Polycystic ovary syndrome: implications for the advanced practice nurse in primary care.
OBJECTIVE
To discuss the diagnosis and management of polycystic ovary syndrome (PCOS) by the advanced practice nurse in primary care.


METHODS
Selected research and clinical articles.


CONCLUSIONS
The disorder is an endocrinopathy characterized by chronic anovulation, resulting in multiple ovarian cysts. Recent research suggests a genetic etiology and a close association with obesity. Patients often present with hyperandrogenism, irregular menses, and infertility. Management is directed at the alleviation of individual symptoms.


CONCLUSIONS
If left untreated, cardiovascular disease, abnormal insulin metabolism, and ovarian and endometrial cancers may develop.
Markle
M E
ME
Center for Family Health, Northeast Elementary School, Jackson, Michigan, USA. marklema@pilot.msu.edu
D003937:Diagnosis, Differential; D003952:Diagnostic Imaging; D005260:Female; D006801:Humans; D017588:Hyperandrogenism / Q000209:etiology; D015994:Incidence; D007247:Infertility, Female / Q000209:etiology; D008487:Medical History Taking; D008599:Menstruation Disturbances / Q000209:etiology; D009722:Nurse Practitioners; D010808:Physical Examination; D011085:Polycystic Ovary Syndrome / Q000175:diagnosis / Q000451:nursing*; D011320:Primary Health Care; D012307:Risk Factors