Tuesday, 24 January 2012

PCOS

Evidence Based Reports

Statins for women with polycystic ovary syndrome not actively trying to conceive (2011)[Cochrane]NEW

Acupuncture for polycystic ovarian syndrome (2011)[Cochrane]NEW

In vitro maturation in subfertile women with polycystic ovarian syndrome undergoing assisted reproduction (2011)[Cochrane]NEW

Chinese herbal medicine for subfertile women with polycystic ovarian syndrome (2010)[Cochrane]

PCOS (2009)[Clinical Evidence]

Metformin treatment before and during IVF or ICSI in women with polycystic ovary syndrome (2009)[Cochrane]

Clomiphene citrate, metformin or both as first-step approach in treating anovulatory infertility in patients with polycystic ovary syndrome (PCOS): a systematic review of head-to-head randomized controlled studies and meta-analysis (2009)[DARE]

Effect of preconceptional metformin on abortion risk in polycystic ovary syndrome: a systematic review and meta-analysis of randomized controlled trials (2009)[DARE]

In vitro maturation in sub fertile women with polycystic ovarian syndrome undergoing assisted reproduction (2009)[Cochrane]

Aromatase inhibitors for infertility in polycystic ovary syndrome: the beginning or the end of a new era? (2009)[DARE]

The effects of Diane-35 and metformin in treatment of polycystic ovary syndrome: an updated systematic review (2008)[DARE]

Long versus short course treatment with Metformin and Clomiphene Citrate for ovulation induction in women with PCOS (2008)[Cochrane]


Clinical Guidelines

Polycystic ovary syndrome (PCOS) - suspected (2011)[Map of Medicine]updated

Polycystic ovary syndrome (2009)[CKS]

Metformin therapy for the management of infertility in women with polycystic ovary syndrome (2008)[RCOG]


Recent articles in core journals

Risk of adverse pregnancy outcomes in women with polycystic ovary syndrome: population based cohort study.(2011)[BMJ]NEW

Pregnancy outcomes in women with polycystic ovary syndrome: a metaanalysis.(2011)[EvidenceUpdates]NEW

Laparoscopic ovarian diathermy vs clomiphene citrate plus metformin as second-line strategy for infertile anovulatory patients with polycystic ovary syndrome: a randomized controlled trial (2010)[EvidenceUpdates]

Use of Metformin in Polycystic Ovary Syndrome: A Meta-Analysis (2008)[EvidenceUpdates]


eTextbooks

Polycystic Ovarian Syndrome (2011)[eMedicine]updated

polycystic ovary syndrome (2010)[GPnotebook]

Polycystic Ovarian Syndrome (2010)[Mentor]


Clinical Queries

Do any of the newer diabetic drugs [gliptins etc] have a role in weight reduction in PCOS? Is there any experience of use and are they licensed? (2011)[ATTRACT]NEW

should we continue to moniter lipids/glucose in a woman with PCOS who has had TAH/BSO (2011)[ATTRACT]NEW

Can a woman with polycystic ovarian syndrome and has a liver haemangioma use a combined oral contraceptive (COC)?(2011)[FSRH]NEW

Is there any risk of endometrial cancer associated with use of the desogestrel only pill (Cerazette®) in women with polycystic ovary syndrome who have oligo- or amenorrhoea? (2010)[FSRH]

Is there any evidence that a levonorgestrel-releasing intrauterine system (LNG-IUS) would cause exacerbation of ovarian cysts in a woman with polycystic ovary syndrome (PCOS) and symptomatic ovarian cysts? (2009)[FSRH]

Can women with Polycystic Ovary Syndrome (PCOS) use the etonogestrel implant (Implanon®)? (2009)[FSRH]

How effective is metformin compared to the oral contraceptive pill and thiazolidinediones (glitazones) in women with polycystic ovary syndrome? (2009)[NeLM]

What effect does metformin have on obesity and the cardiovascular problems seen in women with polycystic ovary syndrome? (2009)[NeLM]

What effect does metformin have on hirsutism and acne in women with polycystic ovary syndrome? (2009)[NeLM]

What effect does metformin have on early pregnancy loss in women with polycystic ovary syndrome? (2009)[NeLM]

What effect does metformin have on anovulation, pregnancy and live birth rates in women with polycystic ovary syndrome? (2009)[NeLM]

Should a patient with Polycystic Ovarian Syndrome who wishes to use an intrauterine method use an levnorgestrel releasing intrauterine system rather than a copper bearing intrauterine device in view of its endometrial protective effect?(2009)[FSRH]

What are the contraceptive options for a 23 year old with polycystic ovarian syndrome and a body mass index (BMI) of 56? (2009)[FSRH]


Patient Information

Polycystic ovary syndrome (2011)[NHS Choices]updated

Polycystic ovary syndrome (PCOS0 (2011)[BUPA]updated


Polycystic Ovary Syndrome (2010)[PatientUK]


Important

1. If you are a Welsh Primary Care Professional with a clinical query send it to ATTRACT online or email us at questions@attract.wales.nhs.uk or call 01495 332343.
2. If you would like to comment on this CME topic, or suggest a new topic for ATTRACTcme, go to the comments hyperlink below.

0 comments: