Diagnóstico del Síndrome de Ovario Poliquístico: nuevos fenotipos, nuevas incógnitas / Current Diagnosis of Polycystic Ovary Syndrome: Expanding the phenotype but generating new questions
Rev. méd. Chile
;
137(8): 1071-1080, ago. 2009. tab
Article
in Spanish
| LILACS
| ID: lil-532000
ABSTRACT
Polycystic ovarian syndrome (PCOS), includes a wide spectrum of clinical symptoms and signs. Three different diagnostic classifications have been proposed to define this disease. The first one, published in 1990, known as the "NIH criteria" requires the simultaneous presence of hyperandrogenism and menstrual dysfunction in order to diagnose PCOS. Later on, in 2004, an expert panel met in Rotterdam and added to the previous criteria the presence ofpolycystic ovarian morphology (PCOM) detected by transvaginal ultrasonography The later classification broadened the spectrum of PCOS and also included women with oligomenorrhea and PCOM without hyperandrogenism or hyperandrogenism and PCOM without menstrual dysfunction. Finally, the Androgen Excess Society, published in 2006 new diagnostic criteria which required the presence of clinical or biochemical hyperandrogenism, with either PCOM or menstrual dysfunction to diagnose PCOS. We review the different classifications employed in the diagnosis of PCOS, the diverse phenotypes that may lead to the diagnosis of PCOS and their association with cardiovascular and metabolic complications.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Polycystic Ovary Syndrome
Type of study:
Diagnostic study
Limits:
Female
/
Humans
Language:
Spanish
Journal:
Rev. méd. Chile
Journal subject:
Medicine
Year:
2009
Type:
Article
/
Project document
Affiliation country:
Chile
Institution/Affiliation country:
Clínica Las Condes/CL
/
Universidad de Chile/CL
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