In this section
There is no agreement as to which tests are truly diagnostic of
polycystic ovarian syndrome, particularly in the adolescent
population. Various diagnostic criteria have been
proposed, including Sultan & Paris's criteria1:
4 out of the following 5 criteria are met:
Up to 30% of women without PCOS will have polycystic
ovaries on ultrasound.
It has been suggested that ovaries in the adolescent population
should only be considered polycystic if there are more than 25
follicles per ovary (the criteria in adult women is at least 10
follicles measuring from 2-8 mm). Adolescent patients most
frequently have transabdominal scanning only, and this is regarded
as inferior to transvaginal scanning for visualising ovaries.
Note: The normal reference range for
androgen levels in women varies between laboratories. There
are no true markers of insulin resistance.
The following tests should be considered, but not all will
be needed, depending on the patient's presentation: