Lauritsen Mette Petri, Svendsen Pernille Fog, Andersen Anders Nyboe
Ugeskr Laeger. 2019 Apr 8;181(15).
Since 2004, the Rotterdam criteria have been used in the diagnosis of polycystic ovary syndrome (PCOS), requiring the presence of two of the following three criteria: oligo-/anovulation, hyperandrogenism or polycystic ovaries. Reports of high prevalences of polycystic ovaries in younger women have caused concerns about overdiagnosis. Recently, the international guideline for PCOS has recommended raising the follicle threshold for polycystic ovaries and avoiding ultrasound in adolescents. Anti-Müllerian hormone has been proposed as a substitute marker for polycystic ovaries but is not yet considered adequate for diagnosis.
自2004年以来, Rotterdam标准一直用于多囊卵巢综合征(PCOS)的诊断,要求具备以下三项标准中的两项:少排卵/无排卵、高雄激素血症或多囊卵巢。年轻女性中多囊卵巢高患病率的报告引发了对过度诊断的担忧。最近,PCOS国际指南建议提高多囊卵巢的卵泡阈值,并避免对青少年进行超声检查。抗苗勒管激素已被提议作为多囊卵巢的替代标志物,但尚未被认为足以用于诊断。