菜单
Recommend lifestyle changes for obese women with PCOS who present with hirsutism and seek improvement of androgen-related symptoms. Trigger phrases include BMI ≥30, PCOS diagnosis, hirsutism (Ferriman–Gallwey score ≥8), and desire for non-pharmacologic management.
默认使用会先检查来源的 Prompt；你也可以切换为直接命令，或下载本地副本。
决定是否安装前，请先阅读 SKILL.md，以及 SkillsMP 当前展示的配套文件。
用 Codex 或 Claude 帮你安装 复制这段 Prompt，粘贴到 Codex、Claude 或其他助手里，让它检查 Skill 页面并帮你完成安装。
直接命令不会经过审查 Prompt；运行前请先检查来源。
npx skills add https://github.com/dromlakhani/MD2SKILL --skill endo-hirsutism-lifestyle-changes-obese-pcos命令会保持在同一行。复制前请横向滚动并检查完整内容。
想先保存到本地？可下载 SkillsMP 当前能够提供的文件。
正在显示 SKILL.md
基于 SOC 职业分类
| name | endo-hirsutism-lifestyle-changes-obese-pcos |
| description | Recommend lifestyle changes for obese women with PCOS who present with hirsutism and seek improvement of androgen-related symptoms. Trigger phrases include BMI ≥30, PCOS diagnosis, hirsutism (Ferriman–Gallwey score ≥8), and desire for non-pharmacologic management. |
Collect BMI, waist circumference, PCOS diagnostic criteria (oligoovulation, hyperandrogenism, polycystic ovaries), Ferriman–Gallwey hirsutism score, menstrual pattern, fasting glucose, insulin, lipid panel, and patient goals regarding hair growth and weight. → Proceed to assess obesity and PCOS status.
Rule in obesity (BMI ≥30 kg/m²) and PCOS (per Rotterdam criteria: ≥2 of oligoovulation, hyperandrogenism, polycystic ovaries) vs rule out either condition. → If both present, move to classification; if not, consider alternative management.
Classify as obese PCOS patient with hirsutism eligible for lifestyle intervention. → Initiate comprehensive lifestyle program.
Prescribe diet (e.g., Mediterranean, reduced refined carbs), aerobic + resistance exercise ≥150 min/week, behavioral support, targeting 5–10% weight loss over 3–6 months; schedule follow‑up to reassess hirsutism score and metabolic parameters. → Implement plan and monitor response.
Lifestyle changes are adjunctive, not primary therapy for moderate‑severe hirsutism; avoid recommending as sole treatment when pharmacologic therapy is indicated; screen for disordered eating; ensure effective contraception if antiandrogens are considered later; weight loss may improve hirsutism modestly but realistic expectations are essential.
A 28‑year‑old woman with BMI 34 kg/m², PCOS (oligoovulation + hyperandrogenism), Ferriman–Gallwey score 12, and irregular menses desires less facial hair. Advise Mediterranean diet, 150 min/week brisk walking, aim for 5 % weight loss; re‑evaluate score after 3 months.
Source: Evaluation and Treatment of Hirsutism in Premenopausal Women: An Endocrine Society Clinical Practice Guideline, Endocrine Society, 2018, DOI:10.1210/jc.2018-00241
TODO: consider adding scripts/calc.py for the endo-hirsutism-lifestyle-changes-obese-pcos calculator