Reproductive endocrinology

Recommendations from the 2023 international evidence-based guideline for the assessment and management of polycystic ovary syndrome

Eur J EndocrinolPublished International evidence-based guideline

Methodological detailsAGREEII-compliant processes, GRADE framework, consumer engagement
  • AGREEII-compliant processes
  • GRADE framework
  • Consumer engagement

Recommendations

As issued by the authors

  1. Further refinement of individual diagnostic criteria, a simplified diagnostic algorithm, and AMH levels as an alternative to US in adults only

  2. Strengthened recognition of broader features of polycystic ovary syndrome (PCOS): metabolic risk factors, CVD, sleep apnoea, very high prevalence of psychological features, and high risk for adverse pregnancy outcomes

  3. Emphasis on the poorly recognized, diverse burden of disease and the need for greater healthcare professional education, evidence-based patient information, improved models of care, and shared decision-making, alongside greater research

  4. Maintained emphasis on healthy lifestyle, emotional well-being, and quality of life, with awareness and consideration of weight stigma

  5. Emphasis on evidence-based medical therapy and cheaper and safer fertility management

Original publication

Recommendations from the 2023 international evidence-based guideline for the assessment and management of polycystic ovary syndrome. Eur J Endocrinol. Published 15 August 2023. doi:10.1093/ejendo/lvad096

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