Reconsidering the Polycystic Ovary Syndrome (PCOS)

    June 2022 in “ Biomedicines
    Norbert Gleicher, Sarah K. Darmon, Pasquale Patrizio, David H. Barad
    TLDR PCOS should be reclassified into two types based on hormone levels and symptoms.
    The document proposed a reclassification of Polycystic Ovary Syndrome (PCOS) into two phenotypes: a hyperandrogenic phenotype (H-PCOS) and a hyper-/hypoandrogenic phenotype (HH-PCOS). H-PCOS was associated with metabolic abnormalities, while HH-PCOS, which often developed hypoandrogenism after age 35, was linked to a hyperactive immune system due to autoimmunity and inflammation. The study suggested that HH-PCOS becomes resistant to in vitro fertilization (IVF) at this age, but androgen supplementation could overcome this resistance. The authors argued that polygenic risk scores could differentiate between these phenotypes, and at least one clustering analysis supported this reclassification.
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