明

AD declares that he has no competing interests.

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.

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.

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