title: Screening for Insulin Resistance in Polycystic Ovary Syndrome: Views of Physician Members of the American Society for Reproductive Medicine.
abstract: OBJECTIVE
  To determine practice patterns for insulin resistance (IR) evaluation and management in women with polycystic: ovary syndrome (PCOS) among physician members of the American Society for Reproductive Medicine (ASRM).
  
  
  METHODS
  Cross-sectional survey using a web-based questionnaire.
  
  
  RESULTS
  A total of 205 members responded. Respondents were board-certified (94%), or board-eligible (6%), in obstetrics and gynecology. Sixty-four percent of the respondents use the Rotterdam 2003 Criteria for a diagnosis of PCOS. Two-thirds (68%) screenfor IR in women with PCOS. Respondents who screen for IR were more likely to also screen for diabetes and impaired glucose tolerance (OR 3.37, 95% CI 1.48-7.21). The 2-hour oral glucose tolerance test with glucose and insulin concentrations was the most common IR screening test used (45%). Metformin therapy was used by 33% of respondents for, "all women with PCOS who have IR." The majority (68%) responded that there is a need for a committee opinion from ASRM on IR testing in PCOS.
  
  
  CONCLUSIONS
  Two-thirds of ASRM physician members surveyed screen women with PCOS for IR in spite of the lack of general consensus on the need for such screening from endocrine societies.
authors.forename: Albert
authors.initials: A
authors.lastname: Asante
authors.forename: Kenan
authors.initials: K
authors.lastname: Omurtag
authors.forename: Elizabeth A
authors.initials: EA
authors.lastname: Stewart
authors.forename: Charles C
authors.initials: CC
authors.lastname: Coddington
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D003430:Cross-Sectional Studies; D003920:Diabetes Mellitus / Q000175:diagnosis*; D005006:Ethnicity; D005260:Female; D018149:Glucose Intolerance / Q000175:diagnosis*; D005951:Glucose Tolerance Test; D006801:Humans; D007328:Insulin; D007333:Insulin Resistance; D008297:Male; D008403:Mass Screening; D008875:Middle Aged; D011085:Polycystic Ovary Syndrome / Q000175:diagnosis* / Q000378:metabolism; D017410:Practice Guidelines as Topic; D010818:Practice Patterns, Physicians'; D018456:Reproductive Medicine; D011795:Surveys and Questionnaires; D014481:United States
chemical_list: D007328:Insulin