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Doody's Review ServiceReviewer: Silvana Pannain, MD (University of Chicago Medical Center)
Description: This book summarizes the current knowledge about the diagnosis, consequences, and treatment of polycystic ovary syndrome (PCOS). The discussion of the science of the etiology and pathogenesis of this syndrome is appropriately limited as the book is intended to be more of a practical guide for clinicians. The table of contents is very comprehensive, and includes novel topics such as sleep disorders in PCOS and manifestations and management of PCOS after menopause. The authors are all international experts in this field.
Purpose: PCOS has emerged as a complex metabolic disease rather than simply a gynecologic disorder. Additionally, it has become apparent that PCOS predisposes to chronic conditions such as dysmetabolic syndrome, cardiovascular disease, and sleep disorders, and that all these conditions are ultimately related. The book highlights this complexity, which helps clinicians to look at the disease from multiple angles and to treat it using a team-based approach and a chronic care model. This book fulfills well the purpose of providing a more complete view of this disease
Audience: It is designed mostly for practicing adult and pediatric endocrinologists and gynecologists. Since obesity is very frequent in PCOS and possibly has a major role in its etiology, this book also could be of interest to bariatric medicine providers who may often encounter patients with PCOS. Researchers, mostly those involved in clinical research, may find a few chapters of some value, depending on their field.
Features: Novel topics such as sleep and PCOS and PCOS in menopause are covered. Complex topics such as PCOS, insulin resistance and diabetes and PCOS and cardiovascular disease are discussed at length from the molecular basis to clinical management. Illustrations are plentiful, of good quality, and aid comprehension.
Assessment: This well-written book offers quite a comprehensive review of the clinical aspects of PCOS. It is a worthwhile publication, since information on PCOS is fragmentary and incomplete and there are not many recent extensive reviews of the topic. One possible weakness is that some chapters have too many references to published research data, which forces clinicians to dig through the text to get to the more practical information.