Polycystic Ovary Syndrome

In this episode, Ruveena Kaur discusses Polycystic Ovary Syndrome (PCOS), covering its diagnosis, metabolic and reproductive health impacts, and long-term management. It highlights weight stigma, eating disorders, effective treatments, and the importance of inclusive, evidence-based care.

Topics

Intro.
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Prevalence and risk factors.
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Diagnosing PCOS
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Additional testing.
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Conditions that mimic PCOS
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Key tests to rule out other disorders.
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Long term management
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Anovulatory Cycles & Irregular Periods.
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Hyperandrogenism, Diagnosis & Management.
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Weight Gain & PCOS.
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Recognizing and addressing disordered eating.
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Monitoring for PCOS-Related Comorbidities.
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Role of Metformin in management.
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Considerations for pregnancy.
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Additional resources.
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Take-home messages.
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Take home messages

The 2023 International PCOS guidelines focus on a lifespan approach.
Use the Rotterdam criteria when diagnosing.
For adolescents, the use of ultrasound within 8 years of menarche is not recommended.
Remember to be vigilant for endometrial hyperplasia in the patient presenting with oligomenorrhea.
The risk of endometrial hyperplasia progressing to endometrial cancer is increased if patient has other risk factors.
A healthy lifestyle is key to management.

Presenter

Ruveena Kaur

Endocrinologist

Ruveena is an Endocrinologist, dually-specialised in Obstetric Medicine. Ruveena completed her MBChB at The University of Auckland and won awards for her research in Endocrinology and Diabetes during her specialist training. She worked overseas in Queensland, Australia as a Consultant Endocrinologist and Obstetric Physician. She now works part-time as a Consultant with the Endocrinology Department at Auckland City Hospital, and also as an Obstetric Physician at National Women’s Hospital. Ruveena has special interests in reproductive endocrinology, general endocrinology (thyroid, metabolic bone disease, pituitary, adrenal) and obstetric medicine. Ruveena is passionate about caring for her patients, knowing their stories, and helping them to achieve the best outcome on their medical journeys.