Disorders of menstrual cycling / oligo-amenorrhoea in association with Polycystic ovaries

Medical Therapies

• Antiandrogens
• Gonadotrophin releasing hormones
• Oral contraceptive pill
• Progestogens
• Retinoids
• Insulin-sensitising drugs
  [R] Insulin-sensitising drugs (metformin, troglitazone, rosiglitazone, pioglitazone, D-chiro-inositol) for polycystic ovary syndrome

Surgery

• Wedge biopsy
• Ovarian drilling

Elevated prolactin levels

Medical therapies

• Bromocriptine
• Cabergoline

Surgery

Weight-related amenorrhoea

Medical therapies

• Antidepressants
• Hormone replacement therapy
• Oral contraceptive pill

Functional ovarian cysts

Medical therapies

• Gonadotrophin releasing hormones
• Oral contraceptive pill
• Other homones

Surgery

• Drainage 

Irregular menstrual bleeding (oligo-amenorrhoea, amenorrhoea) 

• [R] progestogens versus oestrogens and progestogens for irregular uterine bleeding associated with anovulation

Other endocrine disorders (e.g. congenital adrenal hyperplasia)

[P] = Protocol