TY - JOUR
T1 - Polycystic ovary syndrome, hyperandrogenism, and insulin resistance
AU - Zacur, H. A.
PY - 2001
Y1 - 2001
N2 - Results from recent basic and clinical research investigations havegreatly improved our understanding of insulin resistance in general and insulin resistance associated with PCOS in particular. With this understanding has come the possibility of using new methods to treat PCOS. This is particularly true when discussing the use of insulin-sensitizing drugs. Caution must be exercised in using these drugs because of unforseen acute or remote adverse side effects. Postulated relationships among PCOS, hyperandrogenism, and insulin resistance do not completely solve the endocrinologic mystery of the patient with PCOS. For example, how does the partial destruction of the ovary (e.g., wedge biopsy or ovary drilling by laser or cautery), which does not affect insulin resistance,28 result in ovulatory cycles? Why does the administration of excessive exogenous insulin in the case of the insulin-dependent diabetic fail to cause hyperandrogenism? Certainly, much remains to be learned about the reproductive endocrine disturbance we now call PCOS.
AB - Results from recent basic and clinical research investigations havegreatly improved our understanding of insulin resistance in general and insulin resistance associated with PCOS in particular. With this understanding has come the possibility of using new methods to treat PCOS. This is particularly true when discussing the use of insulin-sensitizing drugs. Caution must be exercised in using these drugs because of unforseen acute or remote adverse side effects. Postulated relationships among PCOS, hyperandrogenism, and insulin resistance do not completely solve the endocrinologic mystery of the patient with PCOS. For example, how does the partial destruction of the ovary (e.g., wedge biopsy or ovary drilling by laser or cautery), which does not affect insulin resistance,28 result in ovulatory cycles? Why does the administration of excessive exogenous insulin in the case of the insulin-dependent diabetic fail to cause hyperandrogenism? Certainly, much remains to be learned about the reproductive endocrine disturbance we now call PCOS.
UR - http://www.scopus.com/inward/record.url?scp=0035078838&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0035078838&partnerID=8YFLogxK
U2 - 10.1016/S0889-8545(05)70183-2
DO - 10.1016/S0889-8545(05)70183-2
M3 - Article
C2 - 11293002
AN - SCOPUS:0035078838
SN - 0889-8545
VL - 28
SP - 21
EP - 33
JO - Obstetrics and Gynecology Clinics of North America
JF - Obstetrics and Gynecology Clinics of North America
IS - 1
ER -