Prevalence of polycystic ovary syndrome and related disorders in mexican women.
OBJECTIVE
Polycystic ovary syndrome (PCOS) has been found to affect 4-8% of women of reproductive age; however, in Mexican-Americans a prevalence of 12.8% has been reported. This study determines the prevalence of PCOS in a sample of Mexican women.


METHODS
This prospective cross-sectional study included 150 female Mexican volunteers aged 20-45 years. Menstrual cycles were recorded and hirsutism was graded. Pelvic ultrasound was performed and androgen levels were measured. PCOS was diagnosed by hyperandrogenism and/or hyperandrogenemia, and oligo-ovulation (NIH 1990 criteria), and also by 2 of 3 findings: oligo-ovulation, clinical and/or biochemical hyperandrogenism and polycystic ovaries (PCO) (Rotterdam 2003 criteria), excluding other disorders.


RESULTS
Nine of the 150 women were diagnosed with PCOS, a prevalence of 6.0% (95% CI: 1.9-10.1%), according to NIH criteria. The ultrasound morphology added one patient to give ten PCOS patients, a prevalence of 6.6% (95% CI: 2.3-10.9%) according to Rotterdam criteria. All PCOS patients presented oligo-ovulation, 9 had hirsutism and 7 of them had acne. Eight of the 10 PCOS patients had morphologic characteristics of PCO.


CONCLUSIONS
The prevalence of PCOS in Mexican women is approximately 6.0%, similar to other populations, but lower than 12.8% reported in Mexican-American women.
Moran
Carlos
C
Direction of Health Research and Training, Medical Unit of High Specialty in Gynecology and Obstetrics No. 4 'Luis Castelazo Ayala', Mexico City, Mexico.
Tena
Gilberto
G
Moran
Segundo
S
Ruiz
Paola
P
Reyna
Rosario
R
Duque
Ximena
X
D000152:Acne Vulgaris / Q000453:epidemiology; D000328:Adult; D000728:Androgens / Q000097:blood; D015992:Body Mass Index; D003430:Cross-Sectional Studies; D005260:Female; D006628:Hirsutism / Q000453:epidemiology; D006801:Humans; D017588:Hyperandrogenism / Q000453:epidemiology; D017058:Mexican Americans; D008800:Mexico / Q000453:epidemiology / Q000208:ethnology; D008875:Middle Aged; D010053:Ovary / Q000000981:diagnostic imaging; D010060:Ovulation; D011085:Polycystic Ovary Syndrome / Q000175:diagnosis / Q000453:epidemiology*; D011446:Prospective Studies; D014463:Ultrasonography; D014481:United States
D000728:Androgens