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Polycystic Ovary Syndrome Management
A new female patient, C.Y. 32-year-old patient consults your office because she presents hirsutism, clitoral hypertrophy and menstrual dysfunction. She also stated she has gain weight lately. You suspect of Polycystic Ovary Syndrome (PCOS).
- Discuss and described the pathophysiology and symptomology/clinical manifestations of Hyperandrogenism.
- Discuss three differential diagnoses for AUB with ICD 10 numbers for each.
- Discuss patient education.
- Develop the management plan (pharmacological and nonpharmacological).
continue to discuss the 3 topics listed below for your case:
- An effective health assessment incorporates not only physiological parameters; please suggest other parameters that should be considered and included on health assessments to reach maximal health potential on individuals.
- Name the different family developmental stages and give examples of each one.
- Describe family structure and function and the relationship with health care.
Your initial post should be at least 500 words, formatted and cited in current APA initial post is worth 8 points. Sources within 2020-2025
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Polycystic Ovary Syndrome Management
Case Discussion: Polycystic Ovary Syndrome (PCOS) in a 32-year-old Female Patient
Patient Overview: C.Y., a 32-year-old female patient, presents to the clinic with symptoms of hirsutism, clitoral hypertrophy, and menstrual dysfunction. She has also experienced recent weight gain. These symptoms are suggestive of Polycystic Ovary Syndrome (PCOS), a common endocrine disorder among women of reproductive age.
1. Pathophysiology and Clinical Manifestations of Hyperandrogenism:
Pathophysiology of Hyperandrogenism: Hyperandrogenism refers to an excess of androgens (male hormones such as testosterone) in females, leading to the development of symptoms that reflect masculinization. In the case of PCOS, the ovaries and adrenal glands produce an elevated amount of androgens, which is typically driven by insulin resistance. Insulin resistance leads to increased insulin levels, which then stimulate ovarian theca cells to produce more testosterone and other androgens. Elevated testosterone levels contribute to the clinical manifestations of hyperandrogenism.
Clinical Manifestations of Hyperandrogenism:
- Hirsutism: The excessive growth of dark or coarse hair in areas where men typically grow hair, such as the face, chest, and back.
- Clitoral Hypertrophy: An enlargement of the clitoris, which can result from increased testosterone levels.
- Acne and Seborrhea: Increased sebum production and clogged pores due to androgen stimulation of sebaceous glands.
- Alopecia: Thinning of the hair, especially on the scalp (male-pattern baldness).
- Menstrual Dysfunction: Irregular or absent menstrual cycles due to hormonal imbalance.
In this case, C.Y. is presenting with these hallmark features of…