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Polycystiskt ovariesyndrom (PCOS)

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Definition:
En heterogen sjukdom som karakteriseras av hyperandrogenism, anovulation/oligoovulation och polycystiska ovarier.
Förekomst:
Prevalensen är 6–16 % för kvinnor i fertil ålder.
Symtom:
Oregelbundna menstruationer, oligomenorré eller amenorré. Övervikt, hirsutism, akne och infertilitet kan förekomma.
Kliniska fynd:
Eventuellt övervikt, bukfetma och hirsutism.
Diagnostik:
Transvaginalt ultraljud. Blodprover för testosteron och SHBG, samt prover för att utesluta andra sjukdomar/hormonella störningar.
Behandling:
Behandlingen måste individualiseras efter kvinnans aktuella problem och symtom. 
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  • Barbro Larson, docent och specialist i gynekologi och obstetrik, Stockholm
  • Anna Nager, med dr och specialist i allmänmedicin, Karolinska institutet