Position Statement of the Polish Society of Endocrinology, Polish Society of Gynaecologists and Obstetricians, and Polish Society of Gynaecological Endocrinology on the Diagnosis and Treatment of Polycystic Ovary Syndrome

    August 2018 in “ Endokrynologia Polska ”
    Andrzej Milewicz, Marek Kudła, Robert Spaczyński, Romuald Dębski, Błażej Męczekalski, Mirosław Wielgoś, Marek Ruchała, Ewa Małecka-Tendera, Beata Kos–Kudła, Diana Jędrzejuk, Agnieszka Zachurzok
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    TLDR Polish medical societies recommend personalized treatment for PCOS based on the patient's specific symptoms and use the Rotterdam criteria for diagnosis.
    In 2018, the Polish Society of Endocrinology, the Polish Society of Gynaecologists and Obstetricians, and the Polish Society of Gynaecological Endocrinology issued a position statement on the diagnosis and treatment of Polycystic Ovary Syndrome (PCOS). They continued to use the Rotterdam criteria for diagnosing adult females, requiring two out of three characteristics: ovulation abnormality, clinical or biochemical hyperandrogenism, and polycystic ovaries. For teenagers, the criteria were menstruation disturbances two years after menarche and clinical or biochemical hyperandrogenism, without the need for polycystically abnormal ovaries. The paper pointed out issues with the diagnostic methods for PCOS, such as hyperandrogenism diagnostics and ultrasound examination of ovaries. The recommended therapy was personalized based on the dominant PCOS phenotype, which could be metabolic, hyperandrogenic, or reproductive.
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