In 1935, Stein and Leventhal published a paper on their findingsin seven women with amenorrhea, hirsutism, obesity, and a characteristicpolycystic appearance to their ovaries one of the firstdescriptions of a complex phenotype today known as the polycysticovary syndrome.1 Insight into the pathogenesis and treatmentof the polycystic ovary syndrome has increased substantiallyin the decade since this topic was last addressed in the Journal.2The condition is now well recognized as having a major effectthroughout life on the reproductive, metabolic, and cardiovascularhealth of affected women. This review addresses current knowledgeregarding the . . . [Full Text of this Article]
Definition and Differential Diagnosis
Pathogenesis
The Role of Genetic and Environmental Factors
Metabolic, Cardiovascular, and Other Clinical Components
Obesity
Impaired Glucose Tolerance and Type 2 Diabetes
Hypertension and Vascular Dysfunction
Coronary and Other Vascular Disease
Obstructive Sleep Apnea
Association with Cancer
Treatment
Cutaneous Manifestations of Androgen Excess: Hirsutism and Acne
Oral Contraceptives
Antiandrogens
Glucocorticoids
Other Agents
Management of Oligomenorrhea and Amenorrhea
Insulin Resistance and Glucose Intolerance
Controversies
Summary
Source Information
From the University of Chicago, Department of Medicine, Section of Endocrinology, Chicago.
Address reprint requests to Dr. Ehrmann at 5841 S. Maryland Ave., Mail Code 1027, Chicago, IL 60637, or at dehrmann@uchicago.edu.
Related Letters:
Polycystic Ovary Syndrome
Braillon A., Mascitelli L., Pezzetta F., Mikhail E., Cope D., Ehrmann D. A.
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N Engl J Med 2005;
352:2756-2757, Jun 30, 2005.
Correspondence
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