Abstract
Introduction: Polycystic ovary syndrome (PCOS) is a condition characterized by underlying metabolic and hormonal dysfunction. Patients are premenopausal, presenting with acne, infertility, and hirsutism. The presentation remains heterogeneous as many patients would present with symptoms relating to another autoimmune disease such as metabolic syndrome, thyroid dysfunction, or diabetes mellitus. Methods: We searched Pubmed for ((polycystic ovary syndrome) (AND (diagnosis) OR (management)) OR polycystic ovary disease))). Review: The diagnosis of PCOS is relatively straightforward, given that is highly suspected during clinical assessment and examination. Laboratory investigations aid in identifying underlying autoimmune conditions that may affect treatment. Therapeutic management is focused on the three areas of pathophysiology: ovarian dysfunction, hyperandrogenism, and metabolic disorders. Conclusion: The gynecologist should attempt to manage the myriad of symptoms in PCOS. This management should focus on close goals of symptom control and long term goals of infertility and remission. This approach to management should be fuelled by establishing a rapport with the patient, attending to their requirements and expectations.