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Abstract
Polycystic ovary syndrome (PCOS) is the most common endocrine-metabolic disease that affects women of childbearing age and is the main cause of anovulatory infertility. One of the most important aspects of the syndrome is the excess of androgens of ovarian origin, which can be evidenced in the biochemical analysis or in the clinical manifestations it induces. The pathophysiology is not yet fully known, so other causes must be excluded to make the diagnosis, with 2 of the 3 following criteria: a) hyperandrogenism, b) oligo-ovulation, c) ovarian polymicrofollicular pattern. According to their manifestations, patients can be classified into 4 different phenotypes, which are also differentiated by their severity. It also has an obvious relationship with insulin resistance and, therefore, an increased risk of metabolic and cardiovascular disease. The treatment is mainly based on hygienic-dietary measures and the use of oral contraceptives, depending on the clinical manifestations of each patient and their desire for conception.
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References
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