Polycystic ovarian syndrome (PCOS): The Daily PANCE Blueprint
Which of the following is not a part of the Rotterdam criteria for diagnosing polycystic ovarian syndrome?
A. Oligo-ovulation
B. Impaired glucose tolerance
C. Anovulation
D. Hyperandrogenism
E. Polycystic ovary morphology
Answer and topic summary
The answer is B. Impaired glucose tolerance
Polycystic ovarian syndrome (PCOS) is the most common cause of infertility in women and is defined by hyperandrogenism and ovulatory dysfunction. It may be difficult to diagnose because there is a wide range of manifestations, such as hirsutism, acne, obesity, diabetes, menstrual irregularities, voice depending, dyslipidemia, depressive symptoms, etc. The Rotterdam criteria is the preferred criteria to use to confirm a diagnosis of PCOS (2/3 of the following are required: 1 – oligo and/or anovulation; 2 – signs of hyperandrogenism; 3 – polycystic ovaries). Initial treatment includes diet and exercise for weight reduction. Combined estrogen-progestin oral contraceptives are the mainstay of therapy.
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