Polycystic Ovary Syndrome

This volume includes the latest diagnostic criteria for PCOS and comprises the most up-to-date information about the genetic features and pathogenesis of PCOS. It critically reviews the methodological approaches and the evidence for various PCOS susceptibility genes. The book also discusses additional familial phenotypes of PCOS and their potential genetic basis. All four editors of this title are extremely prominent in the field of PCOS.

Women’s healthcare regarding polycystic ovarian syndrome remains challenging. Patients often go from one specialist to another trying to fully understand and management the disorder. Women often go years before a diagnosis, seeing three or more doctors before a confirmed diagnosis. Polycystic Ovarian Syndrome: Challenging Issues in the Modern Era of Individualized Medicine brings together multiple medical disciplines to improve the care of women with PCOS. Such a multidisciplinary clinical and scientific approach integrates obstetrics and gynecology, pediatric and medical endocrinology, internal medicine, genetics, psychology and laboratory medicine into relevant translational clinical and scientific discussions that update both the scientific understanding of PCOS and the diagnosis and management of all aspects of the syndrome. The impact of PCO on the onset of puberty is subdivided in sub sections to get a better understanding of this condition and the management at different stages in a woman’s life. Represents an unparalleled compilation of chapters from experts in the field relevant to contemporary polycystic ovarian syndrome Covers aspects such as obesity, metabolic changes, and emotional changes associated with PCOS Highlights contemporary management and the current understanding of this unique syndrome with a comprehensive and fresh approach

Now in a completely newly revised and expanded second edition, this comprehensive text presents the current state of the art in our understanding and management of polycystic ovary syndrome (PCOS), the most common hormonal disorder of reproductive aged women. The numerous bothersome symptoms of PCOS include menstrual irregularities, hirsutism, acne, scalp hair thinning, weigh excess and infertility; additionally, as they age, women with PCOS are at a higher risk for metabolic abnormalities such as diabetes and dyslipidemias, as well as for cardiovascular disease and even certain cancers. Despite improvements in our understanding of this condition, the exact cause/s of PCOS remain elusive; genetic, hormonal, metabolic and environmental underpinnings are all suggested as relevant. All chapters have been updated, with eight new chapters added across seven thematic sections. Part one discusses the epidemiology of PCOS in both adults and adolescents. Part two covers the pathophysiology of PCOS, including genetics, the hypothalamo-pituitary-ovarian and the hypothalamo-pituitary-adrenal axes, insulin resistance, inflammation, and obesity. The next three sections present the various management strategies, medical and surgical, for harnessing the symptomatology, including PCOS-related infertility; these chapters include added case material to provide real-world examples of the treatments in action and their efficacy. Part six covers the comorbidities that women with PCOS commonly encounter, such as issues of mental health, sleep disturbances, endometrial hyperplasia, and cancer, as well as examines the economic burden of PCOS. The final section discusses emerging concepts surrounding possible mechanisms and potential therapeutic approaches to PCOS, including angiogenic dysfunction, the role of vitamin D, future potential therapies to targeted AMH signaling. The closing chapter, by familiarizing the readers with the intergenerational implications of PCOS and by raising awareness of potential “ripple effects”, aims at alerting the community on a need for vigilance as regards the health of PCOS progeny. With contributions from leaders in the field, Polycystic Ovary Syndrome, Second Edition remains the gold-standard text on this common medical condition and a valuable resource for the wide range of healthcare professionals engaged in caring for the women with PCOS (including but not limited to reproductive endocrinologists, gynecologists, family physicians, dermatologists, mental health professionals), for the aspiring women's health providers of tomorrow, and for the researchers who are striving to unravel the mysteries of the complex entity that PCOS is.

New York Times bestselling author Dr. Jason Fung joins forces with naturopathic doctor Nadia Pateguana to offer methods to prevent and reverse PCOS through diet and intermittent fasting. Polycystic Ovary Syndrome (PCOS) is the most common reproductive disorder in the world, affecting an estimated eight to 20 percent of women of reproductive age, almost half of whom are unable to conceive. PCOS is also associated with increased risks of heart disease, ovarian and endometrial cancers, and type 2 diabetes. In this clearly written guide, backed by science and personal experience, Drs. Jason Fung and Nadia Brito Pateguana show: How to prevent and reverse PCOS with a low-carb, ketogenic diet and intermittent fasting. How the root cause of PCOS is excess insulin—and how to get rid of it. 50 recipes and a variety of meal plans for putting new knowledge into (delicious) practice.

Diagnosis and Management of Polycystic Ovary Syndrome is a comprehensive clinical reference work for primary care physicians, internists, general endocrinologists, obstetricians, gynecologists and students. PCOS is a common but frequently misdiagnosed disease. Many symptoms can be alleviated by early intervention and effective management. Prominent endocrinologists are gathered to detail current research and treatment in this metabolic disorder, affecting a growing population. The chapters are comprehensive, providing cutting edge knowledge on pathogenesis, manifestations, diagnosis and treatment of PCOS. Each chapter will be concise concluding with cogent practice points. The variety of medical issues presenting in PCOS patients result in late referrals or in- appropriate advice. This title will be a tool in a further understanding of the metabolic and genetic basis of PCOS, while providing management strategies.

This handbook provides practical, evidence-based guidance on the care of adolescents, reproductive age females, and males. It follows chronological age up to the menopause, covering areas such as the reproductive system, puberty, the menstrual cycle, contraceptive methods, and infertility.

Hyperandrogenism profoundly affects women’s lives from lowering self-esteem to changing cognition and affective motivation. The polycystic ovary syndrome (PCOS) is the most common androgen excess disorder worldwide. While it is not the focus of this book, some aspects are discussed. The aim of this book is to improve understanding of androgen excess and its impact on several conditions. Topics include development of adipose tissue in females, insulin sensitivity, congenital adrenal hyperplasia, and Cushing’s disease/syndrome. There is also a discussion of PCOS with emphasis on in utero origins and specific genetic and epigenetic factors. This book provides a wealth of relevant information for every endocrinologist and gynecologist who wants to broaden their knowledge of androgens in various conditions.

Polycystic ovary syndrome (PCOS) is a metabolic disorder that is common among women of reproductive age. Diet and lifestyle changes have been shown to balance hormones and promote better overall health. Although dietary changes have been proven to be effective, they can often seem too restrictive, resulting in women finding it difficult to sustain the diet or finding their health further diminished because their diet falls out of balance, and cutting out certain foods or food groups has caused them to become deficient in key nutrients. In her new book, A Balanced Approach to PCOS, Melissa Groves Azzaro, RDN, LD, an award-winning integrative registered dietitian, offers women a new approach to treating PCOS that is sustainable, all-inclusive, and provides proven results. Melissa’s approach is straightforward and sensible—perfectly balanced, nutrient-dense meals that are designed to address the root causes of PCOS. Each meal features a perfect ratio of protein, fat, and fiber that will help improve symptoms without feelings of deprivation. Melissa’s recipes are customizable and target the primary factors contributing to PCOS: insulin resistance, inflammation, and hormone and gut imbalances. A Balanced Approach to PCOS includes: • A guide to identifying and understanding the symptoms of PCOS • An explanation of each food group and how it helps alleviate the symptoms of PCOS • 16 weeks of meal prep recipes for breakfast, lunch, and dinner for busy women • Bonus smoothie, snack, and dessert recipes • Time-saving tips, shopping lists, and more! Melissa is for all women looking for a long-term plan to manage PCOS. She is a thought-leader and nutrition expert who has already helped hundreds of women improve their symptoms without spending hours in the kitchen or sacrificing the foods they love.