The prevalence of polycystic ovary syndrome in a community sample of Iranian population: Iranian PCOS prevalence study

被引:194
作者
Tehrani, Fahimeh Ramezani [1 ]
Simbar, Masoumeh [1 ]
Tohidi, Maryam [1 ]
Hosseinpanah, Farhad [2 ]
Azizi, Fereidoun [1 ]
机构
[1] Shahid Beheshti Univ Med Sci, Res Inst Endocrine Sci, Reprod Endocrinol Res Ctr, Tehran, Iran
[2] Shahid Beheshti Univ Med Sci, Res Inst Endocrine Sci, Obes Res Ctr, Tehran, Iran
来源
REPRODUCTIVE BIOLOGY AND ENDOCRINOLOGY | 2011年 / 9卷
关键词
REVISED; 2003; CONSENSUS; HUMAN MENSTRUAL CYCLE; DIAGNOSTIC-CRITERIA; IDIOPATHIC HIRSUTISM; REPRODUCTIVE LIFE; ANDROGEN EXCESS; WHITE WOMEN; YOUNG-WOMEN; ASSOCIATION; INSULIN;
D O I
10.1186/1477-7827-9-39
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background: Despite the heavy burden and impact of the polycystic ovary syndrome (PCOS) in reproduction and public health, estimates regarding its prevalence at community levels are limited. We aimed to ascertain prevalence of PCOS in a community based sample using the National Institute of Health (NIH), the Rotterdam consensus (Rott.) and the Androgen Excess Society (AES) criteria. Methods: Using the stratified, multistage probability cluster sampling method, 1126 women were randomly selected from among reproductive aged women of different geographic regions of Iran. PCOS were diagnosed using universal assessment of ultrasonographic parameters, hormonal profiles and clinical histories. Results: The mean +/- SD of age of study population was 34.4 +/- 7.6 years. Estimated prevalence of idiopathic hirsutism was 10.9% (95% CI: 8.9-12.9%); 8.3% of women had only oligo/anovulation and 8.0% had only polycystic ovaries. The prevalence of PCOS was 7.1% (95% CI: 5.4-8.8%) using the NIH definition, 11.7% (95% CI: 9.5-13.7%) by AES criteria and 14.6% (95% CI: 12.3-16.9%) using the Rott definition. Conclusions: At community level, widespread screening of Rotterdam criteria will increase the estimated prevalence of PCOS over twofold. Establishing an explicit and contemporaneous method for definition and screening of each PCOS criteria has important investigational implications and increase the comparability of published research.
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页数:7
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