Polycystic Ovary Syndrome (PCOS) and Fertility

Abstract

The polycystic ovary syndrome (PCOS) is defined as a combination of hyperandrogenism (hirsut-ism and acne) and anovulation (oligomenorrhea, infertility, and dysfunctional uterine bleeding), with or without the presence of polycystic ovaries on ultrasound. It represents the main endocrine disorder in the reproductive age, affecting 6% -15% of women in menacme. It is the most common cause of infertility due to anovulation, and the main source of female infertility. When in the pre-sence of a menstrual disorder, the diagnosis of PCOS is reached in 30% -40% of patients with pri-mary or secondary amenorrhoea and in 80% of patients with oligomenorrhea. PCOS should be di-agnosed and treated early in adolescence due to reproductive, metabolic and oncological compli-cations which may be associated with it. Treatment options include drugs, diet and lifestyle im-provement.