Rotterdam Criteria

The criteria for diagnosing polycystic ovarian syndrome
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According to the so-called Rotterdam criteria, a woman with any two of the following may have the condition:
The consensus of both the European Society of Human Reproduction and Embryology (ESHRE) and the American Society for Reproductive Medicine (ASRM) coming out of this conference, known as the Rotterdam criteria, defines PCOS as the presence of 2 out of the 3 following criteria (3):
6), (7) The correlation between an increase in obesity and increased incidence of PCOS may likely be clue to increased hyperinsulinemia in obese populations, and the Rotterdam criteria indicate that obese women with PCOS should be screened for metabolic syndrome.
The panel instead recommended using the broad, inclusionary diagnostic Rotterdam Criteria to identify the specific phenotypes of PCOS, such as androgen excess plus ovulatory dysfunction, androgen excess plus polycystic ovarian morphology, ovulatory dysfunction plus polycystic ovarian morphology, or androgen excess plus ovulatory dysfunction plus polycystic ovarian morphology.
The 2003 Rotterdam criteria [Human Reproduction 2004; 19:41-7] were not used because the definition is less strict and could include adolescents with hypothalamic amenorrhea, she noted.
It is broader than the NIH criteria but doesn't capture as much as the Rotterdam criteria, which were overly broad and resulted in the diagnosis of PCOS in women who simply had irregular ovulation and polycystic-looking ovaries.
Goodman said the criticism of the Rotterdam criteria has been that the diagnosis of PCOS is sometimes based solely on ultrasound findings and irregular periods.
Women with PCOS diagnosed by the Rotterdam criteria were recruited from a reproductive endocrinology clinic; women without PCOS who attend the gynecology clinic for an annual exam were the controls.