Interactive Session - Androgen Excess Special Interest Group - PCOS Diagnostic Criteria
Date:October 23,
2012
Time:1:15 pm - 2:15 pm
Location:Room 6D - San Diego Convention Center
Presenters
Antoni J. Duleba, M.D. (Chair), University of California, Davis
Marcelle I. Cedars, M.D., University of California San Francisco
Richard S. Legro, M.D., Pennsylvania State University
PCOS Diagnostic Criteria
Needs Assessment and Description
Polycystic ovary syndrome (PCOS) is a very common and
highly heterogeneous syndrome, and its diagnostic criteria
have been a subject of extensive debates. PCOS clinical
presentations, laboratory findings and ultrasonographic
ovarian appearance are greatly affected by patient age.
Several consensus meetings have focused on key aspects of
diagnostic workup for this condition, establishing evaluation
criteria. A strategy for implementing appropriate evaluation
criteria and for interpreting findings, particularly among
different age groups, will be presented in this live session for
clinicians.
Learning Objectives
At the conclusion of this session, participants should be able
to:
- Summarize key diagnostic criteria of PCOS.
- Discuss unique aspects of diagnostic assessment of PCOS
across different age groups.
ACGME Competency
Patient Care
TEST QUESTION:
An obese 17-year-old oligomenorrheic/anovulatory
adolescent presents with acne but no hirsutism. She had
menarche at the age of 14 years. Diagnostic workup ruled
out endocrinopathies other than PCOS. Currently, in my
practice I would conclude that she has:
- PCOS.
- PCOS in the presence of elevated serum testosterone
and increased ovarian volume (>10cc).
- PCOS in the presence of elevated serum testosterone
and increased number of ovarian follicles (≥12 in one
ovary).
- PCOS in the presence of increased number of ovarian
follicles ≥12 in one ovary) even if her testosterone level is
normal.
- PCOS in the presence of increased ovarian volume
(≥10cc) even if her testosterone level is normal.
- Not applicable to my area of practice.