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Controversies in the diagnosis of polycystic ovary syndrome
Polycystic ovary syndrome is a common endocrinological condition which is found to be prevalent in 5–10% of women of reproductive age. Historically, a combination of anovulation and androgen excess was considered a hallmark in the diagnosis of polycystic ovary syndrome. Addition of ultrasound featur...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7328349/ https://www.ncbi.nlm.nih.gov/pubmed/32656532 http://dx.doi.org/10.1177/2633494120913032 |
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author | Rao, Preetham Bhide, Priya |
author_facet | Rao, Preetham Bhide, Priya |
author_sort | Rao, Preetham |
collection | PubMed |
description | Polycystic ovary syndrome is a common endocrinological condition which is found to be prevalent in 5–10% of women of reproductive age. Historically, a combination of anovulation and androgen excess was considered a hallmark in the diagnosis of polycystic ovary syndrome. Addition of ultrasound features of polycystic ovary syndrome has improved the detection of variation in the polycystic ovary syndrome phenotype. Despite the widespread use of consensus diagnostic criteria, there remain several unresolved controversies in the diagnosis of polycystic ovary syndrome. Difficulty arises in methods of assessment and types of androgens to be measured to detect biochemical hyperandrogenism, setting a cut-off value for the diagnosis of clinical hyperandrogenism, setting an ultrasound threshold of antral follicle count to diagnose polycystic ovaries and also diagnosing this condition in adolescence where there is no clear definition for ‘irregular cycles’. This article looks at various controversies in the diagnosis of polycystic ovary syndrome. |
format | Online Article Text |
id | pubmed-7328349 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-73283492020-07-09 Controversies in the diagnosis of polycystic ovary syndrome Rao, Preetham Bhide, Priya Ther Adv Reprod Health The Many Faces of PCOS Polycystic ovary syndrome is a common endocrinological condition which is found to be prevalent in 5–10% of women of reproductive age. Historically, a combination of anovulation and androgen excess was considered a hallmark in the diagnosis of polycystic ovary syndrome. Addition of ultrasound features of polycystic ovary syndrome has improved the detection of variation in the polycystic ovary syndrome phenotype. Despite the widespread use of consensus diagnostic criteria, there remain several unresolved controversies in the diagnosis of polycystic ovary syndrome. Difficulty arises in methods of assessment and types of androgens to be measured to detect biochemical hyperandrogenism, setting a cut-off value for the diagnosis of clinical hyperandrogenism, setting an ultrasound threshold of antral follicle count to diagnose polycystic ovaries and also diagnosing this condition in adolescence where there is no clear definition for ‘irregular cycles’. This article looks at various controversies in the diagnosis of polycystic ovary syndrome. SAGE Publications 2020-06-29 /pmc/articles/PMC7328349/ /pubmed/32656532 http://dx.doi.org/10.1177/2633494120913032 Text en © The Author(s), 2020 https://creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | The Many Faces of PCOS Rao, Preetham Bhide, Priya Controversies in the diagnosis of polycystic ovary syndrome |
title | Controversies in the diagnosis of polycystic ovary
syndrome |
title_full | Controversies in the diagnosis of polycystic ovary
syndrome |
title_fullStr | Controversies in the diagnosis of polycystic ovary
syndrome |
title_full_unstemmed | Controversies in the diagnosis of polycystic ovary
syndrome |
title_short | Controversies in the diagnosis of polycystic ovary
syndrome |
title_sort | controversies in the diagnosis of polycystic ovary
syndrome |
topic | The Many Faces of PCOS |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7328349/ https://www.ncbi.nlm.nih.gov/pubmed/32656532 http://dx.doi.org/10.1177/2633494120913032 |
work_keys_str_mv | AT raopreetham controversiesinthediagnosisofpolycysticovarysyndrome AT bhidepriya controversiesinthediagnosisofpolycysticovarysyndrome |