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Le syndrome des ovaires micropolykystiques : l’avantage d’une prise en charge multidisciplinaire

par Brichant, Géraldine;Potorac, Iulia;Petignot, S.;Tebache, Linda;Pintiaux, Axelle ;Nisolle, Michelle;Beckers, Albert
Référence RMLG. Revue médicale de Liège, 75, 9, page (604-612)
Publication Publié, 2020-09

Article révisé par les pairs

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Résumé :

The polycystic ovary syndrome is one of the most frequent endocrine disorders in women of reproductive age. The first signs and symptoms of the disease may be present as early as puberty. Diagnostic criteria include hyperandrogenism (clinical or biological), ovulatory dysfunction and polycystic ovarian morphology on ultrasound. The consequences of the syndrome are multiple. These consist of fertility issues and metabolic anomalies with increased cardiovascular risk, but also sleep disturbances, increased risk of endometrial hyperplasia and endometrial cancer and a potentially important psychological impact with decreased quality of life. The management of polycystic ovary syndrome is multidisciplinary and treatment is variable, depending on symptoms and the patient's desire for fertility. In all cases, measures aiming to improve the metabolic dysfunction are essential, going from adopting a healthy lifestyle to adequate therapy of each metabolic anomaly.