Defining polycystic ovary syndrome
- 13 February 2009
- Vol. 338 (feb13 2), a2968
- https://doi.org/10.1136/bmj.a2968
Abstract
New criteria say that hyperandrogenism and ovarian dysfunction are needed Polycystic ovary syndrome (PCOS) is a well recognised and common condition that causes considerable morbidity. It comprises a group of signs and symptoms, and several attempts have been made to reach consensus on its definition. The latest proposed definition comes from a new group, the Androgen Excess and PCOS Society, which has reviewed the literature on the defining features of the syndrome.1 The original case series described seven women who had enlarged polycystic ovaries and amenorrhoea.2 The cardinal symptoms were subsequently recognised to be chronic anovulation (oligomenorrhoea or amenorrhoea) and hyperandrogenism (usually hirsutism, acne, and sometimes alopecia). These symptoms were combined in a definition produced by a consensus agreement supported by the US National Institutes of Health.3 In Europe and Australasia, ovarian imaging by ultrasound became an important component in the diagnosis, largely because ovarian morphology was part of the original description of the disease. To gain transatlantic harmony, the European …Keywords
This publication has 10 references indexed in Scilit:
- The Androgen Excess and PCOS Society criteria for the polycystic ovary syndrome: the complete task force reportFertility and Sterility, 2008
- Health-related quality of life measurement in women with polycystic ovary syndrome: a systematic reviewHuman Reproduction Update, 2007
- The diagnosis of polycystic ovary syndrome: the criteria are insufficiently robust for clinical researchClinical Endocrinology, 2007
- Diagnosis of Polycystic Ovarian Syndrome: In Defense of the Rotterdam CriteriaJournal of Clinical Endocrinology & Metabolism, 2006
- Revised 2003 consensus on diagnostic criteria and long-term health risks related to polycystic ovary syndrome (PCOS)Human Reproduction, 2004
- Ultrasound assessment of the polycystic ovary: international consensus definitionsHuman Reproduction Update, 2003
- Clinical manifestations and insulin resistance (IR) in polycystic ovary syndrome (PCOS) among South Asians and Caucasians: is there a difference?Clinical Endocrinology, 2002
- Polycystic ovaries and associated clinical and biochemical features in young womenClinical Endocrinology, 1999
- Insulin Resistance and the Polycystic Ovary Syndrome: Mechanism and Implications for PathogenesisEndocrine Reviews, 1997
- Insulin action in human granulosa cells from normal and polycystic ovaries is mediated by the insulin receptor and not the type-I insulin- like growth factor receptorJournal of Clinical Endocrinology & Metabolism, 1995