Polycystic Ovarian Syndrome: A Comprehensive Overview | Dr Rakesh Sahay, Endocrinology

Being a highly heterogeneous disorder, management of polycystic ovarian syndrome (PCOS) and its associated comorbidities is akin to walking a tight-rope and the challenges it poses change at different points of time in a woman's lifetime.


We are joined again by Dr Rakesh Sahay, an eminent endocrinologist as he gives us a comprehensive overview of the etiopathogenesis, classification, clinical spectrum, diagnosis and management of PCOS.


00:00 - 01:01 Introduction
01:02 - 1:52 PCOS is a diagnosis of exclusion
01:53 - 02:26 Conditions that mimic PCOS
02:27 - 02:49 Pathophysiological components of PCOS
02:50 - 03:33 Hyperandrogenism
03:34 - 04:21 Menstural Patterns PCOS
04:22 - 04:39 Insulin resistance in PCOS
04:40 - 05:51 Radiological appearance of polycystic ovarian morphology
05:52 - 07:28 Etiopathogenic factors of PCOS
07:29 - 08:35 Influence of lifestyle factors in PCOS
08:36 - 10:49 Diagnosis of PCOS
10:50 - 12:10 Phenotypes of PCOS
12:11 - 12:58 The Venn diagram of PCOS phenotypes
12:59 - 14:46 Diagnostic methodology for PCOS
14:47 - 16:29 Metabolic abnormalities in PCOS
16:30 - 17:00 Iceberg phenomenon of the clinical condition of PCOS
17:01 - 18:13 Expanded range of evaluation for PCOS
18:14 - 19:13 Management outline for PCOS
19:14 - 20:29 Treatment goals for PCOS
20:30 - 21:22 Management options for PCOS
21:23 - 22:15 Lifestyle Modification advice and targets
22:16 - 23:10 Management of Hirsutism
21:11 - 25:20 Role of OCPs in PCOS
25:21 - 28:23 Anti-androgens in PCOS
28:24 - 30:24 Role of insulin sensitizers in PCOS
30:25 - 31:04 Decision making algorithm for hirsutism treatment
31:05 - 31:50 Management in women desiring fertiltiy
31:51 - 32:49 PCOS management is patient-centered
32:50 - 33:40 Conclusion