Afternoon Symposium - Indian Society for Assisted Reproduction - PCOS: A Comprehensive Review

Date:October 22, 2012

Time:4:15 pm - 6:15 pm

Location:Room 3 - San Diego Convention Center

Presenters

Dhiraj B. Gada, M.D. (Chair), Indian Society for Assisted Reproduction

Narendra A. Malhotra, M.D., Malhotra Hospitals

Mandakini Parihar, M.D., Mangal Anand Hospital

Manish R. Banker, M.D., Nova Pulse IVF Clinics

PCOS: A Comprehensive Review

Needs Assessment and Description
Polycystic ovary syndrome (PCOS) is the most common endocrinopathy in women, with the prevalence ranging between 4.7-6.8%. These women present to the gynecologist with complaints ranging from menstrual disturbances in adolescents to anovulation, subfertility and risk of ovarian hyperstimulation during assisted reproduction, as well as with clinical features of hyperandrogenism and early pregnancy loss. This live course will focus on the entire spectrum of challenges faced by clinicians in managing this extremely common problem with such diverse clinical features.

Learning Objectives
At the conclusion of this session, participants should be able to: 

  1. Assess and appropriately manage the problems faced by adolescent girls with PCOS. 
  2. Formulate recommendations for ovulation induction in PCOS and for improving success rates of assisted reproductive technologies, bearing in mind the risk of ovarian hyperstimulation syndrome and multiple pregnancies.

ACGME Competency
Patient Care

TEST QUESTION:
After participating in this session, in my practice I will do the following: 

  1. Induce ovulation in adolescents who have oligoamenorrhea. 
  2. Use 1 mg finasteride to effectively treat hyperandrogenism. 
  3. Consider clomiphene citrate as the first line of treatment for induction of ovulation in women with PCOS. 
  4. Use step-down protocol for monofollicular development. 
  5. Convert all cycles to in vitro fertilization in clomipheneresistant PCOS, if induction is essential with gonadotropins. 
  6. Not applicable to my area of practice.

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