Polycystic Ovary SyndromePCOS

PCOS Polycystic Ovary SyndromePCOD Polycystic Ovarian Disease Polycystic Ovarian Disorder1845Chereau 1904Frindley 1935Stein-Leventhal

SL

--LHFSH E1>E2

25%50%90%100%T4A DHADHAS25%50%50% 1

2 E1 95 E1 < E2 E2 E1 E1 > E2

FSH, LHLH/FSH > 2.5

--SHBG

P45017

PCOS

GoldzieherBalenGarmina107917412401925119.21612.3-476480.89-2.742.61229.7154.36966.27037.0-34.711.247.94138.443.736.46-2.52.117.18

Ferriman Gallway

( )(kg)(cm)-100(kg)= (cm)-105

Body Mass Index

Waist hip ratio (WHR)

> 0.85

0.75

WHR0.75E1>0.85T

20 >20 20

,

PCOS TDHEAS SHBG E2/E12.5-3 PRL IAUC

BBT

()

2003 / 29mm1210mm 32 PCOS

1

21171717 ACTH 11 CAH

DHEA2mg qid2

2 LH

3 PRL DHEA 5aE DHEA

PCOS

900~1200kcal C50%P20%F30% 960kcal/h 750kcal/h 360kcal/h 300kcal/h 90kcal/h 5-10%,40-55%

10mg qd10d

1 0.5mg /qd 5mg/d23

-35 LH T DHEA-S T +SHBG 5-

:5001500mg /d

300mg qd

HMG CC HCGLHCC

FSH

12.3/ 77.5% 61.2% 51.2% 25.0% 9.4%IVF-ET

PCOS

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