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1、Polycysticovariansyndrome吉林市中心医院妇产科安晓汾JilinCentralHospitalobstetricsandGynecologyCasestudy _clinicaldialogueCasesummaryA23-year-oldmorbidlyobese,gravida0,whopresentedtothegynecologyofficeforevaluationofirregularmensessincemenarche.Thepatientstatedthatonaverage,shehas1periodevery5-6months.Whenshe
2、isonherperiod,shebleedsveryheavily,passinglargeclotswithalotofabdominalcramping.Shealsocomplainedaboutexcessivefacialhair,whichrequireshertoshaveatleastonceseveraldays,andalotofhaironherabdomenanarmsaswell.Shedeniedanychangeinhervoiceorincreaseinthesizeofhermuscles.Shehasbeenmorbidlyobesesincesh
3、ewasayoungteenager.Shedeniedanyheadaches,blurredvision,ordischargesfromhernipples.Shealsodeniedanyhyper-orhypothyroidismsymptoms.Shehasneverhadanysurgeryinthepast.Shewasunabletoconceivedespiteoneyearofactivelytrying.Sheisnotcurrentlytakinganymedicationandhasneverusedanyformofcontraception.Medica
4、lhistory1.Hello,MissWang,Nicetomeetyou.HowcanIhelpyoutoday?--Ihaven’thadmyperiodover6monthsandIknowIamnotpregnant,Ijusttookapregnancytestanditwasnegative.2.Haveyoubeentryingtoconceiveandhowlong？--Yes,aboutoneyear.3.Canyoutellmealittlemoreaboutyourperiods?--MyperiodhasbeenirregularsinceIfirstgoti
5、t.Onaverage,Ihave1periodevery5-6months.Whenitdoescome,itflowsveryheavily,passinglargeclots,andhavingalotofcrampingaswell.4.Normally,howmanydaysdoyourperiodslast?----About6-7days.5.Doyouhaveanyothermedicalconditionssuchasdiabetesandhighbloodpressure?----No,butmymotherdoeshavediabetes6.Haveyounoti
6、cedexcessivehairgrowthanywhereonyourbody?---Yes,onmyface,arm,andmybelly.7.Doyoushave?----Yes,Ihavetoshaveatleastonceeveryseveraldays.8.Haveyounoticedanychangesonyourvoiceorexcessivehairloss??----Idong’tthinkso.9.Haveyouanyproblemswithyourthyroidgland?----NotthatIknowof.10.Haveyoueverexperienceds
7、omethinglikedryskinfatigue,moodswingsoranydepression?---No,notreally11.whataboutheadaches,visionchange,ordischargefromyournipples?--no.12.Well,let’stalkalittlebitaboutyourweightchangeovertime?----Ihavebeenoverweightformostof
