POLYCYSTIC OVARIAN SYNDROME (PCOS) – A CLINICAL CASE REVIEW

*Dr. Muhammad Iqbal and Dr. Adeel Saleem

ABSTRACT

Polycystic Ovarian Syndrome (PCOS) is a common lifelong metabolic condition with serious associated comorbidities. PCOS is a multisystem disorder that can affect the course of a woman’s life and is associated with considerable distress. This is a common metabolic-endocrine condition which affects woman after puberty. Mental health problems, like depression, anxiety, type 2 diabetes mellitus, subfertility, hirsutism, acne and cardiovascular disease may be associated with PCOS. Polycystic ovarian syndrome at times is mistaken for other diagnoses like Gastroesophageal reflux disease or Irritable bowel syndrome. Sometimes, the patient has a mis-conception that they can never be pregnant. I came across this lady with a diagnosis of PCOS. She was actually pregnant but she did not know as she and her husband were of the opinion that due to her PCOS she is unable to conceive. This was an interesting case. The woman's agenda was to get some medication for a possible IBS and reflux but the issue was something else. I would say that thorough history, examination and lateral thinking is the key to correct diagnosis and appropriate management for the patient.

Keywords: PCOS-Polycystic Ovarian Syndrome. IBS- Irritable Bowel Syndrome HCG- Human Chorionic Gonadotrophin.