A rational approach to the diagnosis of polycystic ovarian syndrome during adolescence

Detalhes bibliográficos
Autor(a) principal: Merino,Paulina M.
Data de Publicação: 2011
Outros Autores: Codner,Ethel, Cassorla,Fernando
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Arquivos Brasileiros de Endocrinologia & Metabologia (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27302011000800013
Resumo: Polycystic ovarian syndrome (PCOS) is a lifelong disorder characterized by hyperandrogenism and ovulatory dysfunction, with a wide spectrum of clinical symptoms and signs. Three different sets of diagnostic criteria have been established in order to define this disease in adult women, but there is controversy regarding the use of these criteria in adolescence. During puberty, the adult criteria for ovulatory dysfunction does not seem applicable, because an irregular menstrual pattern and a decreased ovulatory rate is a physiologic event during this period of life. Also, a higher prevalence of polycystic ovarian morphology (PCOM) may be observed during this period, so PCOM is not a useful criterion to define PCOS in young women. These findings suggest that a key factor to diagnose to PCOS during adolescence is hyperandrogenism. In addition, since PCOM is not clearly associated with hyperandrogenism during this period of life, the term "polycystic ovarian syndrome" during adolescence creates confusion and may be misleading.
id SBEM-2_2d40619f21e7dbfe2a1cd56675a36c5a
oai_identifier_str oai:scielo:S0004-27302011000800013
network_acronym_str SBEM-2
network_name_str Arquivos Brasileiros de Endocrinologia & Metabologia (Online)
repository_id_str
spelling A rational approach to the diagnosis of polycystic ovarian syndrome during adolescenceHyperandrogenismhirsutismpolycystic ovarian syndromeadolescencediagnosispubertypolycystic ovarian morphologymenstrual irregularitiesanti-Müllerian hormonePolycystic ovarian syndrome (PCOS) is a lifelong disorder characterized by hyperandrogenism and ovulatory dysfunction, with a wide spectrum of clinical symptoms and signs. Three different sets of diagnostic criteria have been established in order to define this disease in adult women, but there is controversy regarding the use of these criteria in adolescence. During puberty, the adult criteria for ovulatory dysfunction does not seem applicable, because an irregular menstrual pattern and a decreased ovulatory rate is a physiologic event during this period of life. Also, a higher prevalence of polycystic ovarian morphology (PCOM) may be observed during this period, so PCOM is not a useful criterion to define PCOS in young women. These findings suggest that a key factor to diagnose to PCOS during adolescence is hyperandrogenism. In addition, since PCOM is not clearly associated with hyperandrogenism during this period of life, the term "polycystic ovarian syndrome" during adolescence creates confusion and may be misleading.Sociedade Brasileira de Endocrinologia e Metabologia2011-11-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27302011000800013Arquivos Brasileiros de Endocrinologia & Metabologia v.55 n.8 2011reponame:Arquivos Brasileiros de Endocrinologia & Metabologia (Online)instname:Sociedade Brasileira de Endocrinologia e Metabologia (SBEM)instacron:SBEM10.1590/S0004-27302011000800013info:eu-repo/semantics/openAccessMerino,Paulina M.Codner,EthelCassorla,Fernandoeng2012-01-03T00:00:00Zoai:scielo:S0004-27302011000800013Revistahttps://www.aem-sbem.com/ONGhttps://old.scielo.br/oai/scielo-oai.php||abem-editoria@endocrino.org.br1677-94870004-2730opendoar:2012-01-03T00:00Arquivos Brasileiros de Endocrinologia & Metabologia (Online) - Sociedade Brasileira de Endocrinologia e Metabologia (SBEM)false
dc.title.none.fl_str_mv A rational approach to the diagnosis of polycystic ovarian syndrome during adolescence
title A rational approach to the diagnosis of polycystic ovarian syndrome during adolescence
spellingShingle A rational approach to the diagnosis of polycystic ovarian syndrome during adolescence
Merino,Paulina M.
Hyperandrogenism
hirsutism
polycystic ovarian syndrome
adolescence
diagnosis
puberty
polycystic ovarian morphology
menstrual irregularities
anti-Müllerian hormone
title_short A rational approach to the diagnosis of polycystic ovarian syndrome during adolescence
title_full A rational approach to the diagnosis of polycystic ovarian syndrome during adolescence
title_fullStr A rational approach to the diagnosis of polycystic ovarian syndrome during adolescence
title_full_unstemmed A rational approach to the diagnosis of polycystic ovarian syndrome during adolescence
title_sort A rational approach to the diagnosis of polycystic ovarian syndrome during adolescence
author Merino,Paulina M.
author_facet Merino,Paulina M.
Codner,Ethel
Cassorla,Fernando
author_role author
author2 Codner,Ethel
Cassorla,Fernando
author2_role author
author
dc.contributor.author.fl_str_mv Merino,Paulina M.
Codner,Ethel
Cassorla,Fernando
dc.subject.por.fl_str_mv Hyperandrogenism
hirsutism
polycystic ovarian syndrome
adolescence
diagnosis
puberty
polycystic ovarian morphology
menstrual irregularities
anti-Müllerian hormone
topic Hyperandrogenism
hirsutism
polycystic ovarian syndrome
adolescence
diagnosis
puberty
polycystic ovarian morphology
menstrual irregularities
anti-Müllerian hormone
description Polycystic ovarian syndrome (PCOS) is a lifelong disorder characterized by hyperandrogenism and ovulatory dysfunction, with a wide spectrum of clinical symptoms and signs. Three different sets of diagnostic criteria have been established in order to define this disease in adult women, but there is controversy regarding the use of these criteria in adolescence. During puberty, the adult criteria for ovulatory dysfunction does not seem applicable, because an irregular menstrual pattern and a decreased ovulatory rate is a physiologic event during this period of life. Also, a higher prevalence of polycystic ovarian morphology (PCOM) may be observed during this period, so PCOM is not a useful criterion to define PCOS in young women. These findings suggest that a key factor to diagnose to PCOS during adolescence is hyperandrogenism. In addition, since PCOM is not clearly associated with hyperandrogenism during this period of life, the term "polycystic ovarian syndrome" during adolescence creates confusion and may be misleading.
publishDate 2011
dc.date.none.fl_str_mv 2011-11-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27302011000800013
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27302011000800013
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/S0004-27302011000800013
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Sociedade Brasileira de Endocrinologia e Metabologia
publisher.none.fl_str_mv Sociedade Brasileira de Endocrinologia e Metabologia
dc.source.none.fl_str_mv Arquivos Brasileiros de Endocrinologia & Metabologia v.55 n.8 2011
reponame:Arquivos Brasileiros de Endocrinologia & Metabologia (Online)
instname:Sociedade Brasileira de Endocrinologia e Metabologia (SBEM)
instacron:SBEM
instname_str Sociedade Brasileira de Endocrinologia e Metabologia (SBEM)
instacron_str SBEM
institution SBEM
reponame_str Arquivos Brasileiros de Endocrinologia & Metabologia (Online)
collection Arquivos Brasileiros de Endocrinologia & Metabologia (Online)
repository.name.fl_str_mv Arquivos Brasileiros de Endocrinologia & Metabologia (Online) - Sociedade Brasileira de Endocrinologia e Metabologia (SBEM)
repository.mail.fl_str_mv ||abem-editoria@endocrino.org.br
_version_ 1754734811714420736

Registros relacionados