The diagnosis of polycystic ovary syndrome in adolescents

被引:177
作者
Carmina, Enrico [1 ]
Oberfield, Sharon E. [2 ]
Lobo, Rogerio A. [3 ]
机构
[1] Univ Palermo, Dept Med, Palermo, Italy
[2] Columbia Univ, Coll Phys & Surg, Dept Pediat, New York, NY USA
[3] Columbia Univ, Coll Phys & Surg, Dept Obstet & Gynecol, New York, NY USA
关键词
adolescents; diagnosis; polycystic ovary syndrome; MENSTRUAL-CYCLE; ENDOCRINE; PATTERNS; VOLUME; GIRLS; DISORDERS; CRITERION; SIZE;
D O I
10.1016/j.ajog.2010.03.008
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
In women, the definition of polycystic ovary syndrome (PCOS) has become broad and includes several possible phenotypes. Because several features of PCOS may be in evolution in adolescents, we suggest that only firm criteria should be used to make a diagnosis of PCOS during adolescence. Hyperandrogenism, oligomenorrhea, and ovarian morphology change during adolescence and are discussed individually. Adolescents with incomplete criteria for a firm diagnosis of PCOS should be followed up carefully and may be diagnosed at a later time.
引用
收藏
页码:201.e1 / 201.e5
页数:5
相关论文
共 39 条
  • [1] [Anonymous], 1986, J Adolesc Health Care, V7, P236
  • [2] APTER D, 1987, FERTIL STERIL, V47, P82
  • [3] Criteria for defining polycystic ovary syndrome as a predominantly hyperandrogenic syndrome: An Androgen Excess Society guideline
    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.
    [J]. JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 2006, 91 (11) : 4237 - 4245
  • [4] Ultrasound assessment of the polycystic ovary: international consensus definitions
    Balen, AH
    Laven, JSE
    Tan, SL
    Dewailly, D
    [J]. HUMAN REPRODUCTION UPDATE, 2003, 9 (06) : 505 - 514
  • [5] Patterns of ovarian morphology in polycystic ovary syndrome: a study utilising magnetic resonance imaging
    Barber, Thomas M.
    Alvey, Christopher
    Greenslade, Tessa
    Gooding, Mark
    Barber, Debbie
    Smith, Rachel
    Marland, Anne
    Wass, John A. H.
    Child, Tim
    McCarthy, Mark I.
    Franks, Stephen
    Golding, Stephen J.
    [J]. EUROPEAN RADIOLOGY, 2010, 20 (05) : 1207 - 1213
  • [6] Is the PCOS diagnosis solved by ESHRE/ASRM 2003 consensus or could it include ultrasound examination of the ovarian stroma?
    Belosi, C.
    Selvaggi, L.
    Apa, R.
    Guido, M.
    Romualdi, D.
    Fulghesu, A. M.
    Lanzone, A.
    [J]. HUMAN REPRODUCTION, 2006, 21 (12) : 3108 - 3115
  • [7] Polycystic ovary syndrome in adolescence
    Blank, Susan K.
    Helm, Kristin D.
    McCartney, Christopher R.
    Marshall, John C.
    [J]. MENSTRUAL CYCLE AND ADOLESCENT HEALTH, 2008, 1135 : 76 - 84
  • [8] Ovarian size and blood flow in women with polycystic ovary syndrome and their correlations with endocrine parameters
    Carmina, E
    Orio, F
    Palomba, S
    Longo, RA
    Lombardi, G
    Lobo, RA
    [J]. FERTILITY AND STERILITY, 2005, 84 (02) : 413 - 419
  • [9] Carmina E., 2009, Yen Jaffes reproductive endocrinology, V6th ed, P801
  • [10] Chang RJ, 2007, CLIN OBSTET GYNECOL, V50, P178