Diagnosis and Treatment of Polycystic Ovary Syndrome in Adolescent Females

被引：17

作者：

Ebersole, Ashley M. ^{[1
]}

Bonny, Andrea E. ^{[1
,2
]}

机构：

[1] Nationwide Childrens Hosp, Div Adolescent Med, Columbus, OH USA

[2] Ohio State Univ, Dept Pediat, Columbus, OH 43210 USA

来源：

CLINICAL OBSTETRICS AND GYNECOLOGY | 2020年 / 63卷 / 03期

关键词：

polycystic ovary syndrome; adolescents; ovulatory dysfunction; hyperandrogenism; oligomenorrhea; hirsutism; STEROID 21-HYDROXYLASE DEFICIENCY; ENDOMETRIAL CANCER; GLUCOSE-TOLERANCE; ANDROGEN EXCESS; INCREASED RISK; SYNDROME PCOS; WEIGHT-LOSS; WOMEN; SPIRONOLACTONE; PREVALENCE;

D O I：

10.1097/GRF.0000000000000538

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

The diagnosis of polycystic ovary syndrome (PCOS) in adolescents is complicated by the overlap of normal puberty with features of PCOS. To address this difficulty, recent diagnostic guidelines have worked to modify adult diagnostic criteria for use in adolescents. These guidelines stress that a definitive diagnosis of PCOS is not needed to initiate treatment. Deferring diagnosis, while providing symptom treatment and regular follow-up, is one recommended option. Treatment options for PCOS should be individualized to the presentation, needs, and preferences of each patient. The goals of treatment are to improve the quality of life and long-term health outcomes.

引用

页码：544 / 552

页数：9

共 59 条

[1] Metabolic Syndrome in Adolescents with Polycystic Ovary Syndrome: Prevalence on the Basis of Different Diagnostic Criteria [J].

Akgul, Sinem ;

Bonny, Andrea E. .

JOURNAL OF PEDIATRIC AND ADOLESCENT GYNECOLOGY, 2019, 32 (04) :383-387

[2] Metformin or Oral Contraceptives for Adolescents With Polycystic Ovarian Syndrome: A Meta-analysis [J].

Al Khalifah, Reem A. ;

Florez, Ivan D. ;

Dennis, Brittany ;

Thabane, Lehana ;

Bassilious, Ereny .

PEDIATRICS, 2016, 137 (05)

[3] Criteria for defining polycystic ovary syndrome as a predominantly hyperandrogenic syndrome: An Androgen Excess Society guideline [J].

Azziz, Ricardo ;

Carmina, Enrico ;

Dewailly, Didier ;

Diamanti-Kandarakis, Evanthia ;

Escobar-Morreale, Hector F. ;

Futterweit, Walter ;

Janssen, Onno E. ;

Legro, Richard S. ;

Norman, Robert J. ;

Taylor, Ann E. ;

Witchel, Selma F. .

JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 2006, 91 (11) :4237-4245

[4] Polycystic ovary syndrome in adolescence [J].

Blank, Susan K. ;

Helm, Kristin D. ;

McCartney, Christopher R. ;

Marshall, John C. .

MENSTRUAL CYCLE AND ADOLESCENT HEALTH, 2008, 1135 :76-84

[5] Polycystic Ovary Syndrome in the Pediatric Population [J].

Bremer, Andrew A. .

METABOLIC SYNDROME AND RELATED DISORDERS, 2010, 8 (05) :375-394

[6] Polycystic ovary syndrome in adolescence [J].

Buggs, C ;

Rosenfield, RL .

ENDOCRINOLOGY AND METABOLISM CLINICS OF NORTH AMERICA, 2005, 34 (03) :677-+

[7] Revised 2003 consensus on diagnostic criteria and long-term health risks related to polycystic ovary syndrome [J].

Chang, J ;

Azziz, R ;

Legro, R ;

Dewailly, D ;

Franks, S ;

Tarlatzis, BC ;

Fauser, B ;

Balen, A ;

Bouchard, P ;

Dahlgren, E ;

Devoto, L ;

Diamanti, E ;

Dunaif, A ;

Filicori, M ;

Homburg, R ;

Ibanez, L ;

Laven, J ;

Magoffin, D ;

Nestler, J ;

Norman, RJ ;

Pasquali, R ;

Pugeat, M ;

Strauss, J ;

Tan, S ;

Taylor, A ;

Wild, R ;

Wild, S ;

Ehrmann, D ;

Lobo, R .

FERTILITY AND STERILITY, 2004, 81 (01) :19-25

[8] Polycystic ovary syndrome and the risk of gynaecological cancer: a systematic review [J].

Chittenden, B. G. ;

Fullerton, G. ;

Maheshwari, A. ;

Bhattacharya, S. .

REPRODUCTIVE BIOMEDICINE ONLINE, 2009, 19 (03) :398-405

[9] Prevalence of polycystic ovary syndrome in adolescents [J].

Christensen, Shawna B. ;

Black, Mary Helen ;

Smith, Ning ;

Martinez, Mayra M. ;

Jacobsen, Steve J. ;

Porter, Amy H. ;

Koebnick, Corinna .

FERTILITY AND STERILITY, 2013, 100 (02) :470-477

[10] Polycystic ovarian morphology in postmenarchal adolescents [J].

Codner, Ethel ;

Villarroel, Claudio ;

Eyzaguirre, Francisca C. ;

Lopez, Patricia ;

Merino, Paulina M. ;

Perez-Bravo, Francisco ;

Iniguez, German ;

Cassorla, Fernando .

FERTILITY AND STERILITY, 2011, 95 (02) :702-U810

← 1 2 3 4 5 6 →