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technologies

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Fertility March 19, 2013

Anti-androgens

This group of medications can be used only when not attempting a pregnancy and with some form of adequate birth control. There is at least a theoretical, risk of feminizing
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Fertility March 19, 2013

Oral Contraceptives

Oral contraceptives (OC’s) are a mainstay of treatment of PCOS in women who do not want to become pregnant. The estrogen component of OC’s increases sex steroid binding globulin (SHBG)
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Fertility March 19, 2013

Weight Loss

While dieting is certainly valuable, it is the most difficult of therapeutic regimens to administer. With weight loss there is often an improvement in endocrine parameters and sometimes a return
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Fertility March 19, 2013

Progestins

A progestin is a medication that mimics the action of progesterone. Progesterone is an ovarian hormone produced by the corpus luteum, the structure that forms from the ovarian follicle after
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Fertility March 19, 2013

PREGNANCY & PCOS

There is evidence that PCOS patients had a larger birthweight and were products of pregnancies in which their mother had gestational diabetes. It is clear that the risk of gestational
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Fertility March 19, 2013

Ultrasound

Sonography of the pelvis is warranted in virtually every potential PCOS patient. Evaluation should be performed by individuals experienced in judging ovarian and endometrial function. The finding of greater than
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Fertility March 19, 2013

Laboratory Testing

Virtually all patients with PCOS will have at least subtle laboratory abnormalities. The reported results may be only on the upper limits of the ‘normal range,’ showing only a tendency,
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Classic Clinical Findings of Menstrual Cycle Abnormalities
Fertility March 19, 2013

Classic Clinical Findings of Menstrual Cycle Abnormalities

The classic findings of menstrual cycle abnormalities; increased sexual hair growth and obesity that characterize PCOS are as follows. Menstrual Distrubance Obviously, a detailed menstrual history including menarche (onset of periods),
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Fertility March 19, 2013

MAKING THE DIAGNOSIS OF PCOS

There are three different ways to make the diagnosis of PCOS:  Symptoms and physical findings, Hormonal testing and Ultrasound. Probably most individuals will have abnormalities in all three, some only
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Fertility March 19, 2013

A Tribute To Sam Thatcher, M.D., Ph.D.

A Tribute To Sam Thatcher, M.D., Ph.D. by Luann Johnson Perhaps the best description of Sam Thatcher is one paraphrased in his book Making a Baby, co- written with Debra Fulghum Bruce:  “He was
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