多囊卵巢综合症ppt课件 ppt课件
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Long Term Effects: Infertility
Many women experience infertility while
having PCOS.
Many will have to go to an fertility doctor
to conceive.
To conceive women with PCOS have to
Polycystic Ovary Syndrome
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Introduction
PCOS is the abbreviation polycystic ovary
syndrome
PCOS is a multifactorial pathogenisis and
clinical manifestation in women
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Other Symptoms
Acanthosis Nigricans This condition causes light
brown to black rough patches around the neck and under arms.
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Other Symptoms
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Treatment
If pregnancy is not desired
To reduce the risk of endometrial cancer cyclical progesterone (MPA) insulin-lowering agents (MET) anti-androgens.
Migraines Severe headaches that cause light
sensitivity, nausea and dizziness.
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Diagnosis
BBT (basal body temperature) B ultrasound:
multiple small ovarian cysts enlarged ovary Endometrium biopsy before menses reveal to proliferative glands Determination of LH,FSH,E2,P,T,PRL,Ins, (LH:FSH≧3:1) Laparoscopy
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TCM for PCOS awareness
肾虚 Kidney deficiency 气滞血瘀 Qi stagnation and blood stasis 痰湿 Phlegm 肝经郁火 Liver heat
extended period of time may cause excessive thickening of the endometrium
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Pathology
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Symptoms
Irregular or Lack of Menses
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Symptoms
Hirsutism
PCOS is an endocrine dysfunction,
specifically abnormal androgen and metabolism.
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Etiology & Pathopysiology
1.Abnormal gonadotropin secretion
2.Hypersecretion of androgens
with PCOS are at a higher risk for metabolic cardiovascular disease.
Both diseases are characterized by insulin
resistance, high blood pressure, and obesity.
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Treatment
If pregnancy is desired ---- cause ovulation
anti-estrogens(CC) Gonadotropins(Gn)
insulin-lowering agents( MET)
anti-androgens gonadotropin releasing hormone agonists (GnRHa)
Disrupts follicle maturation
3.Insulin resistance, Elevated insulin levels
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Pathology
Ovaries: enlarged and/or polycystic ovaries
endometrium: Lack of ovulation for an
skin oils and blocked pores and more acne around the jawline, arms and chest.
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Symptoms
Alopecia Thinning or loss of
hair is usually contained to top of the scalp, but others loss of hair in front or on the hairline has been documented.
learn to monitor ovulation by taking their
Basal Body Temperature (BBT) and
examining cervical mucus.
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Long Term Effects: Heart Disease
There is new evidence that finds women
Excessive body hair. Coarse hair appear on the
face, neck, chest, arms, and in between the legs.
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Symptoms
morbid obesity.
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来自百度文库
Symptoms
Acne More androgen caused