Rotterdam Criteria

The criteria for diagnosing polycystic ovarian syndrome
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A diagnosis using the new Rotterdam criteria required two of three characteristics: hyperandrogenicity, chronic ovulatory dysfunction, and polycystic ovarian morphology.
The diagnosis of PCOS was arrived based on history, clinical signs, physical examination, laboratory parameters, and ultrasound findings, as per Rotterdam criteria [4] (Table I) by the Gynaecologist.
In 2003 Rotterdam criteria was used to diagnose PCOS: 1- oligomenorrhea-amenorrhea, 2- biochem- ical and/or clinical hyperandrogenism and 3- PCO morphology in ultrasonography (USG).
According to the so-called Rotterdam criteria, a woman with any two of the following may have the condition:
5 to 3 times larger than normal this definition is in accordance with the Rotterdam criteria.
However, Pembe and colleague 2009 used the Rotterdam criteria and found a higher incidence of PCO amongst women in Tanzania (4).
A total of 35 patients with PCOS were included fulfilling Rotterdam Criteria.
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):
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.
6 The ovarian volume greater than 10ml is considered to be diagnostic for polycystic ovaries according to Rotterdam criteria.
Talking about the diagnostic criteria she referred to the NIH criteria of 1990, Rotterdam criteria of 2003 and AES criteria of 2006.
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.