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In the Clinic |

The Polycystic Ovary Syndrome

Jennifer F. Wilson
Ann Intern Med. 2011;154(3):ITC2-1. doi:10.7326/0003-4819-154-3-201102010-01002
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The polycystic ovary syndrome (PCOS) is a common hormone disorder affecting women of reproductive age. Prevalence estimates vary between 5% and 15%, depending on the criteria. In recent years, recognition and understanding of the condition have improved significantly, but it is still widely underdiagnosed (1). The European Society for Human Reproduction and Embryology and the American Society for Reproductive Medicine (ESHRE/ASRM) have recommended that PCOS be diagnosed only after excluding other medical conditions that cause irregular menstrual cycles and androgen excess and only if at least 2 of the following are present: oligoovulation or anovulation, elevated levels of circulating androgens or clinical manifestations of androgen excess, and polycystic ovaries on ultrasonography (2). While these criteria are the most widely used, there are 2 other criteria that are favored by other experts—the so-called "NIH criteria" (3) and the Androgen Excess Society criteria (4).

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Metformin in women with PCOS, Pros. Endocrine Published online Jun 10, 2014.;
The effect of dietary carbohydrates in women with polycystic ovary syndrome. Minerva Endocrinol Published online Jun 10, 2014.;

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