ABSTRACT Polycystic ovarian syndrome (PCOS) is a multisystem endocrinological disorder that has varied reproductive and clinical presentation. The clinical presentation of PCOS keeps on changing throughout life and it becomes challenging to diagnose it during adolescence and perimenopause/menopausal age groups when all characteristic features may not be present. Therefore, timely diagnosis and appropriate management strategies are necessary to avoid development of complications during pregnancy, improve perinatal outcome for the mother and offspring and also prevent or delay the long-term health sequelae such as diabetes, hypertension, and risk factors for cardiovascular disease.
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