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Revista de Obstetricia y Ginecología de Venezuela
versión impresa ISSN 0048-7732
Resumen
MEJIAS QUINTERO, Mileidy Egleet. Síndrome de ovario poliquístico e infertilidad: Opciones de tratamiento. Rev Obstet Ginecol Venez [online]. 2015, vol.75, n.4, pp.269-279. ISSN 0048-7732.
Polycystic ovary syndrome is the endocrine disorder - metabolic more common in women of reproductive age. It is frequent observe the presence of insulin resistance and hyperinsulinemia. It is also associated with a complex genetic trait, where multiple genetic variants and environmental factors interact to promote the development of the disease. Usually cause infertility due to the menstrual and ovulatory dysfunction. For its diagnosis is often used the Rotterdam 2003 criteria and for its treatment is initially recommended weight loss because it leads to the restoration of the normal ovulatory cycles and improves insulin resistance, hyperandrogenism and pregnancy rates. The pharmacological treatment starts with the combination of metformin and clomiphene citrate and if this combination is not successful the second-line treatment includes the administration of gonadotropins followed by in vitro fertilization.
Palabras clave : Polycystic ovary síndrome; Treatment.