Question

A 24-year-old woman presents with oligomenorrhoea, hirsutism and BMI 32 kg/m2. Polycystic ovarian morphology is seen on ultrasound and other causes are excluded. What is the most appropriate first-line management?

Accepted Answer

Combined lifestyle intervention focusing on weight loss and exercise

Answer

Immediate laparoscopic ovarian drilling

Answer

Long-term high-dose glucocorticoids

Answer

Prophylactic oophorectomy

Answer

No treatment is needed

Practice question

A 24-year-old woman presents with oligomenorrhoea, hirsutism and BMI 32 kg/m2. Polycystic ovarian morphology is seen on ultrasound and other causes are excluded. What is the most appropriate first-line management?