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Visualize at least 30 follicles: ultrasound criteria for PCOS said to be too loose.(Gynecology)

OB GYN News

| August 01, 2004 | Johnson, Kate | COPYRIGHT 2004 International Medical News Group. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan.  All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)Copyright

MONTREAL -- The ultrasound diagnosis of a polycystic ovary should require the visualization of 30 follicles, not 12 as recently suggested in an international consensus statement on the subject, Dr. Donna Chizen said at the 18th World Congress on Fertility and Sterility.

"Women who have less than 30 follicles and particularly less than 20 follicles may well be absolutely normal in every way in terms of biochemical indices and menstrual histories. So if we came up with a definition that was more stringent it would be more helpful for diagnosing" polycystic ovarian syndrome (PCOS), Dr. Chizen said at the meeting, sponsored by the International Federation of Fertility Societies.

Experts at an American Society for Reproductive Medicine/European Society of Human Reproduction and Embryology consensus meeting last year released the "Ultrasound assessment of the polycystic ovary: international consensus definitions" (Hum. Reprod. Update, 9[6]:505-14, 2003).

According to that document, the ultrasound criteria to define PCOS "should have at least one of the following: either 12 or more follicles measuring 2-9 mm in diameter, or increased ovarian volume (>10 [cm.sup.3])."

But the findings of her pilot study of 14 women with PCOS ...

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