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RefHelp ? Instant Access to Referral Guidelines for Lothian
...RefHelp is intended to provide information to Health Professionals only and does not process referrals or have the ability to comment on individual referrals. If you are a patient or relative/carer, please visit NHS Lothian ? NHS Lothian....
https://apps.nhslothian.scot/refhelp/

Polycystic ovary syndrome | Right Decisions
...Women with PCOS and anovulation seeking help with fertility should be referred immediately without the one-year requirement. Referral to General Endocrinology may be more appropriate if the patient has existing diabetes or co-morbid endocrine problems....
https://www.rightdecisions.scot.nhs.uk/borders-ref-help-toolkit/gynaecology/polycystic-ovary-syndrome/

Polycystic ovary syndrome | Health topics A to Z | CKS | NICE
...Referral for an ultrasound scan is required in adult women (unless the diagnosis of PCOS is obvious on clinical and biochemical grounds). An ultrasound scan should not be used for the diagnosis of PCOS in adolescents due to the high incidence of multi-follicular ovaries in this life stage....
https://cks.nice.org.uk/topics/polycystic-ovary-syndrome/

Polycystic ovary syndrome (PCOS) | Right Decisions
...Refer follows initial interventions for weight management, diabetes prevention, smoking cessation and other routine fertility investigations. Refer for advice for specialist investigation and management where there are specific endocrine concerns or underlying disorders....
https://www.rightdecisions.scot.nhs.uk/refhelp-nhs-ayrshire-and-arran/gynaecology/polycystic-ovary-syndrome-pcos/

Fertility and Reproductive Endocrinology ? RefHelp
...People who are concerned about delays in conception should be offered an initial assessment in primary care....
https://apps.nhslothian.scot/refhelp/fertilityreproductive-endocrinology/

Scenario: Management of polycystic ovary syndrome in adults
...Inform the woman about the possible long-term complications of polycystic ovary syndrome (PCOS), including type 2 diabetes and cardiovascular disease (CVD). Encourage a healthy lifestyle and optimal weight management to reduce the risk of complications and help improve the clinical features of PCOS....
https://cks.nice.org.uk/topics/polycystic-ovary-syndrome/management/management-adults/

Use of Metformin for PCOS
...There have been several studies looking at the use of Metformin in women with PCOS and the majority have shown that Metformin can make periods more regular and improve fertility in women with PCOS....
https://www.royalberkshire.nhs.uk/media/lpfcchj0/metformin-for-pcos_jan25.pdf

Polyendocrine metabolic ovarian syndrome (PMOS) - NHS
...Polyendocrine metabolic ovarian syndrome (PMOS) is a hormone condition that can affect hair growth, periods, fertility and mood. There is no cure, but treatments and lifestyle changes can help. PMOS used to be called polycystic ovary syndrome (PCOS)....
https://www.nhs.uk/conditions/polyendocrine-metabolic-ovarian-syndrome-pmos/

COMMUNITY GYNAECOLOGY GUIDELINES ASSESMENT AND DIAGNOSIS OF PCOS
...- Do not diagnose PCOS until > 2 years after menarche and in girls <18 years - both hyperandrogenism and irregular menstrual cycles are required for a diagnosis of PCOS....
https://primarycare.northeastlondon.icb.nhs.uk/wp-content/uploads/2025/01/Pathway-Polycystic-Ovary-Syndrome-10_2024.pdf

The use of metformin in Polycystic Ovaries
...This leaflet will answer some of the questions you may have about the medication (metformin) you have been advised to take to help with your condition of polycystic ovaries (PCOS)....
https://www.gloshospitals.nhs.uk/documents/23564/The_use_of_metformin_in_Polycystic_Ovaries_GHPI0467_04_24.pdf



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