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Polycystic ovary syndrome - Management
How should I manage cardiovascular risk factors?
- Explain that women with polycystic ovary syndrome (PCOS) appear to have more risk factors for, and may be at a higher risk of, cardiovascular disease compared with women of a similar weight who do not have PCOS.
- These risk factors include obesity, hyperandrogenism, hyperlipidaemia, and hyperinsulinaemia.
- Despite this apparent increased risk, mortality and morbidity from cardiovascular disease is not as high as would be expected, although the incidence of stroke is slightly increased.
- Screen regularly for cardiovascular risk factors.
- Calculate the cardiovascular risk score.
- For more information, see the CKS topic on CVD risk assessment and management.
- Of note, conventional cardiovascular risk calculators have not been validated in women with PCOS.
- Advise measures to reduce cardiovascular risk, including:
- Weight loss, if the woman is overweight or obese.
- Diet.
- Exercise.
- Refer for specialist advice if glucose intolerance is present or if dyslipidaemia requires treatment.
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