🟢PCOS & Hirsutism
1-Hirsutism affecting the face
2-
*Signs of hyperandrogenism
(( Increased muscle mass ,Cliteromegaly ,
Temporal baldness,
Voice deepning ))
*Obesity
*DUB
*2ryamenorrhea ,
oligoamenorrhea
*Infertility
3-
(Hormonal assays ):
*plasma T-level
*Free T-level
*DHAS :for adrenal tumor
(Raiological investigations ):
*CT or MRI
*IVP and abdominal U/S for adrenal tumor
*Pelvic U/S for PCO and visualizing ovarian tumors
4-
■Elimination of specific causes by removed of :
* Androgen secreting tumor
*Drugs suspected
*treatment of Cushing syndrome ,thyroid disease or Hyperprlolactinaemia .
■Androgen receptor blockers
■Suppression of androgen synthesis by :
*Oral contraceptive pills
*Corticosteroids
*Spironolactone
*cypretoron acetate
■Hair removal techniques
5- D.D of hirsutism :
*Congenital adrenal hyperplasia
*Androgen secreting ovarian tumors
*Androgen secreting adrenal tumors
*Cushing syndrome
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