PMID: 9536215Jun 1, 1997Paper

Definition and significance of polycystic ovaries

Baillière's Clinical Obstetrics and Gynaecology
D Dewailly

Abstract

Defining the polycystic ovarian syndrome (PCOS) has challenged clinicians for many years. The clinical, hormonal and morphological definitions of PCOS have their own limitations and do not correspond exactly. Clinically, PCOS can be schematically divided into three components, i.e. hyperandrogenic, anovulatory and dysmetabolic. No one is specific for the syndrome. Hormonally, PCOS has recently been defined by the GnRH agonist test as a functional abnormality in ovarian androgen synthesis. This functional ovarian hyperandrogenism seems closely linked to hyperinsulinism secondary to an insulin resistance. Morphologically, ovarian ultrasonography has emerged in the last decade or so as a new diagnostic tool. However, the sonographic definition of the polycystic ovary (PCO) is controversial, mainly because of a lack of consensus about normative data. The aim of this review is to present the diagnostic dilemma in the diagnosis of PCOS and to discuss the prognostic significance of the PCO.

Citations

Jan 9, 2004·Fertility and Sterility·UNKNOWN Rotterdam ESHRE/ASRM-Sponsored PCOS Consensus Workshop Group
Jun 6, 2003·Progress in Neuro-psychopharmacology & Biological Psychiatry·Diane C Lagace, Mark W Nachtigal
Jun 17, 1999·Adolescent Medicine·J A Kahn, C M Gordon
Oct 16, 2012·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Tony T Lee, Mary E Rausch
Jul 12, 2008·Reproductive Biomedicine Online·Karen A CocksedgeMostafa Metwally
Oct 28, 2008·Fertility and Sterility·Ricardo AzzizUNKNOWN Task Force on the Phenotype of the Polycystic Ovary Syndrome of The Androgen Excess and PCOS Society
Jan 18, 2006·Fertility and Sterility·Michael C AllemandDonna R Session
Sep 19, 2000·Environmental Research·T KosatskyB Armstrong
Jul 5, 2005·Human Reproduction Update·Evanthia Diamanti-Kandarakis, Christina Piperi
Apr 3, 2004·American Journal of Pharmacogenomics : Genomics-related Research in Drug Development and Clinical Practice·Belén RoldánHéctor F Escobar-Morreale
Sep 28, 2005·Treatments in Endocrinology·Laurel Stadtmauer, Sergio Oehninger
Jan 7, 2006·Human Reproduction·A GonzálezR Ramírez-Lorca
Nov 7, 2003·The Journal of Clinical Endocrinology and Metabolism·Alejandro GonzalezAgustín Ruiz
Nov 26, 2002·Obstetrical & Gynecological Survey·Joop S E LavenBart C J M Fauser
May 30, 2003·Experimental Biology and Medicine·E TafeitR Horejsi

❮ Previous
Next ❯

Related Concepts

Related Feeds

CV Disorders & Type 2 Diabetes

This feed focuses on the association of cardiovascular diseases in patients with type 2 diabetes.