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https://hdl.handle.net/2440/112100
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Type: | Journal article |
Title: | What is adolescent polycystic ovary syndrome? |
Author: | Peña, A. Metz, M. |
Citation: | Journal of Paediatrics and Child Health, 2018; 54(4):351-355 |
Publisher: | Wiley-Blackwell |
Issue Date: | 2018 |
ISSN: | 1034-4810 1440-1754 |
Statement of Responsibility: | Alexia S Peña and Michael Metz |
Abstract: | The diagnostic criteria for adolescent polycystic ovary syndrome (PCOS) has been derived from adult criteria, which makes diagnosis challenging as criteria include normal physiological events that occur during puberty such as acne, hirsutism, menstrual irregularities, high androgen levels and polycystic ovarian morphology on pelvic ultrasound. The only criteria that applies from the adult criteria is exclusion of other conditions that mimic PCOS. Clinical findings consistent with hyperandrogenaemia during adolescence include inflammatory acne, hirsutism, alopecia and/or menstrual irregularities, which are severe and present 2 years after menarche. The measurement of androgen levels during adolescence should take into account age, puberty, type of androgen measured, assay used and diurnal rhythm. Multiple measurements are useful to demonstrate hyperandrogenaemia. The combination, severity and persistence of the hyperandrogenic symptoms and hyperandrogenaemia in girls 2 years or more post-menarche support the diagnosis of adolescent PCOS. Adolescent girls with these findings should be followed up into adulthood. |
Keywords: | adolescent girl polycystic ovary syndrome |
Rights: | © 2017 Paediatrics and Child Health Division (The Royal Australasian College of Physicians) |
DOI: | 10.1111/jpc.13821 |
Grant ID: | http://purl.org/au-research/grants/nhmrc/1078444 |
Published version: | http://dx.doi.org/10.1111/jpc.13821 |
Appears in Collections: | Aurora harvest 3 Paediatrics publications |
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