Síndrome de ovario poliquístico y complicaciones metabólicas: más allá del exceso de andrógenos

A. García,María Isabel Pérez-Palacio,Juliana Lucía Molina-Valencia,L. M. Martínez-Sánchez

Published 2015 in Revista chilena de obstetricia y ginecología

ABSTRACT

RESUMEN El sindrome del ovario poliquistico (SOP) es la alteracion endocrinologica mas comun que afecta a las mujeres en edad reproductiva con estudios que reportan una prevalencia de hasta un 21%. Existen dife-rentes criterios de diagnostico que describen diferentes fenotipos en las pacientes. El SOP trae grandes implicaciones en la salud femenina ya que se ha relacionado con alteraciones endocrinologicas, metaboli-cas y de fertilidad. Actualmente hay mayor conocimiento sobre la patogenesis de la enfermedad y se han relacionado nuevos marcadores bioquimicos tanto en mecanismos fisiopatologicos propios del SOP, como de enfermedades asociadas, permitiendo mejor identificacion y manejo de esta poblacion, lo que implica un avance para el desarrollo de posibles terapias y metodos diagnosticos mas eficaces.PALABRAS CLAVE: Sindrome del ovario poliquistico, sindrome metabolico, resistencia a la Insulina, hiperandrogenismo SUMMARY Polycystic ovarian syndrome (PCOS) is the most common endocrine disorder, it affects mostly women of reproductive age and some studies have reported that up to 21% of women present this syndrome. There are different diagnostic criteria for PCOS that characterize these patients into one of various phenotypes. This disorder has great implications on women’s health because it has been linked to other metabolic, endocrine and fertility disorders. Due to recent investigations, there has been a surge of new information about the pathogenesis of this disease, which in turn has helped explore new biochemical markers and pa-thophysiological mechanisms of PCOS and associated diseases, thus allowing a clearer identification and better management of these patients. This new information can lead to a breakthrough in the development of potential therapies and more effective diagnostic methods.KEY WORDS:

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