title: [Polycystic ovary syndrome with infertility].
abstract: BACKGROUND
  The definition of the polycystic ovary syndrome has been controversial for a long time. Rotterdam consensus established precise criteria since two among three set the definition as follow: anovulation, hyperandrogenism and polycystic ovaries. The aim of this study is to stress on the particularity of ovarian dystrophy and the management of the resulting infertility that represents an important rate of medical counselling of women desiring pregnancy.
  
  
  METHODS
  Literature review.
  
  
  RESULTS
  Management consists in two parts: treating hyperinsulinism and stimulating ovulation. The "step up low dose" protocol is now taking the place of the classical "step down" protocol. Ovarian drilling have to be considered in case of resistance to Citrate of Clomifene. The hyperstimulation syndrome is the common complication to avoid by a regular following. The "coasting" represents an interesting alternative in case of an explosive response in order to obtain a controlled follicular failure.
  
  
  CONCLUSIONS
  Clinical management of the PCOS have to be organized in regard to patient's age, history ,desire of pregnancy and medical staff experience.
authors.affiliation: Service de Gynécologie obstétrique, Hôpital Mahmoud El Matri, Ariana.
authors.forename: Mechaal
authors.initials: M
authors.lastname: Mourali
authors.forename: Chiraz
authors.initials: C
authors.lastname: Fkih
authors.forename: Jihène
authors.initials: J
authors.lastname: Essoussi-Chikhaoui
authors.forename: Hassine Amine
authors.initials: HA
authors.lastname: Ben Hadj
authors.forename: Naoufel
authors.initials: N
authors.lastname: Binous
authors.forename: Nabil
authors.initials: N
authors.lastname: Ben Zineb
mesh_terms: D002996:Clomiphene / Q000627:therapeutic use; D005260:Female; D005300:Fertility Agents, Female / Q000627:therapeutic use; D005307:Fertilization in Vitro; D006801:Humans; D006946:Hyperinsulinism / Q000150:complications / Q000628:therapy*; D007247:Infertility, Female / Q000188:drug therapy / Q000209:etiology* / Q000601:surgery / Q000628:therapy*; D010062:Ovulation Induction / Q000379:methods; D011085:Polycystic Ovary Syndrome / Q000150:complications* / Q000188:drug therapy / Q000601:surgery / Q000628:therapy*; D016896:Treatment Outcome
chemical_list: D005300:Fertility Agents, Female; D002996:Clomiphene