Abstract

Dr. Abiha A. Khan*, Dr. Wajeeha Begum and Dr. Suboohi Mustafa

ABSTRACT

This review paper revisited the times when clinical presentation was the only means to diagnose the disease. Eminent scholars from centuries have given similar description of the disease. Since the advent of ultrasound & biochemical assays, numerous parameters have been proposed to define polycystic ovaries. This has helped the definition to evolve from masculine features, amenorrhea and infertility to hormonal imbalance and grave metabolic derangements. Currently, polycystic ovarian syndrome is described as a heterogenous condition with features of menstrual cycle disturbance, hyper-androgenism, obesity and insulin resistance. With the recent advances in the discovery of pathology approach to the management is also changing. From the use of ovarian wedge resection to ovarian drilling and insulin sensitizing agents, the clinicians are trying to overcome this enigma. However, the disease is a constant dilemma. Further, researches in the alternative system of medicine are also increasing and have proved fruitful in managing the syndrome. The details are discussed in the paper.