Rotterdam consensus in adolescent girls: which investigations and how to interpret them to make the diagnosis of PCOS?

Gynécologie, obstétrique & fertilité
A-C ReyssDidier Dewailly

Abstract

The polycystic ovary syndrome (PCOS) is the most frequent cause of hyperandrogenism and anovulation in adult women as well as in adolescent girls. Since 2003 the diagnosis of PCOS has been based on the association of hyperandrogenism, oligoanovulation and polycystic ovary (PCO) morphology at ultrasound (at least 2 items out of 3). In adolescents however, PCOS features may be difficult to distinguish from the symptoms of the end of puberty. Moreover, transvaginal ultrasound examination is seldom possible, and it is difficult to get precise imaging of the ovaries by abdominal route. However, the diagnosis of PCOS in a hyperandrogenic and/or oligomenorrheic adolescent requires on the strict application of the Rotterdam criteria, as in adult women. Priority should be given to clinical features whereas pelvic ultrasound must be considered as optional. Few hormonal assays will serve mainly to make the differential diagnosis, in addition to clinical findings. Once established, the diagnosis of PCOS in an adolescent girl must lead to the detection of the metabolic syndrome by means of simple investigations. This will allow early prevention of its complications.

References

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Dec 23, 2003·Human Reproduction·UNKNOWN Rotterdam ESHRE/ASRM-Sponsored PCOS consensus workshop group
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Jan 13, 2004·Human Reproduction Update·Adam H BalenDidier Dewailly
Sep 24, 2004·Best Practice & Research. Clinical Obstetrics & Gynaecology·Paula Amato, Joe Leigh Simpson
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Jul 12, 2005·Human Reproduction·Sophie JonardDidier Dewailly
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Citations

Apr 27, 2007·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Li Sun, Qingzhao Fu
Jan 22, 2013·Orvosi hetilap·László Ságodi, László Barkai
Mar 20, 2015·Pediatric Dermatology·Faranak KamangarKanade Shinkai
Oct 8, 2009·The Journal of Clinical Endocrinology and Metabolism·Francis de Zegher, Lourdes Ibáñez
Aug 9, 2011·Fertility and Sterility·Olivier CosteCharles Sultan

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