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Vol 69, No 4 (2018)
Guidelines / Expert consensus
Submitted: 2018-07-08
Accepted: 2018-07-17
Published online: 2018-08-21
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The polycystic ovary syndrome: a position statement from the Polish Society of Endocrinology, the Polish Society of Gynaecologists and Obstetricians, and the Polish Society of Gynaecological Endocrinology

Andrzej Milewicz1, Marek Kudła2, Robert Z. Spaczyński3, Romuald Dębski4, Błażej Męczekalski5, Mirosław Wielgoś6, Marek Ruchała7, Ewa Małecka-Tendera8, Beata Kos-Kudła9, Diana Jędrzejuk1, Agnieszka Zachurzok10
DOI: 10.5603/EP.2018.0046
·
Pubmed: 30209800
·
Endokrynol Pol 2018;69(4):328-344.
Affiliations
  1. Katedra i Klinika Endokrynologii, Diabetologii i Leczenia Izotopami Uniwersytetu Medycznego im. Piastów Śląskich we Wrocławiu
  2. Clinical Department of Perinatology and Oncological Gynecology, School of Health Sciences in Katowice, Medical University of Silesia, Katowice, Poland
  3. Klinika Niepłodności i Endokrynologii Rozrodu Uniwersytetu Medycznego w Poznaniu
  4. Klinika Położnictwa i Ginekologii Centrum Medycznego Kształcenia Podyplomowego w Warszawie
  5. Katedra i Klinika Endokrynologii Ginekologicznej Uniwersytetu Medycznego w Poznaniu
  6. Klinika Położnictwa i Ginekologii Warszawskiego Uniwersytetu Medycznego
  7. Klinika Endokrynologii, Przemiany Materii i Chorób Wewnętrznych Uniwersytetu Medycznego w Poznaniu
  8. Klinika Pediatrii i Endokrynologii Dziecięcej Śląskiego Uniwersytetu Medycznego w Katowicach
  9. Department of Endocrinology and Neuroendocrine Tumors, Department of Pathophysiology and Endocrinology, Medical University of Silesia, Katowice, Poland
  10. Klinika Pediatrii i Endokrynologii Dziecięcej Śląskiego Uniwersytetu Medycznego w Katowicach

open access

Vol 69, No 4 (2018)
Guidelines
Submitted: 2018-07-08
Accepted: 2018-07-17
Published online: 2018-08-21

Abstract

Polycystic ovary syndrome (PCOS) diagnosis and therapy still arouse a lot of controversy. Each year brings new information, so, having collected the experience of three scientific societies, we present contemporary recommendations concerning PCOS diagnostics and treat­ment. In adult female diagnosis, we still use the Rotterdam criteria, which is two out of three of the follwing characteristics: a) ovulation abnormality, b) clinical or biochemical hyperandrogenism, and c) polycystic ovaries. In the case of teenagers, diagnostic criteria are as follows: menstruation disturbances two years after menarche and clinical or biochemical hyperandrogenism. The presence of polycysti­cally abnormal ovaries is not necessary. The consensus paper presents the threats resulting from imperfect diagnostic methods applied in PCOS (hyperandrogenism diagnostics, ultrasound examination of ovaries). Suggested therapy includes personalised schemes according to the dominant PCOS phenotype, i.e. metabolic, hyperandrogenic, or reproductive ones.

Abstract

Polycystic ovary syndrome (PCOS) diagnosis and therapy still arouse a lot of controversy. Each year brings new information, so, having collected the experience of three scientific societies, we present contemporary recommendations concerning PCOS diagnostics and treat­ment. In adult female diagnosis, we still use the Rotterdam criteria, which is two out of three of the follwing characteristics: a) ovulation abnormality, b) clinical or biochemical hyperandrogenism, and c) polycystic ovaries. In the case of teenagers, diagnostic criteria are as follows: menstruation disturbances two years after menarche and clinical or biochemical hyperandrogenism. The presence of polycysti­cally abnormal ovaries is not necessary. The consensus paper presents the threats resulting from imperfect diagnostic methods applied in PCOS (hyperandrogenism diagnostics, ultrasound examination of ovaries). Suggested therapy includes personalised schemes according to the dominant PCOS phenotype, i.e. metabolic, hyperandrogenic, or reproductive ones.

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Keywords

polycystic ovary syndrome; diagnosis of PCOS; PCOS phenotypes, personalised therapy

About this article
Title

The polycystic ovary syndrome: a position statement from the Polish Society of Endocrinology, the Polish Society of Gynaecologists and Obstetricians, and the Polish Society of Gynaecological Endocrinology

Journal

Endokrynologia Polska

Issue

Vol 69, No 4 (2018)

Article type

Guidelines / Expert consensus

Pages

328-344

Published online

2018-08-21

Page views

15922

Article views/downloads

14917

DOI

10.5603/EP.2018.0046

Pubmed

30209800

Bibliographic record

Endokrynol Pol 2018;69(4):328-344.

Keywords

polycystic ovary syndrome
diagnosis of PCOS
PCOS phenotypes
personalised therapy

Authors

Andrzej Milewicz
Marek Kudła
Robert Z. Spaczyński
Romuald Dębski
Błażej Męczekalski
Mirosław Wielgoś
Marek Ruchała
Ewa Małecka-Tendera
Beata Kos-Kudła
Diana Jędrzejuk
Agnieszka Zachurzok

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