PCOS is the most common endocrine disease affecting women. There are multiple changes that occur within the body due to PCOS. PCOS causes an increase of LH, resulting in hyperandrogenism; in PCOS FSH is decreased. The body changes that occur in females with PCOS are moon face, obesity, hirsutism, male pattern baldness, and acne. The practitioner can address these issues by screening suspected PCOS patients for diabetess, hyperlipidemia, and a glucose tolerance test. According to Durant, Leslie, and Critch (2009), weight loss is the number one recommendation for PCOS and has proven to significantly increase the likelihood of getting pregnant for those who are concerned with fertility. The nurse practitioner can counsel the patient about lifestyle modifications such as dieting and exercising. The NP can refer the patient for behavioral therapy to help her make the necessary lifestyle changes to help combat PCOS.
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How does the nurse practitioner manage these complications?
The risk associated with PCOS are infertility, obesity, diabetes, and hyperlipidemia. The nurse practitioner is well positioned to manage these conditions beside the infertility. The infertility can be resolved with use of depo Provera and metformin which can be prescribed a NP (Neinstein,