Now in a completely newly revised and expanded second edition, this
comprehensive text presents the current state of the art in our
understanding and management of polycystic ovary syndrome (PCOS),
the most common hormonal disorder of reproductive aged women. The
numerous bothersome symptoms of PCOS include menstrual
irregularities, hirsutism, acne, scalp hair thinning, weigh excess
and infertility; additionally, as they age, women with PCOS are at
a higher risk for metabolic abnormalities such as diabetes and
dyslipidemias, as well as for cardiovascular disease and even
certain cancers. Despite improvements in our understanding of this
condition, the exact cause/s of PCOS remain elusive; genetic,
hormonal, metabolic and environmental underpinnings are all
suggested as relevant. All chapters have been updated, with eight
new chapters added across seven thematic sections. Part one
discusses the epidemiology of PCOS in both adults and adolescents.
Part two covers the pathophysiology of PCOS, including genetics,
the hypothalamo-pituitary-ovarian and the
hypothalamo-pituitary-adrenal axes, insulin resistance,
inflammation, and obesity. The next three sections present the
various management strategies, medical and surgical, for harnessing
the symptomatology, including PCOS-related infertility; these
chapters include added case material to provide real-world examples
of the treatments in action and their efficacy. Part six covers the
comorbidities that women with PCOS commonly encounter, such as
issues of mental health, sleep disturbances, endometrial
hyperplasia, and cancer, as well as examines the economic burden of
PCOS. The final section discusses emerging concepts surrounding
possible mechanisms and potential therapeutic approaches to PCOS,
including angiogenic dysfunction, the role of vitamin D, future
potential therapies to targeted AMH signaling. The closing chapter,
by familiarizing the readers with the intergenerational
implications of PCOS and by raising awareness of potential "ripple
effects", aims at alerting the community on a need for vigilance as
regards the health of PCOS progeny. With contributions from leaders
in the field, Polycystic Ovary Syndrome, Second Edition remains the
gold-standard text on this common medical condition and a valuable
resource for the wide range of healthcare professionals engaged in
caring for the women with PCOS (including but not limited to
reproductive endocrinologists, gynecologists, family physicians,
dermatologists, mental health professionals), for the aspiring
women's health providers of tomorrow, and for the researchers who
are striving to unravel the mysteries of the complex entity that
PCOS is.
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