The full content of Annals is available to subscribers

Subscribe/Learn More  >
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
Text Size: A A A

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).

First Page Preview

View Large
First page PDF preview





Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).


Submit a Comment/Letter
Veru much practical information on PCOS
Posted on August 13, 2015
Gauranga Dhar
Bangladesh Institute of Family Medicine and Research
Conflict of Interest: None Declared
Very good and practical information on PCOS. This condition is increasing very rapidly all over the world. Very good and updated management strategies are described in this article but unfortunately effectiveness of the treatment of PCOS is not hopeful even with the latest management strategy. One thing I like to draw the kind attention of physicians that to regularize menstrual cycle in this population I noticed the use of progesterone only which is not a good approach. I appreciate Dr. Jennifer’s approach to start with estrogen-progestin contraceptive and continue for 6 months.
Submit a Comment/Letter

Summary for Patients

Clinical Slide Sets

Terms of Use

The In the Clinic® slide sets are owned and copyrighted by the American College of Physicians (ACP). All text, graphics, trademarks, and other intellectual property incorporated into the slide sets remain the sole and exclusive property of the ACP. The slide sets may be used only by the person who downloads or purchases them and only for the purpose of presenting them during not-for-profit educational activities. Users may incorporate the entire slide set or selected individual slides into their own teaching presentations but may not alter the content of the slides in any way or remove the ACP copyright notice. Users may make print copies for use as hand-outs for the audience the user is personally addressing but may not otherwise reproduce or distribute the slides by any means or media, including but not limited to sending them as e-mail attachments, posting them on Internet or Intranet sites, publishing them in meeting proceedings, or making them available for sale or distribution in any unauthorized form, without the express written permission of the ACP. Unauthorized use of the In the Clinic slide sets will constitute copyright infringement.


Buy Now for $32.00

to gain full access to the content and tools.

Want to Subscribe?

Learn more about subscription options

Related Articles
Topic Collections
PubMed Articles
Forgot your password?
Enter your username and email address. We'll send you a reminder to the email address on record.