Reproductive endocrinology

Pre‐polycystic ovary syndrome and polymenorrhoea as new facets of polycystic ovary syndrome (PCOS): Evidences from a single centre data set

Clin Endocrinol (Oxf)Published Prospective observational study

Authors' conclusion

The metabolic disturbances observed in Pre-PCOS women highlight the need to reassess diagnostic criteria. Including the polymenorrhoea subcategory in PCOS criteria is recommended due to similar metabolic dysfunctions as the oligomenorrhoea group.

Study context

Population
Women with PCOS-like characteristics and age-matched healthy women, single centre6,463 with PCOS-like features
Participants
5,174 / 538 / 121 / 78 / 3,142
Exposure
PCOS vs partial PCOS phenotypes vs healthy controls
  • PCOSn = 5,174
  • Hyperandrogenism (HA)n = 538
  • Oligo-amenorrhoea (OA)n = 121
  • Polycystic ovarian morphology (PCOM)n = 78
  • Healthy controlsn = 3,142reference
Outcome
Clinical, hormonal and metabolic characteristics
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

Pre-PCOS

737

Observational data: associations, not effects.

Further findings

Common clinical features

Oligomenorrhoea
75.5%
Hirsutism
82.9%
Obesity
27.2%
Hypertension
1.6%
Metabolic syndrome
19.6%
DM
5.6%

Polymenorrhoea subgroup vs oligomenorrhoea subgroup

Polymenorrhoea subgroup
5.9%
Lower BMI and serum testosterone, but similar mFG score, plasma glucose, insulin and lipid levels vs oligomenorrhoea

Original publication

Pre‐polycystic ovary syndrome and polymenorrhoea as new facets of polycystic ovary syndrome (PCOS): Evidences from a single centre data set. Clin Endocrinol (Oxf). Published 1 September 2023. doi:10.1111/cen.14964

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