POLYCYSTIC

OVARIAN SYNDROME
(PCOS)
DIRECTO EVANGELISTA FANTONE
 What is Polycystic Ovarian
Syndrome?
■ It is a complex condition characterized by elevated androgen levels,
menstrual irregularities, and/or small cysts on one or both
ovaries. The disorder can be morphological (polycystic ovaries) or
predominantly biochemical (hyperandrogenemia) (Umland et. al.
2011).
 PATIENT’S PROFILE

Name: Q, K.
Birthday: June 28, 1997
Age: 21 years old
Gender: Female
Address: 1329 G. Tuazon St,, Sampaloc, Manila
Nationality: Filipino
Civil Status: Single
“Hindi po regular yung menstruation ko. May mga buwan po na
hindi talaga ako nagkakaroon.”

CHIEF COMPLAINT
SUBJECTIVE

OBJECTIVE
 Irregular periods or no periods at all
 Oily skin or acne
 Thinning hair or hair loss from head
 Excessive hair growth (usually on the face, chest, back)
ASSESSMENT

PLAN
SUBJECTIVE

OBJECTIVE
 Weight gain

ASSESSMENT

PLAN
SUBJECTIVE

OBJECTIVE

ASSESSMENT

PLAN
 A diagnosis of polycystic ovary syndrome can be made when at
least two out of three of the following criteria are met:
SUBJECTIVE
The ovaries are 'polycystic' because:
 12 or more follicles are visible on one ovary, or
 the size of one or both ovaries is increased

There are:
OBJECTIVE  high levels of 'male' hormones (androgens) in the blood
(hyperandrogenism)

symptoms suggesting an excess of androgens such as:

 excess facial or body hair growth
 scalp hair loss
ASSESSMENT  Acne

There is menstrual dysfunction such as:

 lack of periods or menses (menstrual flow
 menstrual irregularity
 lack of ovulation (where an egg is released
PLAN
DIAGNOSTIC THERAPEUTIC PATIENT EDUCATION
SUBJECTIVE
Pharmacologic
• Clomiphene citrate & antidiabetic agent
• Gonadotropins
OBJECTIVE • Aromatase inhibitors (Letrozole)
• Antiandrogens (Spironolactone, flutamide,
finasteride)
• Oral contraceptives (drosperenone,
ASSESSMENT dienogest)
• Medroxyprogesterone acetate
• Statins

PLAN
DIAGNOSTIC THERAPEUTIC PATIENT EDUCATION
SUBJECTIVE To help decrease the effects of PCOS, try to:

Maintain a healthy weight

 Weight loss can reduce insulin and androgen levels and may
restore ovulation
OBJECTIVE
Limit carbohydrates
 Low-fat, high-carbohydrate diets might increase insulin levels.
Choose complex carbohydrates, which raise your blood sugar
levels more slowly.
ASSESSMENT
Be active
 Exercise helps lower blood sugar levels.

PLAN
DIAGNOSTIC THERAPEUTIC PATIENT EDUCATION