{"id":129,"date":"2017-03-23T18:37:59","date_gmt":"2017-03-23T18:37:59","guid":{"rendered":"http:\/\/papergp.com\/index.php\/womens-health\/pcos\/"},"modified":"2023-01-24T11:25:26","modified_gmt":"2023-01-24T11:25:26","slug":"pcos","status":"publish","type":"page","link":"https:\/\/papergp.com\/index.php\/womens-health\/pcos\/","title":{"rendered":"PCOS"},"content":{"rendered":"<div class=\"content-box-blue\">\n<h4>Data gathering<\/h4>\n<ul>\n<li>Red flags<\/li>\n<li>Others &#8211; infrequent periods, acne, hair growth, mood, weight, problems getting pregnant<\/li>\n<li>Examine &#8211; BMI, acne, hirsutism, pelvic exam<\/li>\n<\/ul>\n<\/div>\n<p>&nbsp;<\/p>\n<div class=\"content-box-blue\">\n<h4>Clinical management<\/h4>\n<ul>\n<li>Investigations\n<ul>\n<li>Bloods &#8211; LH (raised), FSH (normal), testosterone (total and free), SHBG (low), HbA1c, lipids, TFTs<\/li>\n<li>Pelvic USS<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>Explanation\n<ul>\n<li>cysts on ovaries result in imbalance of hormones &#8211; affects periods, fertility, hormones, skin<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>Treatment\n<ul>\n<li>Lifestyle\n<ul>\n<li>weight loss, diet, exercise, smoking cessation<\/li>\n<\/ul>\n<\/li>\n<li>Acne\n<ul>\n<li>as per usual acne treatment (+ consider Dianette)<\/li>\n<\/ul>\n<\/li>\n<li>Periods\n<ul>\n<li>If 3 or fewer periods per year, induce a bleed every 3 months using the COCP and scan for endometrial thickness<\/li>\n<\/ul>\n<\/li>\n<li>Hirsutism\n<ul>\n<li>hair removal, laser treatment, eflornithine<\/li>\n<\/ul>\n<\/li>\n<li>Fertility\n<ul>\n<li>refer to gynae to consider clomiphene<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>Follow-up \/ Safety net\n<ul>\n<li>Patient information leafleft<\/li>\n<li>If weight loss\/fertility\/hirsutism ongoing problem, consider gynae and dietician referral<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/div>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Data gathering Red flags Others &#8211; infrequent periods, acne, hair growth, mood, weight, problems getting pregnant Examine &#8211; BMI, acne, hirsutism, pelvic exam &nbsp; Clinical management Investigations Bloods &#8211; LH (raised), FSH (normal), testosterone (total and free), SHBG (low), HbA1c, lipids, TFTs Pelvic USS Explanation cysts on ovaries result in imbalance of hormones &#8211; affects &hellip; <a href=\"https:\/\/papergp.com\/index.php\/womens-health\/pcos\/\" class=\"more-link\">Continue reading <span class=\"screen-reader-text\">PCOS<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":122,"menu_order":106,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-129","page","type-page","status-publish","hentry"],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/129","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/comments?post=129"}],"version-history":[{"count":9,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/129\/revisions"}],"predecessor-version":[{"id":1961,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/129\/revisions\/1961"}],"up":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/122"}],"wp:attachment":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/media?parent=129"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}