How do I install the Endo Hirsutism Lifestyle Changes Obese Pcos skill?

Run npx skillmds@latest add dromlakhani/endo-hirsutism-lifestyle-changes-obese-pcos in your terminal (requires Node.js), paste this page's agent-chat prompt into Claude, Cursor, or any MCP-connected agent, or download the SKILL.md file and copy it into your agent's skills directory.

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Who published Endo Hirsutism Lifestyle Changes Obese Pcos?

dromlakhani (@dromlakhani) published this skill. Their other Agent Skills are listed on their SkillMD profile.

Endo Hirsutism Lifestyle Changes Obese Pcos by dromlakhani

Name: Endo Hirsutism Lifestyle Changes Obese Pcos
Rating: 4.2 (5 reviews)
Author: dromlakhani

Endo Hirsutism Lifestyle Changes Obese Pcos

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.

dromlakhani Updated Sep 8, 2026 10 repo stars

File contents

Recommend lifestyle changes for obese women with PCOS

STEP 1 — Gather Information

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.

STEP 2 — Rule In / Rule Out

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.

STEP 3 — Classify or Stratify

Classify as obese PCOS patient with hirsutism eligible for lifestyle intervention. → Initiate comprehensive lifestyle program.

STEP 4 — Decide

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.

Clinical Guardrails / Mimics / Pitfalls

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.

Concrete Clinical Example

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

---name: endo-hirsutism-lifestyle-changes-obese-pcosdescription: 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.---# Recommend lifestyle changes for obese women with PCOS## STEP 1 — Gather InformationCollect 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.## STEP 2 — Rule In / Rule OutRule 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.## STEP 3 — Classify or StratifyClassify as obese PCOS patient with hirsutism eligible for lifestyle intervention. → Initiate comprehensive lifestyle program.## STEP 4 — DecidePrescribe 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.## Clinical Guardrails / Mimics / PitfallsLifestyle 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.## Concrete Clinical ExampleA 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

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