Polycystic ovary syndrome. A diagnostic challenge.
Polycystic ovary syndrome remains a diagnostic challenge because there is no single defining test. The clinical presentation must dictate the extent of the work-up. The typical PCOS patient has a history of irregular menses and appears hirsute. Demonstration of ovulatory dysfunction and hyperandrogenism can also be made by appropriate hormonal measurements. An ultrasound showing multiple small ovarian follicles can support a diagnosis of PCOS in the patient for whom the clinical diagnosis has been made. Other causes of hyperandrogenism and ovulatory dysfunction should be excluded.
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Department of Obstetrics and Gynecology, Division of Reproductive Endocrinology, University of Rochester School of Medicine and Dentistry, Rochester, New York, USA. vivian_lewis@urmc.rochester.edu
D005260:Female; D006628:Hirsutism / Q000175:diagnosis; D006801:Humans; D017588:Hyperandrogenism / Q000097:blood / Q000175:diagnosis / Q000209:etiology; D011085:Polycystic Ovary Syndrome / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging; D012720:Severity of Illness Index; D014463:Ultrasonography