open access

Vol 69, No 4 (2018)
Guidelines
Published online: 2018-08-21
Submitted: 2018-07-08
Accepted: 2018-07-17
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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 Milewicz, Marek Kudła, Robert Z. Spaczyński, Romuald Dębski, Błażej Męczekalski, Mirosław Wielgoś, Marek Ruchała, Ewa Małecka-Tendera, Beata Kos-Kudła, Diana Jędrzejuk, Agnieszka Zachurzok
DOI: 10.5603/EP.2018.0046
·
Endokrynologia Polska 2018;69(4):328-344.

open access

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

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)

Pages

328-344

Published online

2018-08-21

DOI

10.5603/EP.2018.0046

Bibliographic record

Endokrynologia Polska 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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