Drosdzol-Cop Agnieszka, Sidło-Stawowy Agata, Sajdak Dominika, Skrzypulec-Plinta Violetta
Ginekol Pol. 2014 Feb;85(2):145-8. doi: 10.17772/gp/1705.
Polycystic ovary syndrome (PCOS) is one of the most common endocrinopathies and it manifests itself in about 4-12% women of reproductive age. The Rotterdam, AES and NIH criteria can be used to diagnose PCOS in adults but there are no specific criteria to diagnose PCOS in adolescent girls. Most authors agree that applying criteria for adult to teenagers leads to overdiagnosis because of similarity in physiological changes during puberty and common PCOS symptoms. Tightening of the current criteria and including new, not widely accepted yet, was proposed. Currently it seems justifiable to diagnose PCOS in adolescent girls using the Rotterdam criteria, on condition that all three symptoms are present, hyperandrogenism is established in laboratory tests and pelvic ultrasound reveals an increased ovarian volume (> 10 ml). Nevertheless, the necessity of more research and establishing specific criteria for adolescent girls is emphasized.
多囊卵巢综合征（PCOS）是最常见的内分泌疾病之一，约4-12%的育龄女性受其影响。鹿特丹、AES和美国国立卫生研究院（NIH）的标准可用于诊断成年女性的PCOS，但尚无诊断青春期少女PCOS的具体标准。大多数作者认为，由于青春期生理变化与PCOS常见症状相似，将成人标准应用于青少年会导致过度诊断。有人提议收紧现行标准并纳入尚未被广泛接受的新标准。目前，在青春期少女出现所有三种症状、实验室检查确定存在高雄激素血症且盆腔超声显示卵巢体积增大（>10ml）的情况下，使用鹿特丹标准诊断PCOS似乎是合理的。然而，强调了对青春期少女进行更多研究并制定具体标准的必要性。
