The patient turned to the gynecologist with complaints about poor monthly, infertility for 7 years. Objectively
The patient turned to the gynecologist with complaints about poor monthly, infertility for 7 years. Objectively: BMI 32.2, abdominal obesity, hair on the face, back, around the nipples, on the lower abdomen. Gynecological examination: male-type hair, the uterus is hypoplastic, bilateral enlargement of the ovaries is 5.0 * 5.0 * 4.5 cm. On the basis of hormonal and additional research methods diagnosed with polycystic ovary syndrome, ovarian hyperandrogenism.. Determine the therapeutic tactics of this patient. * 1 point The use of natural estrogens. Purpose of glucocorticoids. Surgical treatment. Combined estrogen-androgen contraceptive (diane-35). The use of natural gestagens.
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