Which of the following is true about Polycystic ovarian disease?
Correct Answer: Hirsutism + oligomenorrhea + hypertension
Description: Ans. c (Hirsutism + oligomenorrhea + hypertension). (Ref. Gynacology by Shaw, 12th ed., 75,311)POLYCYSTIC OVARIAN DISEASE (PCOD)# The classical Stein Leventhal triad of- anovulation,- hyperandrogenism and- obesity (need not be necessarily be present)# It is characterized by amenorrhoea or oligomenorrhoea, obesity, hirsutism and often infertility.# Both the ovaries are enlarged and covered with a thick, smooth fibrotic pearly white capsule.# Long term complications are- hyperplasia of endometrium,- cardiovascular disease and- NIDDM.# LH levels are raised, LH/FSH ratio is high, estrogen may be high or normal, and androgens are increased; however progesterone is absent.# Radiological criteria for dianosis:- Polycystic ovaries are best demonstrated on TVS.- In 50% of cases TVS shows:* Bilateral enlarged ovaries of 2-5 times normal volume* Multiple cysts in a subcortical position ("necklace" sign)* Each cyst measuring < 1 cm.- A third of patients have normal ovarian volumes- A quarter will show no evidence of cyst formation.- Normal ovaries may contain cysts that are unilateral and which vary in size, but the ovaries are not enlarged.- Clomiphene is drug of choice- Estrogen break through bleeding occurs when estrogen stimulation of the endometrium is continuous and is not interrupted by cyclic progesterone withdrawal, as can occur in PCOS.
Category:
Gynaecology & Obstetrics
Get More
Subject Mock Tests
Practice with over 200,000 questions from various medical subjects and improve your knowledge.
Attempt a mock test nowMock Exam
Take an exam with 100 random questions selected from all subjects to test your knowledge.
Coming SoonGet More
Subject Mock Tests
Try practicing mock tests with over 200,000 questions from various medical subjects.
Attempt a mock test now