What Are The Diagnostic Criteria for PCOS?
There are many and varied symptoms that can be related to PCOS, however the Rotterdam criteria, which arose from the joint European Society for Human Reproduction & Embryology/American Society for Reproductive Medicine Rotterdam workshop in 2003, states that in order to arrive at a diagnosis of PCOS the woman in question should have 2 or more of the following 3 clinical indicators:
- Enlarged ovaries with fluid filled cysts identified via ultrasound (or laparoscopy).
- Hyperandrogenism which can cause symptoms such as hirsutism (hair growth on the face, buttocks, stomach, chest, back, or other places where it oughtn’t to), androgenic alopecia (loss of hair on the head), acne.
- Anovulation which may or may not be accompanied by amenorrhoea and which is usually due to inapropriate gonadotropin secretion (typically an elevated LH to FSH ratio and very low progesterone levels).
Recently scientists have discovered that insulin resistance is at the heart of PCOS, and is a driving factor behind many of the symptoms and according to an article by Richard Legro, M.D. entitled Diagnostic Criteria in Polycystic Ovarian Syndrome it is being proposed that the diagnostic criteria be expanded to consider the following:
FSH = Follicle-Stimulating Hormone
LH = Luteinizing Hormone
GnRH = Gonadotropin-Releasing Hormone
All content Copyright to Anne Seccombe 2009