Polycystic ovarian syndrome (PCOS) is the one of the most common causes of anovulation in reproductive age women. Due to the complexity and different phenotypes of PCOS, diagnosis and treatment modalities may be delayed. In addition, PCOS has been associated with higher rates of recurrent pregnancy loss, gestational diabetes and associated with the development of metabolic syndrome. In addition to the known role of insulin resistance, increasing data has reported an association with inflammatory markers that affect negatively affect pregnancy and long term health. The lecture will address diagnosis and treatment for PCOS patients. Discuss the role of insulin resistance and inflammation on ovulation, implantation, recurrent pregnancy loss and development of metabolic syndrome
Learning Objectives:
- Describe the clinical features of PCOS and eliciting a pertinent history.
- Interpretation of selected test to confirm the diagnosis of PCOS.
- Review medical treatment as well as alternative therapies for PCOS.
- Discuss long term follow up to decrease the risk of cancer, cardiovascular disease and metabolic syndrome.
Dr. Debra A. Minjarez joined the Colorado Center for Reproductive Medicine in 2001 and she is a Board Certified Reproductive Endocrinologist. She received her medical training at Stanford University and completed her residency at the University of Colorado Health Sciences Center in 1997. She then completed a fellowship in reproductive endocrinology and infertility at the University of Texas Southwestern Medical Center in Dallas. As a fellow, she received the prestigious ACOG Ortho-McNeil Award for her research in several areas of reproductive medicine. From 1997 to 2000 she also held a faculty appointment as Assistant Clinical Professor in the Department of Obstetrics and Gynecology at Southwestern Medical Center. Dr. Minjarez has lectured extensively and coauthored several chapters on various gynecology topics. In addition to her interest in infertility, Dr. Minjarez focuses on the management of patients with polycystic ovarian syndrome, pediatric and adolescent gynecology and congenital abnormalities of the genital tract. Dr. Minjarez is bilingual in Spanish and welcomes the opportunity to assist Spanish-speaking couples. Dr. Minjarez is the perfect choice for women who prefer a female for their reproductive care.