Actualización sobre el tratamiento de la infertilidad en el síndrome de ovario poliquístico SOP

Abstract

Introduction: Polycystic ovarian syndrome (PCOS) is an endocrinopathology with multifactorial etiology, it presents different manifestations, including hirsutism, obesity, menstrual disorders, infertility, caused by anovulation. Methodology: A review of the descriptive and retrospective medical literature of scientific arti -cles published up to January 2021 was carried out. The search for articles was carried out in databases such as: Pub-Med, Scielo, Cochrane and Scopus. Results: Different diagnostic criteria have been created over time,the most currently used are the Rottman criteria and the treatment is carried out individually, according to thepatient's need or requirement. There are different treatments for PCOS that correct different alterations of thedisease and are usually used alone or in combination. If the patient needs to conceive, she will not only receivepharmacological treatment, but management based on improving lifestyle and reducing her weight, since this,together with other factors, significantly influenced female anovulation. Conclusion: In the current scenario, a large part of the patients are obese, so it is necessary to prom ote changes in lifesty le. The first-line treatment for ovulation disorders is based on oral contraceptives, androgens in hirsutism, oral antidiabetics in cases of insulin resistance and infertility. It should be noted that only met-formin is accepted as infertility treatment ininsulin resistant patients.