Polycystic Ovary Syndrome (PCOS)

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Discuss the risks or complications associated with PCOS. How does the nurse practitioner manage these complications?
According to Polycystic Ovary Syndrome Foundation (2015), Polycystic Ovary Syndrome (PCOS) or Stein-Geventhal Syndrome is one of the most common hormonal endocrine disorders in women and known as a “silent killer.” Risks and complications associated with PCOS are the following increased risk for developing several medical risks such as insulin resistance, type 2 diabetes, high cholesterol, high blood pressure, and heart disease (Women’s Health, 2015). Since PCOS affects all areas of the body, not just the reproductive system, it increases a woman’s risk of serious conditions that may have lifelong consequences. Women with …show more content…
“Weight loss decreases metabolic complications associated with PCOS and decreases the risk of developing diabetes mellitus in later life” (Durant et al., 2009). Thus, NPs can refer patients to a registered dietitian for nutrition counseling and education. Durant et al. (2009) state that there are three components to achieving behavioral changes necessary to meet physical activity goals: “(1) overcoming barriers to physical activity, (2) taking the time necessary for the activity and (3) sticking with the activity over a sustained period of time.” In theory, these three tactics can assist individuals to successfully eliminate self-limiting feelings then learn to look at situations sensibly and productively. Medication management of PCOS includes metformin 1500 mg PO daily to control insulin levels, spirolactone to control hirsutism and acne, and phentermine for weight loss. A holistic approach includes caloric intake timing such as lowering insulin, eating majority of calories for breakfast, and consuming 980-calorie breakfast, a 640-calorie lunch, and a 190-calorie dinner (6 Natural, 2014). Decrease advanced glycation end products (AGEs) in the bloodstream such as animal-derived food, processed foods, and grilling, searing, and roasting foods can increase the risk of PCOS (6 Natural, 2014). Supplements should be added such as calcium 1,000 mg PO daily, Vitamin D 100,000 IU PO daily, magnesium 300 mg PO daily, chromium picolinate 200 mcg PO daily, and Omega-3 3 Grams PO daily (6 Natural, 2014). Lastly, PCOS requires lifestyle
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