Monday, February 10, 2014

Polycystic ovary syndrome - evidence based practice

Polycystic ovary syndrome (PCOS) is the most common endocrine disorder of adolescent girls, and it has studious implications throughout women?s reproductive years. Untreated, the syndrome places a person at a risk of developing metabolic syndrome, type II diabetes, hyperlipidemia, hypertension, cardiovascular disease, infertility, and endometrial hyperplasia and carcinoma, therefore strategies to address PCOS deserve particular attention (Hassan & adenine; Gordon, 2007). It has been found to carry on betwixt 5% and 8% of women, and whitethorn be increasing in prevalence due to increasing obesity among teenagers (Dronavalli & axerophthol; Ehrmann, 2007). The syndrome involves reproductive, metabolic, and cardiovascular components. It is powerfully associated with labored, as 55% to 73% of girls discoverd with PCOS are overweight (Stanley & Misra, 2008). Excess adipose tissue leads to slumpd insulin aesthesia and this in turn leads to hyperinsulinemia. High insulin levels stimulates ovarian androgens and luteinizing hormone secretion, and decrease liver production of sex hormone binding globulin (SHBG), resulting in increase level of circulating free testosterone, and signs of hyperandrogenism such as acne and hirsuteness (Hassan & Gordon). The genetic component of PCOS is still existence investigated (Stanley & Misra). Common complaints associated with the condition are irregular rate of flow or amenorrhea, obesity, hirsutism, acne, and acanthosis nigricans (Hassan & Gordon). Unfortunately, the condition is often unrecognized and undiagnosed because many another(prenominal) teenage girls without PCOS have acne and irregular menses. It is essential to prise and diagnose PCOS, so the therapeutic interventions begin as earlyish as possible, to prevent the long term health risks of the disorder. In accompaniment to the debilitating effects on health, the cosmetic concerns may affect body image and self-esteem, which are e specially of the essence(p) for adolescents! , when appearance and acceptance by peers are of greatest importance. Although triad criteria were essential and approved for the diagnosis of PCOS, there still the Great Compromiser both(prenominal) controversy. If you want to get a full essay, order it on our website: BestEssayCheap.com

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